I Can See Health

   Chapter 244 What qualifications do you have to touch my doctor's order? (Second more)

   Seeing that Li Huiyan didn't continue to pay attention to herself, Lu Chen didn't care either.

   Although this cousin has an eccentric personality, she is not someone who acts recklessly and recklessly.

   Losing weight is a protracted battle, and it is impossible to just take some weight loss pills.

  …

  After washing, Lu Chen lay on the bed.

   Consciousness entered the virtual space and began the first stage of clinical research training.

   "I wipe, why did Lu Chen sleep so early?"

   Wang Zihao glanced at Lu Chen, who had already gone to bed, and muttered in his heart.

  Everyone usually works in the department, and they only have time to study when they come back in the evening.

   But Lu Chen sleeps so early every day, where does he get time to study?

   With the ability that Lu Chen has shown so far, he definitely spent a lot of time and effort to achieve it.

   However, the reality is just the opposite.

   As Lu Chen's roommate, Wang Zihao is the one who knows Lu Chen's schedule the most.

  Every night, be sure to go to bed before ten!

   Even most of the time, Lu Chen went to bed around nine o'clock.

   At this time, everyone else in the dormitory is playing games in a group!

   However, it was precisely because of Lu Chen's existence that they developed a good habit in their bedroom.

   Even when playing games, everyone doesn’t make a lot of noise.

  Do not interfere with each other's living habits.

   "Maybe, this is what makes genius different from others?" Wang Zihao shook his head helplessly, then continued to look at the documents in his hand.

   At this time, Lu Chen was constantly training clinical research projects in the virtual space of the system.

  …

   The next day.

  Lu Chen came to the department early and saw Brother Dong Hao right away.

   "Senior brother, the surgery has been arranged. It will start at 2 o'clock this afternoon." Lu Chen looked at Brother Dong Hao lying on the bed.

   However, Senior Brother Dong Hao's face turned pale.

   "Brother, didn't you sleep last night?"

  Dong Hao nodded and said, "Hey, I was flustered in the middle of the night last night. The doctor on the night shift gave me an electrocardiogram, and I had another attack of supraventricular tachycardia!"

   Lu Chen heard the words, quickly picked up the stethoscope, and auscultated Dong Hao's heart.

   "Junior brother, don't be nervous, you've recovered now." Dong Hao smiled reluctantly, "But the taste of this episode is not very pleasant. I haven't slept much all night, so it won't affect today's surgery, right?"

   "Generally speaking, it shouldn't affect it." Lu Chen said.

   He just finished auscultation of Senior Brother Dong Hao's heart. The heart rate is about 70 beats/min, and the heart rhythm is regular. It should be sinus rhythm.

"Okay, then I'm relieved." Dong Hao said, "I think now, this operation should be done earlier, the symptoms are too frequent. Thank you so much, junior brother, for helping me pay for the medical expenses this time, I will return it to you in time."

  Lu Chen smiled and shook his head: "Senior brother, don't be in a hurry to pay back the money, the most important thing now is to cure your illness! Let's talk about it in the future."

   "Yeah." Dong Hao nodded, "It's about to be an early shift, you can go to work, don't worry about me."

"OK."

   Looking at the back of Lu Chen leaving, Dong Hao felt that during his rotation in the Cardiology Department, the luckiest thing was to meet Lu Chen.

  …

   Back to the doctor's office.

   Except for a few nurses on duty, most of the medical care has already come.

After the    nurses perform a simple shift, the night shift doctor will shift the shift.

   Last night's night shift doctor was Xia Gang's attending doctor and graduate student He Sirong.

  Early shifts are usually made by graduate students.

  I saw He Sirong take a step forward and said, "The doctor on the night shift is on duty..."

   "Bed 56 complained of chest tightness and shortness of breath at around 2 in the middle of the night. Considering the onset of heart failure, furosemide was given intravenously, and the symptoms improved after about 10 minutes..."

   "At 6 o'clock on the 3rd night, I suddenly complained of headache, accompanied by blurred vision. The blood pressure was 220/134mmHg. Considering a hypertensive emergency, I immediately gave urapidil intravenous pump..."

   "The 15-bed patient complained of palpitation, heart chest and tachycardia at around ten o'clock last night. He checked the electrocardiogram for paroxysmal ventricular appeal, and was immediately given intravenous amiodarone..."

  “…”

  He Sirong's previous shifts have not had any problems.

   But when Brother Dong Hao's condition changed, Lu Chen felt something was wrong!

   "He Sirong actually gave Brother Dong Hao amiodarone!" Lu Chen was shocked.

   Brother Dong Hao's surgery today seems to be impossible!

  Lu Chen glanced at Sun Guoguo next to him, and found that she also had a solemn expression, and her eyes were fixed on He Sirong and Xia Gang.

   After He Sirong finished his shift, Sun Guoguo walked straight to Xia Gang.

  Sun Guoguo's tone was a little cold.

   "Dr. Xia, do you know that the 15-bed patient is going to undergo radiofrequency ablation today?"

  Xia Gang was stunned for a moment, then shook his head slightly, "I didn't see the surgery wall, so I'm not sure."

   But just after he finished speaking, his expression suddenly froze, as if thinking of something, he immediately turned to He Sirong and said, "Did you use amiodarone for 15 patients last night?"

  Seeing Xia Gang's serious expression, He Sirong looked surprised, and nodded immediately: "Yes, he had a paroxysmal supraventricular tachycardia attack last night. I had an electrocardiogram to confirm the diagnosis, and then I used amiodarone."

  Xia Gang's expression suddenly became extremely gloomy.

   "Student He, why didn't you ask my opinion before giving this patient the doctor's order?"

  He Sirong whispered: "Senior Brother Xia Gang, this patient also had a history of similar disease attacks before. I did an electrocardiogram and it must be a supraventricular tachycardia attack. What's the problem with using amiodarone?"

  Amiodarone is one of the most commonly used antiarrhythmic drugs in clinical practice.

   "Then do you know that the patient is going to undergo radiofrequency ablation today?" Xia Gang continued.

   "I know!" He Sirong nodded.

  Xia Gang snorted coldly, "Then you give amiodarone to a patient who is about to undergo radiofrequency ablation? Do you know what the half-life of amiodarone is?"

   At this time, He Sirong finally woke up.

   Her face flushed red, and it took a long time for her to say a word: "I...I..."

  The so-called radiofrequency ablation is to induce the patient's arrhythmia before the operation, and then use the device to detect the place where the arrhythmia occurs, and finally burn it with electrodes.

  Amiodarone is a good antiarrhythmic drug, but it has a long half-life and is easy to accumulate in the human body.

   This will lead to a problem, the surgical patient cannot induce arrhythmia on the operating table.

  Cannot induce arrhythmia, then there is no way to judge what is wrong with the cardiac conduction system!

   Surgery is impossible!

   Therefore, in patients undergoing radiofrequency ablation, amiodarone is contraindicated before surgery.

   At this time, in the doctor's office in the eighth district of the Department of Cardiology.

  Xia Gang stared closely at He Sirong and said slowly.

   "He Sirong, you are a graduate student. If you haven't obtained a practicing doctor's certificate and you haven't asked your superior doctor, what qualifications do you have to touch my doctor's order?"

   2 updates today. Thank you Han Xiaohe for your reward, I will add more tomorrow.

   (end of this chapter)