I can see health
Chapter 115 Late Radial Artery Puncture
Chapter 115 Late Radial Artery Puncture
10 minutes later.
Yin Xinhua and He Sirong still haven't returned to the doctor's office.
And the footsteps of the nurse outside the corridor became more and more hurried.
Occasionally, the shouts of the patient's family members can be heard.
……
Lu Chen asked Fu Fengqin to sign the informed consent form for the operation.
Walking to the corridor of the ward, he saw that the door of the 43-bed hospital was already full of people.
Most of them were family members of patients in other beds, and they stretched their necks to look into the ward.
"Everyone, don't surround yourself, it will affect the doctor's rescue!"
The head nurse also rushed over and evacuated the family members of the patients who were watching the excitement at the door, and at the same time erected a blue partition in front of the 43rd bed.
Lu Chen didn't go 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, basically there will be no shortage of manpower.
"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 rescue."
"Oh." Sun Guoguo nodded, and then continued to look at the work at hand.
And Ding Deli on the side.Seeing that Yin Xinhua and He Sirong hadn't come back for a long time, he couldn't sit still anymore, picked up his stethoscope, and walked out of the doctor's office quickly.
……
5 minute later.
He Sirong quickly ran back to the doctor's office.
She sat in front of the computer, opened the medical records and began to write.
"Xiao He, what kind of patient are you?" Sun Guoguo asked abruptly.
He Sirong immediately said: "A female patient with acute extensive anterior wall myocardial infarction and total heart failure came to our hospital after being rejected by the city hospital and the No. 1 civilian hospital."
"Ah? Why didn't you just send it to the CCU?" Sun Guoguo frowned, "Why did you send it to our general ward?"
He Sirong smiled wryly: "The family members were afraid that our hospital would not accept them, so they concealed the condition. They just had acute heart failure. Sister Yin was worried about what happened to this patient, so she asked me to come back and write down 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 behavior of the patient's family members to conceal the patient!
The family members of this patient definitely have potential medical troubles!
"Junior Brother Lu, let's go check on the patient." Sun Guoguo immediately put down his 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 located.
……
Come to the ward.
Lu Chen saw a 60-year-old female patient sitting on the bed.
The head of the bed was shaken high.
She had a breathing mask on her mouth and put her hands on the railing of the hospital bed.
The whole person was breathing very rapidly, sweating profusely, and seemed very restless.
Lu Chen focused on her health.
Only 37 left!
……
There are many nurses at the bedside working together for rescue.
A nurse is opening the patient's intravenous access, and another nurse is inserting the patient's urinary catheter.
"Dopamine alone can't maintain blood pressure! Another dose of norepinephrine!"
Director Lin Cui looked serious and gave orders from the side.
"Received!" Liu Mei, the main nurse in the rescue, immediately began to dispense liquids.
"Another half of morphine! Watch the patient's breathing!"
"it is good!"
Rescue is carried out in an orderly manner.
But the patient's condition is not getting better at all!
"Director Lin, transfer the patient to the CCU now?" Yin Xinhua whispered from the side.
Lin Cui shook her head.
"Now it's pushed to the CCU, maybe people on the way will not be able to do it! Just communicate with the patient's family about the condition!"
At this time, Liu Mei said suddenly.
"Director Lin, the patient's blood pressure is too low, blood gas analysis can't get it out!"
"If the blood from the radial artery can't be pumped out, can't the blood from the femoral artery also be pumped out?" Lin Cui frowned.
Liu Mei shook her head helplessly.
She had an arterial puncture needle in her hand, but she couldn't do it.
"The pulsation of the patient's femoral artery is very weak and can hardly be felt!"
Lin Cui sank her heart.
"Try a few more times, if it really doesn't work, forget it."
Liu Mei could only nod her head and continue to try.
The patient in front of me not only has low blood pressure and rapid pulse, but also has diabetes and tortuous blood vessels in the past.
The condition of the blood vessels is extremely poor!
However, Lu Chen's heart skipped a beat. He had trained in the virtual space to puncture the radial artery with poor blood vessels.
Maybe, he can try!
But with so many people present, it is impossible for him, a new graduate student, to take the job of a nurse.
At this time, Liu Mei suddenly said: "Come here, help me hold the patient down, he is a little restless, I can't puncture well."
