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Wang Li Bing
Intensive Care Medicine Department
About me
Loudi Central Hospital, ICU, attending physician, has been engaged in ICU clinical work for many years, with rich clinical experience in the treatment of emergency patients.
Proficient in diseases
Proficient in using equipment such as continuous electrocardiogram monitoring, oxygen saturation detection, blood pressure monitoring, and disease monitoring.
Voices
Acute heart failure typical symptoms
The typical symptoms of acute heart failure include sudden severe difficulty breathing, increased respiratory rate, and patients generally presenting a forced sitting position, with pale, grayish complexion and cyanotic lips. They often have profuse sweating, restlessness, frequent coughing, and coughing up pink frothy sputum. The condition can be critical, leading to consciousness disturbances due to lack of oxygen. Once acute heart failure occurs, active treatment is essential. The most common clinical approaches include strengthening the heart, diuresis, and vasodilation for symptomatic active management.
What medicine is used for acute heart failure?
The most common clinical manifestation of acute heart failure is severe dyspnea, hypoxia, and even changes in consciousness, which are very common in clinical practice. For treatment, morphine can be administered intravenously or subcutaneously to reduce patient agitation and relieve myocardial oxygen consumption. Secondly, plastic can be used for rapid intravenous push. Thirdly, vasodilators can be used, such as glyceryl trinitrate and sodium nitroprusside intravenous infusion. Fourthly, positive inotropic drugs can be used, such as dopamine and dobutamine. Additionally, cardiac glycosides, such as digoxin, can be used.
Severe pancreatitis diagnostic criteria
Diagnostic criteria for severe pancreatitis: First, based on the patient's clinical symptoms, symptoms such as restlessness, cold limbs, and mottled skin, indicative of shock, may appear. Second, physical examination signs, such as rigid abdominal muscles indicative of a positive peritoneal irritation sign, and Grey Turner's sign may also be present. Third, according to laboratory tests, the calcium levels generally significantly decrease, usually below 2 mmol/L, and elevated blood sugar levels greater than 11.2 mmol/L, typically without a history of diabetes. There may also be a sudden decrease in urine amylase. Fourth, diagnostic abdominal paracentesis reveals ascitic fluid with high amylase activity. Based on these points, severe pancreatitis can be considered.
Causes of vomiting in heart failure
Heart failure in clinical practice can be divided into left heart failure, right heart failure, and total heart failure. The symptoms of left heart failure primarily manifest as pulmonary congestion, including varying degrees of dyspnea, cough, coughing up pink frothy sputum, palpitations, fatigue, etc. As for right heart failure, it mainly shows as gastrointestinal congestion, with symptoms such as nausea, vomiting, loss of appetite, etc. Once heart failure symptoms appear, the patient must seek medical attention promptly, actively treat the primary disease, correct the symptoms and signs of heart failure, and then avoid excessive physical activity, infections, and other triggers that could exacerbate heart failure.
What medication is used for upper gastrointestinal bleeding?
Upper gastrointestinal massive bleeding is generally a medical emergency with rapid changes that can even be life-threatening. Immediate anti-shock treatment and rapid blood volume replenishment are necessary. When massive gastrointestinal bleeding occurs, the patient should be kept in a recumbent position for rest, ensuring that the airway remains clear to avoid choking during vomiting, and fasting should be maintained during the bleeding period. In clinical practice, medical treatment mainly includes the following points: firstly, actively preparing blood transfusions to replenish blood volume. Secondly, vasopressin can be used for pharmacological hemostasis. Additionally, treatments with somatostatin and octreotide are also options. Hemostasis can also be achieved through endoscopic treatment. If conservative medical treatment is ineffective, surgical treatment may be considered. (Please use medications under the guidance of a doctor.)
What department should I go to for arrhythmia?
Arrhythmia is generally treated in the department of cardiovascular medicine. What is arrhythmia? It mainly refers to abnormalities in the frequency, rhythm, origin, conduction speed, or excitation sequence of the heart's impulses. Based on the principles of arrhythmia occurrences, it can be divided into two major categories: abnormalities in impulse formation and abnormalities in impulse conduction. Abnormalities in impulse formation include sinus arrhythmias and ectopic rhythms, while abnormalities in impulse conduction include interference atrioventricular dissociation, sinoatrial conduction block, intra-atrial conduction block, atrioventricular conduction block, and bundle branch block, among others.
Which department should I go to for heart failure?
Heart failure primarily includes left heart failure, right heart failure, and total heart failure. Patients should visit the cardiology outpatient clinic. Left heart failure mainly manifests as pulmonary congestion, which can cause varying degrees of breathing difficulty, coughing, expectoration of pink frothy sputum, palpitations, and fatigue. Right heart failure primarily appears as liver congestion and other symptoms related to the digestive system, such as nausea, vomiting, and gastrointestinal discomfort. Total heart failure includes symptoms of both left heart failure and right heart failure, and medical attention should be sought promptly after the onset of heart failure.
Is ventricular arrhythmia serious?
Arrhythmias are primarily divided into sinus arrhythmias, atrial arrhythmias, and ventricular arrhythmias. Among these, ventricular arrhythmias are further categorized into ventricular premature contractions, ventricular tachycardia, ventricular flutter, and ventricular fibrillation. Ventricular flutter and ventricular fibrillation are fatal types of arrhythmias. Patients generally experience loss of consciousness, generalized convulsions, and even cessation of breathing and death. If ventricular fibrillation occurs, it is imperative to immediately perform defibrillation and cardiopulmonary resuscitation, among other emergency interventions.
What are the characteristic manifestations of upper gastrointestinal bleeding?
The clinical manifestations of upper gastrointestinal bleeding mainly depend on the amount and speed of the patient's bleeding. Clinically, vomiting blood and black stool are characteristic manifestations of upper gastrointestinal bleeding. Secondly, if the patient has a large amount of bleeding, it can lead to a rapid decrease in circulating blood volume and subsequent peripheral circulatory failure. Patients may experience dizziness, palpitations, fatigue, and even fainting. At this point, it is crucial to actively replenish blood volume and stop the bleeding, and provide symptomatic treatment. Thirdly, blood tests can reveal signs of hemorrhagic anemia in patients. Fourthly, after gastrointestinal bleeding, patients generally develop a low fever within 24 hours, which must be actively managed.
Treatment methods for chronic heart failure
The treatment of heart failure mainly includes the following points. The first major category is etiological treatment, where we should actively manage all common diseases that may impair cardiac function, such as hypertension, coronary heart disease, diabetes, etc. The second category is to eliminate the factors that lead to heart failure, such as infections, especially respiratory infections. The third major category is for patients to pay attention to rest, control physical activity, avoid emotional excitement, and control sodium intake to reduce blood volume. The fourth category is drug therapy, which commonly includes the use of diuretics, ACE inhibitors, positive inotropic drugs, and β-blockers in clinical practice. (Medication should be administered under the guidance of a doctor.)