I Can See Health Chapter 115

  Chapter 115 Late radial artery puncture

   Ten minutes later.

   Yin Xinhua and He Sirong still did not return to the doctor's office.

   And the nurse's footsteps outside the corridor are getting faster and faster.

   Occasionally, the family members of the patients could be heard shouting.

  Lu Chen asked Fu Fengqin to sign the informed consent for the operation.

   Walking to the corridor of the ward, he saw that the door of the 43-bed hospital was already crowded with people.

  Most of them were family members of patients in other beds, and they all stretched their necks and looked into the ward.

   "Don't be around everyone, it will affect the doctor's rescue!"

   The head nurse also rushed over, evacuated the patient's family members who were watching the excitement at the door, and at the same time erected a blue partition in front of the 43-bed bed.

  Lu Chen did not step forward, but returned to the doctor's office.

   Each group is relatively independent.

  There are more than ten doctors in each group, from the senior chief physician to the junior interns.

  Even for rescue, there is basically no shortage of manpower.

   "Junior Brother, what's the condition of that patient?"

   As soon as Lu Chen returned to the doctor's office, Sun Guoguo asked curiously.

   "I don't know." Lu Chen shook his head, "It should be rescuing."

   "Oh." Sun Guoguo nodded and continued to look at the work at hand.

   And Dingdeli on the side. Seeing that Yin Xinhua and He Sirong hadn't come back for a long time, he couldn't sit still. He picked up the stethoscope and walked out of the doctor's office quickly.

five minutes later.

  He Sirong quickly ran back to the doctor's office.

   She sat in front of the computer, opened the medical record and started writing.

   "Xiao He, what kind of patient are you?" Sun Guoguo asked abruptly.

  He Sirong immediately said: "A female patient with acute and extensive anterior wall myocardial infarction with complete heart failure came to our hospital after being rejected by the City Hospital and the First People's Hospital."

   "Ah? Why wasn't it sent directly to the CCU?" Sun Guoguo frowned, "How come it was sent to our general ward?"

  He Sirong smiled bitterly: "The family is afraid that our hospital will not accept it and concealed the condition. I just suffered from acute heart failure. Senior Sister Yin is worried about what happened to this patient, so let me come back first and write about the course of the disease."

   After listening to He Sirong's words, Sun Guoguo realized that the patient's condition was unusual.

   Not only the patient's condition, but also the patient's family's behavior of concealing the patient!

   The family members of this patient definitely have potential medical troubles!

   "Junior Brother Lu, let's go check the patient's condition." Sun Guoguo immediately put down her work.

   "Okay." Lu Chen nodded.

   The two immediately walked out of the doctor's office and came to the ward where the 43rd bed was.

   came to the ward.

  Lu Chen saw a 60-year-old female patient sitting on the bed.

   The head of the bed was rocked high.

   She put a breathing mask on her mouth and put her hands on the guardrail of the hospital bed.

   The whole person was breathing very fast, sweating profusely, and looking very restless.

  Lu Chen stared at her health.

   Only 37 left!

   There are many nurses at the bedside for joint rescue.

  One nurse is opening the patient's venous access, another nurse is inserting the patient's urinary catheter.

   "Dopamine alone can't maintain blood pressure! Another set of norepinephrine!"

   Director Lin Cui looked serious and gave orders from the side.

   "Received!" Liu Mei was the main nurse in the rescue, and immediately began to prepare liquids.

   "Another half morphine! Pay attention to the patient's breathing!"

"it is good!"

   Rescue is proceeding in an orderly manner.

   But the patient's condition is not better at all!

   "Director Lin, transfer the patient to CCU now?" Yin Xinhua whispered aside.

   Lin Cui shook his head.

   "If you push to CCU now, it may be impossible for people on the way! Just communicate with the patient's family members about the condition!"

   At this time, Liu Mei suddenly said.

   "Director Lin, the patient's blood pressure is too low to be extracted by blood gas analysis!"