Patients with an acute heart failure attack are usually agitated.
The interns in Lin Cui's group were a little dazed when they saw this rescue situation.
He Sirong wrote the progress record in the ward again.
In an instant, no one responded to Liu Mei.
Seeing this, Lu Chen immediately took a step forward.
"Sister Liu, let me help you."
Lu Chen held down the patient's right thigh so that Liu Mei could find a good angle to puncture.
"Thank you."
Liu Mei tried several times, but failed to draw blood from the femoral artery.
"It still doesn't work!"
"Sister Liu, why don't you 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 pulsation here, maybe the arterial blood can be pumped out!"
"Really?" Liu Mei suspiciously touched the position pointed by Lu Chen, as if there was a slight pulsation.
It's not too obvious, but give it a try!
With concentrated eyes, Liu Mei picked up the puncture needle and began to operate.
The needle is inserted into the blood vessel.
Liu Mei adjusted several angles back and forth, but still did not see red blood at the end of the puncture needle!
This proves that the puncture still failed!
"It's still not good!" Liu Mei was about to give up.
"Sister Liu! When you withdraw the needle, you must withdraw it under the skin, then adjust the direction of the puncture, slightly adjust to the left or right, and then try again!" Lu Chen whispered beside Liu Mei's ears, "If the puncture needle is too deep , may not be able to touch the artery!"
Liu Mei was taken aback, when will Lu Chen get a radial artery puncture?
But judging from his tone, it seemed that he was very determined, and with an attitude of trying, Liu Mei retreated 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 succeed!
But Lu Chen couldn't laugh.
Because, he saw that the patient's life value dropped.
The drop in health this time made his eyelids twitch!
The patient's HP has been reduced from 37 to 25!
It was also the first time he had seen such a large drop.
"Dudududu!"
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% all of a sudden!
The patient became calm from the restlessness before!
This is not a good sign.
"Immediately push 2 sticks of Lobelin and Nicoshami!" Lin Cui hurriedly said, "Increase the oxygen flow!"
"Dudududu!"
The monitor started to alarm again.
Lu Chen noticed that the patient's heart rate also slowed down suddenly.
The graph in the ECG monitor has no P wave.
This is Yibo!
(End of this chapter)
10 minutes later.
Yin Xinhua and He Sirong still haven't returned to the doctor's office.
And the footsteps of the nurse outside the corridor became more and more hurried.
Occasionally, the shouts of the patient's family members can be heard.
……
Lu Chen asked Fu Fengqin to sign the informed consent form for the operation.
Walking to the corridor of the ward, he saw that the door of the 43-bed hospital was already full of people.
Most of them were family members of patients in other beds, and they stretched their necks to look into the ward.
"Everyone, don't surround yourself, it will affect the doctor's rescue!"
The head nurse also rushed over and evacuated the family members of the patients who were watching the excitement at the door, and at the same time erected a blue partition in front of the 43rd bed.
Lu Chen didn't go 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, basically there will be no shortage of manpower.
"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 rescue."
"Oh." Sun Guoguo nodded, and then continued to look at the work at hand.
And Ding Deli on the side.Seeing that Yin Xinhua and He Sirong hadn't come back for a long time, he couldn't sit still anymore, picked up his stethoscope, and walked out of the doctor's office quickly.
……
5 minute later.
He Sirong quickly ran back to the doctor's office.
She sat in front of the computer, opened the medical records and began to write.
"Xiao He, what kind of patient are you?" Sun Guoguo asked abruptly.
He Sirong immediately said: "A female patient with acute extensive anterior wall myocardial infarction and total heart failure came to our hospital after being rejected by the city hospital and the No. 1 civilian hospital."
"Ah? Why didn't you just send it to the CCU?" Sun Guoguo frowned, "Why did you send it to our general ward?"
He Sirong smiled wryly: "The family members were afraid that our hospital would not accept them, so they concealed the condition. They just had acute heart failure. Sister Yin was worried about what happened to this patient, so she asked me to come back and write down 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 behavior of the patient's family members to conceal the patient!
The family members of this patient definitely have potential medical troubles!
"Junior Brother Lu, let's go check on the patient." Sun Guoguo immediately put down his 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 located.
……
Come to the ward.
Lu Chen saw a 60-year-old female patient sitting on the bed.
The head of the bed was shaken high.
