I can see health

Chapter 244 What qualifications do you have to touch my doctor's order? (Second more)
Seeing that Li Huiyan didn't continue to pay attention to him, Lu Chen didn't care.

Although this cousin has an out-of-the-ordinary personality, she is not a person who acts recklessly and regardless of the consequences.

Losing weight is a protracted battle, and it is impossible to use some diet pills.

……

After washing up, Lu Chen lay on the bed.

Consciousness enters the virtual space and begins the first phase of clinical research training.

"Damn it, why did Lu Chen sleep so early?"

Wang Zihao glanced at Lu Chen who had already gone to bed, and murmured in his heart.

Everyone usually works in the department, and only has time to study when they come back at night.

But Lu Chen went to bed so early every day, where did he find the time to study?
With Lu Chen's current ability, he definitely spent a lot of time and effort to achieve it.

However, the reality is just the opposite.

As Lu Chen's roommate, Wang Zihao is the person who knows Lu Chen's schedule best.

Every night, I must go to bed before ten o'clock!

Even most of the time, Lu Chen went to bed around nine o'clock.

At this time, other people in the dormitory are forming a group to play games!
However, it is precisely because of Lu Chen's existence that they have developed a better habit in their dormitory.

Even playing games, everyone will not make a lot of noise.

Do not interfere with each other's living habits.

"It's possible, this is the difference between a genius and others?" Wang Zihao shook his head helplessly, and then continued to read the documents in his hand.

At this time, Lu Chen is constantly training clinical research projects in the system virtual space.

……

The next day.

Lu Chen came to the department early and saw Senior Brother Dong Hao immediately.

"Brother, the operation has been arranged, and it will start at two o'clock this afternoon." Lu Chen looked at Senior Brother Dong Hao who was lying on the bed.

However, Senior Brother Dong Hao's complexion seemed a little pale.

"Brother, did you not sleep well last night?"

Dong Hao nodded and said: "Hey, I felt flustered in the middle of the night last night. The doctor on the night shift took an electrocardiogram for me, and the supraventricular tachycardia happened again!"

Hearing this, Lu Chen quickly picked up the stethoscope and auscultated Dong Hao's heart.

"Junior brother, don't be nervous, you've recovered now." Dong Hao forced a smile, "But the feeling of this attack is not very pleasant, I didn't sleep much all night, won't it affect today's operation?"

"Generally speaking, it shouldn't affect anything," Lu Chen said.

He had just auscultated Senior Brother Dong Hao's heart, and his heart rate was about 70 beats per minute. The heart rhythm was regular, and it should be sinus rhythm.

"Okay, then I'm relieved." Dong Hao said, "Now that I think about it, this operation should have been done earlier, and the symptoms were too frequent. Thank you so much, Junior Brother, for helping me pay the medical expenses this time. I will return it to you in time."

Lu Chen smiled and shook his head: "Brother, there is no rush to pay back the money. The most important thing now is to cure your illness! Let's talk about the future."

"Yeah." Dong Hao nodded, "The shift is about to start early, so go get busy and leave me alone."

"Ok."

Looking at the back of Lu Chen leaving, Dong Hao felt that during his rotation in the cardiology department, the luckiest thing was to meet Lu Chen.

……

Go back to the doctor's office.

Except for a few nurses on duty, most of the medical staff have already arrived.

After the simple handover of the nurses, the night shift doctors take over.

Last night's night shift doctor was Xia Gang's attending doctor and graduate student He Sirong.

Early shifts are usually handed over by graduate students.

I saw He Sirong took a step forward and said, "The doctor on the night shift takes over..."

"Bed 56 complained of chest tightness and shortness of breath around 2 o'clock in the middle of the night. Considering the onset of heart failure, he was given intravenous furosemide, and the symptoms improved after about 10 minutes..."

"At 3:6 o'clock in the night when I took over from bed 220, I suddenly complained of headache, accompanied by blurred vision, and my blood pressure was 134/[-]mmHg. Considering a hypertensive emergency, I immediately gave urapidil intravenously..."

"The 15-bed patient complained of palpitation, chest, and tachycardia at about ten o'clock last night. The electrocardiogram showed paroxysmal ventricular complaints. Immediately administered intravenous amiodarone..."

"..."

There were no problems with He Sirong's previous shifts.

But when Brother Dong Hao's condition changed, Lu Chen felt something was wrong!

"He Sirong actually used amiodarone on Brother Dong Hao!" Lu Chen was shocked.

Brother Dong Hao's surgery today seems impossible!

Lu Chen glanced at Sun Guoguo at the side, and found that she also had a dignified expression, and her eyes were fixed on He Sirong and Xia Gang.

After He Sirong finished his shift, Sun Guoguo went straight to Xia Gang.

Sun Guoguo's tone was a little cold.

"Doctor Xia, do you know that the 15-bed patient will undergo radiofrequency ablation today?"

Xia Gang was taken aback for a moment, then shook his head slightly, "I didn't look at the operating wall, so I don't know very well."

But just after he finished speaking, his expression froze, as if he had thought of something, he immediately turned his head and said to He Sirong, "Did you give amiodarone to the 15-bed patient last night?"

Seeing Xia Gang's serious expression, He Sirong nodded in surprise, "Yes, he had a paroxysmal supraventricular tachycardia last night. I made an electrocardiogram to confirm the diagnosis, and then prescribed amiodarone."

Xia Gang's expression suddenly became extremely gloomy.

"Student He, why didn't you ask for my opinion before giving this patient a doctor's order?"

He Sirong whispered: "Senior brother Xia Gang, this patient also had a history of similar disease attacks before. I had an electrocardiogram and it must be a supraventricular tachycardia attack. What's the problem with amiodarone?"

Amiodarone is one of the most commonly used antiarrhythmic drugs clinically. It has a wide range of treatments for arrhythmias and is widely used.

"Then do you know that the patient is going to undergo radiofrequency ablation today?" Xia Gang continued.

"I know!" He Sirong nodded.

Xia Gang snorted coldly, "Then you give amiodarone to a patient who is about to undergo radiofrequency ablation? Do you know what the half-life of amiodarone is?"

At this time, He Sirong finally came to his senses.

Her face was flushed red, and it took her a long time to hold back a word: "I...I..."

The so-called radiofrequency ablation is to induce the patient's arrhythmia before the operation, and then use the equipment to detect the place where the arrhythmia occurs, and finally burn it with electrodes.

Amiodarone is a good antiarrhythmic drug, but its half-life is very long and it tends to accumulate in the human body.

This will lead to a problem that the arrhythmia cannot be induced by the surgical patient on the operating table.

If arrhythmia cannot be induced, then there is no way to judge what is wrong with the heart conduction system!
Surgery is out of the question!

Therefore, amiodarone is contraindicated preoperatively in patients undergoing radiofrequency ablation.

At this time, in the doctor's office in the eighth district of the Department of Cardiology.

Xia Gang stared at He Sirong closely, and said slowly.

"He Sirong, you are a graduate student. If you haven't obtained your medical license and haven't asked your superior doctor, what right do you have to touch my doctor's order?"

　2 updates today.Thank you Han Xiaohe for your reward, I will add an update tomorrow.

　　
　
(End of this chapter)