I Can See Health

Chapter 294: mysterious and fascinating

   Chapter 294 Mysterious and fascinating

   When Lu Chen heard the words, his heart tightened and he ran out of the office immediately.

   The condition of the 16-bed patient has been recalled in his mind.

  Bed 16 is a female patient with coronary heart disease and heart failure. She has been in the eighth district of the heart for five days.

   But with repeated heart failure attacks, a lot of diuretics have been used, and the symptoms are still on and off.

   "Junior Brother Wei, hurry up to District 7 and call Senior Sister Guoguo back!" Lu Chen turned his head and said to Wei Zhongwen.

   The chief teaching secretary of the Cardiology Department was in District 7, and Sun Guoguo happened to go to District 7 next door to hand in a document.

   "Okay!" Wei Wenwen nodded, turned his head and ran towards the inner seven districts next door.

  Lu Chen took the lead, Ke Yue and Jiang Qingyan followed behind him.

  …

  Wang Ruoxi found bed number 15, put down her small bag, and began to look at the ward.

   This is a female ward.

  The two beds of the narrator are old ladies in their sixties.

  Wang Ruoxi sat on the edge of the bed and looked around.

  The environment of the ward is a bit bad, far from other hospitals of the same level.

  The decoration and furnishings are too old. If it weren't for the high level of the Cardiology Department of Jinghua Second Hospital, the number of patients would certainly not be too many.

   At this time, she suddenly found that the 16-bed old lady next to her was restless.

   To make matters worse, she has no family to accompany her.

  Wang Ruoxi frowned and asked softly, "Mother-in-law, what's wrong with you?"

   The 16-bed old lady turned her head to look at Wang Ruoxi, opened her mouth, and wanted to speak, but she couldn't say anything.

   Wang Ruoxi found that the old lady was in a strange state.

  She opened her mouth wide to breathe, her breathing was very rapid, and fine sweat broke out on her forehead.

  A pair of wrinkled old hands, waving constantly.

  Wang Ruoxi is also a medical professional.

   She immediately sensed that something was wrong with the patient, hurried to the patient's bedside, and rang the emergency pager.

   "Mother-in-law, how do you feel?"

   "I... bored..."

  The old lady popped a few words out of her mouth intermittently.

   "Is it an acute heart failure attack?"

  Wang Ruoxi frowned, hurriedly walked to the head of the bed, shook the bed to a 45° angle, and then said to the family members of the patient in the other bed, "Go and call the doctor and nurse."

  Although the emergency pager has been pressed, ordinary patients usually cannot distinguish between ordinary calls and emergency calls, and they are usually mixed up, so even if the nurse hears the alarm sound of the emergency call, they will not rush over.

   The family members who were watching the fun also understood that something was wrong.

   A man immediately ran out of the house, then opened his throat and called for a nurse.

   At this time, the old lady's breathing rate is getting faster and faster, her lips are cyanotic, and the heart rate on the bedside ECG monitor is 130 beats/min.

   Even after shaking the head of the bed, the patient's symptoms did not change in the slightest.

   Just after Wang Ruoxi was at a loss, Lu Chen arrived with Ke Yue and Jiang Qingyan.

  The nurse on duty also ran into the ward with the first aid kit.

  …

   "Quickly push 40mg of furosemide! Open another intravenous channel."

   Walking into the ward, seeing the patient's panting symptoms, Lu Chen immediately judged the patient's condition.

   Combined with the patient's condition, nine out of ten patients have acute heart failure.

  Acute heart failure usually comes from the sudden onset of chronic heart failure, and the fatality rate is very high.

   Moreover, the patient's current HP is only 42, suggesting an extremely dangerous situation.

   "Mr. Liu, urgently check the patient's blood, including blood routine, biochemistry, blood gas, and myocardial enzymes!"

   While auscultating the patient, Lu Chen gave the order without hesitation: "Junior Brother, take the patient's blood pressure and do an electrocardiogram."

   "Brother, the patient's blood pressure is 192/120mmHg, and the blood pressure is symmetrical on both sides."

   The patient immediately said: "Mr. Liu, add another set of Nippon."

"receive!"

  …

  Lu Chen was orderly directing the rescue, and the patient's symptoms of breathing difficulties gradually improved.

   Blood pressure dropped to 165/98mmHg, heart rate also dropped to 102 beats/min.

   Wang Ruoxi on the side watched this scene curiously.

   A graduate student presided over the entire rescue, which is really extremely rare.

   Although Sun Guoguo came to the ward soon, most of the first rescue was led by Lu Chen.

   When an ordinary graduate student encounters such a scene, although he will not panic, it is extremely rare to quickly judge the patient's condition and issue an accurate doctor's order.

   The strangest thing is that the nurses around are very cooperative.

   The nurses in the provincial tertiary hospitals are slightly older, and generally do not take the newly arrived resident doctors or graduate students seriously.

   When faced with this kind of rescue, he would definitely not easily follow the advice of a first-year graduate student.

   But the group of nurses just now followed Lu Chen's doctor's orders very much.

   And looking at it like this, there must be a lot of rescues that Lu Chen participated in in the past.

  Wang Ruoxi was also from the medical system, so she was surprised by this situation.

   There are very few graduate students who can reach the level of Lu Chen.

  …

   After about ten minutes, the patient's symptoms gradually subsided.

   Symptoms of acute heart failure gradually disappeared.

   "This heart failure has an attack, and it may be that the patient's blood pressure is not well controlled, or the fluid intake is usually restricted."

  Lu Chen pointed to a large water glass by the patient's bed.

   In patients with heart failure (heart failure), the function of the heart is no longer good.

  The heart is a function of pumping blood, and now it cannot pump blood.

   If you take in a lot of fluids, the fluid in the blood circulation will increase, the burden on the heart will increase, and chronic heart failure may have an acute attack.

   Therefore, patients with heart failure generally need to strictly control the intake of fluids, and it is best to maintain a negative balance of the body.

   At this time, the patient's family members also arrived.

  Sun Guoguo immediately communicated with the patient's family. This kind of seriously ill patient needs 24-hour family care.

  Once the patient's condition changes, they can be informed at any time.

  …

   "Thank you." Lu Chen stood at the head of the 15th bed, smiled and said to Wang Ruoxi, "If you hadn't found out in time, we might not have been able to treat it in time."

  Wang Ruoxi nodded slightly, then raised her brows and looked at Lu Chen: "Are you really a researcher?"

   She knew that Wang Zihao and Lu Chen shared a dormitory, and everyone should be freshmen of the first grade.

   But judging from the performance of the rescue today, Lu Chen doesn't look like a student of the first grade, but like an attending doctor who has been in the clinic for a long time.

   "Yes, what's wrong?" Lu Chen wondered.

   "Nothing, I'll just ask."

  Wang Ruoxi smiled, looking at the smile of this sunny boy in front of her, she suddenly moved in her heart.

   Lu Chen's body seemed to be covered with a thin veil, very mysterious and fascinating.

   "Oh, yes, I'm about to see you." Lu Chen smiled, "I just came to ask about your medical history."

   "Well, okay." Wang Ruoxi nodded slightly, and then lay on the hospital bed calmly.

  Looking at her movements, Lu Chen was slightly taken aback, is this preparing for the physical examination?

   He suddenly remembered that Wang Zihao had said that her sister once also studied medicine, but she did not choose to be a doctor after graduation.

   (end of this chapter)

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