She had a breathing mask on her mouth and put her hands on the railing of the hospital bed.
The whole person was breathing very rapidly, sweating profusely, and seemed very restless.
Lu Chen focused on her health.
Only 37 left!
……
There are many nurses at the bedside working together for rescue.
A nurse is opening the patient's intravenous access, and another nurse is inserting the patient's urinary catheter.
"Dopamine alone can't maintain blood pressure! Another dose of norepinephrine!"
Director Lin Cui looked serious and gave orders from the side.
"Received!" Liu Mei, the main nurse in the rescue, immediately began to dispense liquids.
"Another half of morphine! Watch the patient's breathing!"
"it is good!"
Rescue is carried out in an orderly manner.
But the patient's condition is not getting better at all!
"Director Lin, transfer the patient to the CCU now?" Yin Xinhua whispered from the side.
Lin Cui shook her head.
"Now it's pushed to the CCU, maybe people on the way will not be able to do it! Just communicate with the patient's family about the condition!"
At this time, Liu Mei said suddenly.
"Director Lin, the patient's blood pressure is too low, blood gas analysis can't get it out!"
"If the blood from the radial artery can't be pumped out, can't the blood from the femoral artery also be pumped out?" Lin Cui frowned.
Liu Mei shook her head helplessly.
She had an arterial puncture needle in her hand, but she couldn't do it.
"The pulsation of the patient's femoral artery is very weak and can hardly be felt!"
Lin Cui sank her heart.
"Try a few more times, if it really doesn't work, forget it."
Liu Mei could only nod her head and continue to try.
The patient in front of me not only has low blood pressure and rapid pulse, but also has diabetes and tortuous blood vessels in the past.
The condition of the blood vessels is extremely poor!
However, Lu Chen's heart skipped a beat. He had trained in the virtual space to puncture the radial artery with poor blood vessels.
Maybe, he can try!
But with so many people present, it is impossible for him, a new graduate student, to take the job of a nurse.
At this time, Liu Mei suddenly said: "Come here, help me hold the patient down, he is a little restless, I can't puncture well."
Patients with an acute heart failure attack are usually agitated.
The interns in Lin Cui's group were a little dazed when they saw this rescue situation.
He Sirong wrote the progress record in the ward again.
In an instant, no one responded to Liu Mei.
Seeing this, Lu Chen immediately took a step forward.
"Sister Liu, let me help you."
Lu Chen held down the patient's right thigh so that Liu Mei could find a good angle to puncture.
"Thank you."
Liu Mei tried several times, but failed to draw blood from the femoral artery.
"It still doesn't work!"
"Sister Liu, why don't you 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 pulsation here, maybe the arterial blood can be pumped out!"
"Really?" Liu Mei suspiciously touched the position pointed by Lu Chen, as if there was a slight pulsation.
It's not too obvious, but give it a try!
With concentrated eyes, Liu Mei picked up the puncture needle and began to operate.
The needle is inserted into the blood vessel.
Liu Mei adjusted several angles back and forth, but still did not see red blood at the end of the puncture needle!
This proves that the puncture still failed!
"It's still not good!" Liu Mei was about to give up.
"Sister Liu! When you withdraw the needle, you must withdraw it under the skin, then adjust the direction of the puncture, slightly adjust to the left or right, and then try again!" Lu Chen whispered beside Liu Mei's ears, "If the puncture needle is too deep , may not be able to touch the artery!"
Liu Mei was taken aback, when will Lu Chen get a radial artery puncture?
But judging from his tone, it seemed that he was very determined, and with an attitude of trying, Liu Mei retreated 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 succeed!
But Lu Chen couldn't laugh.
Because, he saw that the patient's life value dropped.
The drop in health this time made his eyelids twitch!
The patient's HP has been reduced from 37 to 25!
It was also the first time he had seen such a large drop.
"Dudududu!"
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% all of a sudden!
The patient became calm from the restlessness before!
This is not a good sign.
"Immediately push 2 sticks of Lobelin and Nicoshami!" Lin Cui hurriedly said, "Increase the oxygen flow!"
"Dudududu!"
The monitor started to alarm again.
Lu Chen noticed that the patient's heart rate also slowed down suddenly.
The graph in the ECG monitor has no P wave.
This is Yibo!
(End of this chapter)
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