   "Can't pump out the blood gas from the radial artery, can't the blood gas from the femoral artery also be pumped out?" Lin Cui frowned.

   Liu Mei shook his head helplessly.

   She has an arterial puncture needle in her hand, but she has no idea where to start.

   "The pulsation of the patient's femoral artery is very weak, almost palpable!"

  Lin Cui sank.

   "Try a few more times, if it really doesn't work, forget it."

  Liu Mei had no choice but to nod and keep trying.

   The patient in front of me not only has low blood pressure and fast pulse, but also has diabetes and tortuous blood vessels in the past.

   The condition of the blood vessels is extremely poor!

  Lu Chen was moved in his heart. He had trained radial artery puncture with poor vascular conditions in the virtual space.

   Maybe, he can try!

   But with so many people on the scene, he, a new graduate student, couldn't possibly have taken the job of a nurse.

   At this time, Liu Mei suddenly said: "Come on someone, help me hold down the patient, he is a little restless, I can't puncture well."

   Patients with acute heart failure are often restless.

  The interns in Lin Cui's group were a little stunned when they saw this rescue situation.

  He Sirong wrote the course record in the ward again.

  In an instant, no one at the scene responded to Liu Mei.

   When Lu Chen saw this, he immediately took a step forward.

   "Sister Liu, I'll help you."

  Lu Chen pressed the patient's right thigh, allowing Liu Mei to find a good angle for puncture.

"thanks."

  Liu Mei tried several times, but failed to draw blood from the femoral artery.

   "It still doesn't work!"

   "Sister Liu, do you want to try radial artery puncture?" Lu Chen asked tentatively.

  Liu Mei was stunned: "The femoral artery can't be drawn out, but the radial artery can?"

  Lu Chen touched the patient's radial artery with his other hand.

   "I can feel a throbbing here, maybe pumping out arterial blood!"

   "Really?" Liu Mei suspiciously touched the position Lu Chen pointed, as if there was a slight pulsation.

  Although it is not too obvious, you can try it!

  Liu Mei focused her eyes, picked up the puncture needle, and started the operation.

   The puncture needle is inserted into the blood vessel.

  Liu Mei adjusted several angles back and forth, but still did not see the red blood on the tail of the puncture needle!

   This proves that the piercing still failed!

   "It still doesn't work!" Liu Mei was about to give up.

"Sister Liu! When you withdraw the needle, you must withdraw it under the skin, then adjust the puncture direction, fine-tune it to the left or right, and try again!" Lu Chen whispered beside Liu Mei's ear, "If the puncture needle is too deep , may not be able to touch the artery!"

   Liu Mei was stunned, when will this kid Lu Chen have his radial artery punctured?

   But listening to his tone, he seemed very determined, Liu Mei took the attitude of trying, and withdrew the needle under the skin.

   Gently fine-tune the direction of the needle.

   The tail of the puncture needle was immediately filled with red blood.

   The color of the blood is bright red, which proves to be arterial blood!

  Liu Mei looked happy and immediately began to draw arterial blood.

   She really didn't expect that under Lu Chen's guidance, she would actually succeed!

   But Lu Chen couldn't smile.

  Because, he saw the patient's health drop.

   The magnitude of the drop in health this time made his eyelids jump!

   The patient's health has dropped from 37 to 25!

   This is the first time he has seen such a large drop.

   "Beep!"

   The monitor suddenly sounded an alarm.

   "The patient's blood oxygen is dropping!" Someone shouted.

  Lu Chen looked back at the monitor.

   The patient's blood oxygen dropped from 86% to 75% at once!

   The patient has calmed down from the previous restlessness!

   This is not a good sign.

   "Immediately push 2 sticks of Lobelin and Nicoshami!" Lin Cui said quickly, "Increase the oxygen flow!"

   "Beep!"

  The monitor started to alarm again.

  Lu Chen noticed that the patient's heart rate suddenly slowed down.

   The graph in the ECG monitor has no P waves.

   This is Yibo!

   (end of this chapter)

Chapter end