I can see health

Chapter 113 Arteriovenous puncture
After dealing with this gout patient, it was already one o'clock at noon.

Lu Chen returned to the duty room, finished the rest of the claypot rice, and then prepared to take a nap.

After these few days of accumulation, his gratitude value has reached 10 points.

As usual, let's do 10 consecutive draws.

"Congratulations, arteriovenous access (primary)."

Damn, I earned it!
Lu Chen's face brightened, and the sleepiness he had just arrived disappeared in an instant!
This skill book includes arterial puncture and venipuncture.

Venipuncture, the most common is our usual "drip infusion", which is peripheral venipuncture.

In addition, there are central venous punctures, such as jugular and femoral veins commonly used for hemodialysis, and subclavian vein punctures commonly used in emergency rooms.

Arterial puncture, most commonly radial artery puncture, for blood gas analysis or arterial blood pressure testing.

The most important reason why Lu Chen is so excited is this artery puncture.

The first step in coronary angiography is the puncture of the arteries, including radial and femoral arteries!

Only after mastering arterial puncture is the beginning of learning coronary angiography!
Lu Chen couldn't wait to use the "arteriovenous puncture" skill book.

With a "swipe", his consciousness entered the system's virtual training space.

There are many classifications of arteriovenous puncture, and the system space is carried out in order of difficulty.

But when Lu Chen saw the first skill trained, he was dumbfounded.

Peripheral Venipuncture!
Get an injection?
Isn't this just giving the patient an injection on the back of the hand?

……

A virtual console appeared in front of Lu Chen's eyes.

There is a virtual patient on the stage.

Now that you are here, you have to start training.

Having said that, injections are usually the job of nurses.

Lu Chen had never given a patient an injection.

At first glance, injections are simple.

But there are so many ways.

The first step is to select a suitable vein, tie a tourniquet, and disinfect the skin.

Commonly used are the basilic vein, median vein, and cephalic vein in the cubital fossa, or superficial veins at the back of the hand, dorsum of the foot, and ankle.

The second step is to puncture.

Tighten the skin at the lower end of the vein with the thumb of the left hand to fix it. Hold the syringe in the right hand, with the slope of the needle facing upwards. The needle and the skin form an angle of 35 degrees. Pierce subcutaneously from the top or side of the vein, and then sneak in along the direction of the vein.

……

This is not a complex medical skill operation.

But in real life, it's hard to say, there are real people who can keep practicing for you, so the proficiency of piercing skills progresses very slowly.

But now relying on the virtual space of the system, Lu Chen basically mastered the peripheral venipuncture in just over an hour.

Skill proficiency is fixed at 80%!

According to the situation of the last pericardial puncture training, Lu Chen knew that it would be difficult to increase the proficiency without actual combat.

However, usually in the department, the nurses will not let a graduate student give injections to the patients!
Therefore, it is really difficult for the proficiency of peripheral venipuncture to continue to increase.

But the good news is that when the proficiency of peripheral venipuncture reached 80%, another virtual console appeared beside Lu Chen.

"Is this radial artery puncture?!"

A gleam of joy flashed across Lu Chen's eyebrows.

The gold content of this skill book is really high!
Radial artery puncture is the most basic and very important operation in coronary angiography!
Compared with the transfemoral approach, the transradial approach has significantly fewer vascular complications at the puncture site, and the patient has less pain, shorter hospital stay, and earlier ambulation.

Just relying on this radial artery puncture, Lu Chen felt that it was not wrong to spend so much gratitude before!
However, it's almost time for work in the afternoon.

Lu Chen didn't have time to try the radial artery puncture, and his consciousness withdrew from the virtual space.

……

The afternoon in the Department of Endocrinology is easier than the morning.

Lu Chen wrote his medical history in the office, and occasionally read a book, which was quite relaxing.

time flies.

In a blink of an eye, it was time to get off work.

"Excuse me, is Dr. Min here?"

At the door of the office, a middle-aged woman suddenly appeared.

Lu Chen saw that she looked familiar, but he didn't remember where he had seen her for a while.

"Dr. Min is seeing patients in the ward and will be right back. What can I do for you?"

The middle-aged woman didn't reply immediately, instead she walked into the office and stared at Lu Chen for a few seconds.

"You, are you Doctor Lu?"

Lu Chen was taken aback for a moment, and carefully looked at the middle-aged woman, but he still didn't remember who she was.

"I am, may I ask if you are..."

"Doctor Lu, I'm Feng Xiaorui's family member." The middle-aged woman stepped forward and said with a smile.

"Feng Xiaorui?" Lu Chen was still confused.

"It's also in this department. A little girl with hypokalemia came that night..."

As soon as the middle-aged woman mentioned her illness, Lu Chen immediately recalled it.

"Oh, it's her!"

Clinically, there are too many patients encountered every day!

Simply memorizing the name is impossible to remember.

But often as long as the characteristic illness is mentioned, most doctors can recall it.

"Auntie, hasn't your daughter been discharged from the hospital?" Lu Chen smiled and said.

"Yes, thanks to you and Dr. Min, we found out the cause of my daughter. We lived in the county doctor for a month and didn't find out." The middle-aged woman looked at Lu Chen gratefully.

"Then why did you come to the hospital this time..." Lu Chen wondered.

The middle-aged woman sighed deeply when she heard the words, and spoke slowly after a while.

"The cause of the disease has been found, but it is still difficult to cure it!"

"After she was discharged from the hospital, she couldn't quit the licorice tablets. She was arguing to take them every day. If she didn't take them, she would feel uncomfortable, just like being addicted to drugs. If we didn't give her to eat, she would quarrel with us."

"Then I remembered that you and Dr. Min had said that she could be sent to a drug rehabilitation shelter. But the drug rehabilitation shelter requires a diagnosis certificate issued by the hospital, so I came here today to find Dr. Min to issue a real certificate."

As the middle-aged woman spoke, her eye circles were slightly red.

Hey, I really feel sorry for the parents of the world, who sent their daughter to the drug rehabilitation center with their own hands.

Lu Chen felt very uncomfortable for a while, he still remembered the little girl lying in the corner of the hospital bed.

In the originally youthful and lively age, he contracted this disease.

From then on, the colorful life is only black and white.

"Auntie, don't worry too much. When she comes out of the drug rehabilitation center, she will gradually get better. In the future, she will also understand your good intentions."

Lu Chen didn't know how to comfort her, the words were sometimes too pale.

"Well, thank you, Dr. Lu." The middle-aged woman nodded.

……

After waiting in the office for 5 minutes, Min Ling came back.

Min Ling gave the middle-aged woman a diagnosis certificate, and she left.

The time is exactly 05:30, get off work!

After handing in the shift with the night shift, Lu Chen's task for today is considered complete.

"Xiao Lu, let's add a WeChat account. If we run into each other again at work, we can keep in touch."

"OK, all right."

Added WeChat with Min Ling, and Lu Chen got off work.

After going to the cafeteria to finish dinner quickly, Lu Chen returned to the dormitory.

He couldn't wait to enter the system virtual space, and wanted to try radial artery puncture!
(End of this chapter)