I can see health

Chapter 162 Acute Renal Failure (1010 Subscribe)
"Fatty, where's your superior?" Lu Chen said in a deep voice.

Cheng Peng said with a bitter face, "Director Shao and brother Xia Gang have both gone to the cath lab for surgery, and there are only a few of us students left in the group."

Lu Chen immediately said: "Call them quickly, be sure to inform them of the patient's condition, and then order an emergency blood test to check the patient's blood routine, liver and kidney function, myocardial enzymes, and electrolytes."

If the patient's condition changes, he must inform the superior doctor as soon as possible!

"Okay." Cheng Peng nodded.

Lu Chen usually has a high prestige among freshmen, and everyone still trusts him.

Not only did he spread the story of his puncture in the elevator, but also the "feat" of getting full marks in the entrance examination.

"By the way, we need to call for an emergency consultation from the nephrology department." Lu Chen added.

"Are you sure it's an emergency consultation?"

"This kind of situation definitely requires urgent consultation!" Lu Chen nodded, "The patient may need emergency dialysis."

"Well!" Cheng Peng also knew the seriousness of the matter, and immediately called Director Shao Jun, and then asked other friends in the group to issue medical orders.

……

"Junior brother, what were you discussing over there just now?"

Sun Guoguo had long noticed the situation with Director Shao Jun's team.

Lu Chen paused, and said, "Senior Sister, when I inserted the urinary catheter with Bed 36, I found that he hadn't urinated all day."

"Bed 36?" Sun Guoguo frowned, "What kind of patient is that?"

"Acute myocardial infarction, just had a stent, today is the second day after the operation, and the CCU has just been transferred."

"Is Director Shao not in the department?" Sun Guoguo looked around the office, but did not see Director Shao Jun and Xia Gang.

"He and the doctors in the team went to the operating room." Lu Chen said.

"Are you going to have surgery again?" Sun Guoguo shook her head helplessly, "Hey, Director Shao turned an internal medicine department into a surgery department. Junior brother, go help the students in his group."

"Ah."

With Sun Guoguo's instruction, Lu Chen didn't have any scruples and went directly to Cheng Peng's side.

"Fatty, how's it going? Have you contacted Director Shao?"

"No, no one answered the phone." Cheng Peng shook his head, "It may be that he is undergoing an operation, and Senior Brother Xia Gang didn't answer the phone either."

It can't go on like this!

"Fatty, let one of the interns in your group go to the catheterization room to find Director Shao." Lu Chen said.

"Okay, that's all we can do now."

……

Cheng Peng quickly ordered an intern to go to the CCU on the fourth floor to find director Shao Jun and senior brother Xia Gang.

"Emergency consultation in nephrology department, which patient is it?"

A burly middle-aged male doctor walked into the office.

Judging by his body shape, he doesn't look like a physician, but rather a surgeon.

"Hey, Teacher Wang, why did you come to the consultation in person?"

Seeing the middle-aged male doctor, Sun Guoguo asked kindly.

"Hey, Dr. Corey is busy." Wang Jun smiled, "Guoguo, are you going to work alone now?"

"Teacher Wang, I have been working for several years." Sun Guoguo smiled.

"Oh, I kind of forgot." Wang Jun patted his head, "Look at my memory... oh, which bed is the patient in consultation with?"

At this time, Cheng Peng quickly got up and said.

"Teacher, the patient for consultation is 36 beds, I will take you there to have a look."

"Well, good." Wang Jun nodded, followed Cheng Peng out of the doctor's office, "What's the patient's condition?"

"The condition of the patient..."

Cheng Peng didn't know how to organize his words for a while, so he looked at Lu Chen who was beside him for help.

Lu Chen understood immediately, and followed him out of the doctor's office.

"Teacher, the patient's condition is like this." Lu Chen said, "He just finished the second day after the interventional operation for acute myocardial infarction. He hasn't urinated today. After I just inserted the urinary catheter for him, he only came out a few times. Ten milliliters of urine, consider the possibility of acute renal failure."

