I can see health

Chapter 215 The helplessness of the small hospital
Speeding up the speed of fluid infusion is a skill that many old patients are familiar with.

The speed of drip infusion is well adjusted, and there is a valve to adjust the speed.

Intravenous pump infusion, but not so easy to adjust.

There are many buttons on the IV pump, and the operation is complicated.

However, for these old patients, many of them are familiar with the operations of nurses.

"Adjust the pump speed?" Fan Zhiping's face darkened.

Many drugs in the Department of Cardiology have strict infusion rates.

Some drugs, once infused too much in a short period of time, can cause serious side effects.

Nitroglycerin has the effect of dilating the coronary arteries and reducing the preload and postload of the heart. It is routinely used in various types of angina pectoris, chronic heart failure and other diseases.

When the patient adjusts the pump speed of nitroglycerin by himself, a large dose of nitroglycerin in the body will cause the blood vessels to expand greatly, and the contraction force of the coronary arteries will temporarily disappear.

The pressure in the blood flow of the coronary artery is temporarily reduced, and the microcirculation is temporarily opened and closed, resulting in myocardial ischemia and hypoxia, which in turn induces the occurrence of malignant arrhythmia events.

At present, the most likely reason is that the patient adjusted the pump speed faster, which induced the occurrence of ventricular fibrillation.

However, this matter has to be confirmed by the nurse on duty.

……

Lu Chen came to the nurse's station and found the nurse who was dealing with the emergency doctor's order.

"Is his nitroglycerin pump out?"

When the nurse heard Lu Chen's words, her expression became extremely ugly.

"I remember that the pump speed is clearly 3ml/h, and it will take at least ten hours to run out! He, the pump is finished in such a short time?"

"It's used up, you didn't change the medicine on the way, did you?" Lu Chen said in a deep voice.

"No, the medicine has never been changed!" The nurse said firmly.

It seems that the fact that patients adjust the pump speed privately is almost confirmed at present.

"He adjusted the speed up himself." Lu Chen said.

"Ah? This..." The nurse shook her lips, looking hesitant to speak.

"What's wrong?" Lu Chen wondered.

Could it be that there are other secrets in this?
"Hey, doesn't this patient want to urinate all the time?" The nurse paused and said, "I'll let him rest for a while, and he can get out of bed when his condition is stable. But this uncle insisted on asking for a specific time, I Just casually said, at least wait for the infusion pump to run out of medicine..."

The nurse on duty looked helpless.

She meant to tell the patient not to worry, and wait until the infusion pump is finished, at least until tomorrow to get out of bed.

"So this is because the patient adjusted the speed of the infusion pump privately in order to get off the ground earlier?" Fan Zhiping whispered.

Lu Chen nodded: "I think it's likely to be the case, otherwise it would be impossible to explain that the medicine ran out quickly."

Really solved the case!

At this time, a prompt popped up on Lu Chen's system panel.

"Congratulations, the completion of the system upgrade has increased! The current completion is 21%!"

After so long of hard work, Lu Chen's system has finally reached one-fifth of its completion!

The system prompt also confirmed Lu Chen's guess.

As the saying goes, a long illness becomes a doctor, but don't regard yourself as a real doctor!
……

Go back to the doctor's office.

Lu Chen told Yin Xinhua his guess.

Yin Xinhua was silent for a long while, and he adjusted the speed of the venous pump by himself?

This is too dramatic!

"I'll call the doctors in the CCU and ask them to ask the patient's family members to help confirm." Yin Xinhua immediately called the CCU and told Dr. U of the CC about Lu Chen's conjecture.

"The patient adjusted the pump speed of nitroglycerin by himself?" The doctor on duty in the CCU was surprised.

Such patients are still rare!
He quickly called the patient's family members into the CCU.

"Mother-in-law, just now in the upstairs ward, the uncle adjusted the speed of the nitroglycerin himself?"

The mother-in-law is also a sincere person, she nodded: "He thought the medicine was taken too slowly, so he adjusted it faster. He was hospitalized before, and he also adjusted it. Is there a problem?"

It turned out to be really fast!
The doctor on duty at the CCU immediately said: "Then do you know how much faster it is?"

The mother-in-law paused and frowned, "I don't know about this, but the medicine is injected very quickly and it will be over in a while. Do you...do you think there is a problem with this?"

"Mother-in-law, we are only suspicious for the time being, not sure yet, I will ask you if I have any questions."

The family member grabbed the CCU doctor's sleeve and said nervously, "Doctor, how is my old man doing?"

"It's not very good, I haven't regained consciousness yet." The CCU doctor shook his head.

"Hey……"

……

Eight districts in the heart.

The feedback from the CCU doctor basically confirmed the fact that the patient adjusted the pump speed privately.

Although in the usual wards, nurses visit every patient at regular intervals, it is impossible to pay attention to the status of patients all the time.

The patient completely infused most of the nitroglycerin within half an hour.

This is definitely going to go wrong!
On the side, Fan Zhiping couldn't help sighing, this big hospital is really different!

Doctors are fierce, but patients are even fiercer!

……

After about half an hour.

The news was sent back from the CCU that the patient's rescue was invalid and he was confirmed to be clinically dead!
"The patient is gone."

Lu Chen and the others sighed deeply, but they were not surprised.

When the ventricular fibrillation was not corrected in the ward, Lu Chen realized that the patient might be dying.

Sure enough, although it took so long to go to the CCU for rescue, it still failed to save him.

"Take it as a warning." Yin Xinhua said in a deep voice, "We need to strengthen the monitoring of patients and do a good job in the education of patients!"

Many patients rely on themselves as old patients and rely on their own experience to do whatever they want.

This situation is the most difficult to deal with!

Fan Zhiping said: "Your big hospital is fine, and many family members of patients dare not make trouble. If this kind of thing happens in our county hospital, the family members may have to bring people to make trouble again."

In fact, patients have a much stronger sense of trust in doctors in large hospitals than in small hospitals!

That's why some people don't want to be treated in small local hospitals when they get sick, but want to go to the best tertiary hospitals for treatment.

This is also the thinking of most patients, who have a higher sense of trust in large hospitals.

But for small hospitals, they may doubt the level of doctors.

As long as there is a problem, I think the doctor must be at fault, and I like to make trouble.

Yin Xinhua frowned and said, "Why are you afraid of these patients? If you have any problems, you should go to legal channels. If you need to pay, you will pay. If you don't deserve it, you won't pay. Everything depends on the court's decision!"

"Hey..." Fan Zhiping shook his head helplessly, "It's not like this in a small hospital. If someone makes trouble and it's not particularly serious, the hospital will pay some money to settle the matter. It's the hospital's fault, so just pay more. , it’s not the hospital’s fault, so we will pay less. But clinically, it’s very difficult not to make mistakes!”

This is also the current situation in small hospitals. Critically ill patients dare not treat them. Even if they have this level, they will try their best to push them to higher-level hospitals to avoid potential disputes.

(End of this chapter)