Wang Jun glanced at Lu Chen, "Are you a bed doctor?"

Lu Chen was taken aback for a moment, then shook his head.

"Teacher, I'm the bed doctor." Cheng Peng whispered.

"You are a doctor in charge of the bed, how can you let others explain your condition?" Wang Jun frowned.

Cheng Peng was a little nervous and didn't know what to say for a while.

However, Lu Chen smiled and said, "Teacher, I inserted the urinary catheter for the patient just now. I happened to find that he didn't urinate today, so I know better about the changes in his condition."

"Do you not routinely record urine volume after surgery?" Wang Jun asked doubtfully.

"It will record the urine volume for 24 hours." Lu Chen said.

"Then why didn't the doctor in charge of the bed find any abnormality in urination?"

Wang Jun's series of questions made Cheng Peng's forehead sweat.

Fat people are prone to sweating.

When asked by Wang Jun, he felt sweaty on his palms and backs.

Lu Chen also felt the pressure of the middle-aged doctor in front of him.

"Who is your superior doctor?"

"Teacher, I'm from Director Shao Jun's group." Cheng Peng whispered.

"Oh, so that kid Xia Gang took you?"

"Well, Senior Brother Xia will take me." Cheng Peng nodded straight.

"Then I understand, they really got into the surgery hole." Wang Jun shook his head helplessly, "Let's go see the patient first."

……

in front of the hospital bed.

Yang Song looked nervously at the three doctors in front of him.

He read a joke on the Internet, hospitalized patients are most afraid that many doctors will come to see you together.

Either your condition is very typical, or your condition is very critical.

At this moment, Yang Song hopes that he is the former.

"Young man, don't be nervous, I'll show you." Wang Jun came to the bed and began to give Yang Song a physical examination.

"Small moist rales can be heard in both lung bases, the heart auscultation is normal, and the lower limbs are slightly edema."

Wang Jun told all the positive signs that he had checked out.

Lu Chen was surprised at the side.

At that time, he was only concerned about the situation of "the patient did not urinate", and forgot to check the patient.

Such positive signs are very meaningful, which means that the patient has fluid retention at this time.

"Young man, you haven't urinated all day today?" Wang Jun said.

"Yeah." Yang Song nodded, "Just when the catheter was inserted, there was a little urine."

Wang Jun put away his stethoscope and looked at Cheng Peng who was beside him.

"What is the patient's creatinine before and after surgery?"

Cheng Peng thought for a while and said, "It was normal before the operation, but it was a little higher after the operation."

"How high is it?" Wang Jun frowned.

"One hundred and thirty forty." Cheng Peng hesitated.

"How many patients do you care about? Can't even remember the patient's test value?" Wang Jun raised his eyebrows, and then looked at Lu Chen, "Tell me, what is the patient's creatinine?"

"It was 73umol/L before surgery, and it was 141umol/L on the first day after surgery."

Wang Jun glanced at Lu Chen in surprise, "What's the creatinine clearance?"

Lu Chen paused, "Teacher, I roughly calculated that his creatinine clearance rate should be 58ml/min."

"Well, not bad." Wang Jun finally showed a gratified smile on his face, and it wasn't all those unreliable ones.

"Are you also in Director Shao Jun's team?"

"No, I'm in Teacher Li Yao's group, and now Senior Sister Sun Guoguo is taking me." Lu Chen said.

"Well, Guoguo did a good job." Wang Jun smiled and walked out of the ward first.

Go back to the doctor's office.

Wang Jun read the patient's course of disease and auxiliary examination.

"Student Lu, right? Do you think this patient has acute renal failure? What caused it? Is there any basis?"

Hearing Teacher Wang's question, everyone around turned their attention to Lu Chen.

　Thank you Xi Rushui for your reward, so there is another update.

　　Thanks also to the other students for their rewards!
　　
　
(End of this chapter)