I can see health

Chapter 294 Mysterious and Fascinating

When Lu Chen heard this, his heart tightened and he ran out of the office immediately.

He has already recalled the condition of the 16-bed patient in his mind.

Bed 16 is a female patient with coronary heart disease and heart failure, who has been in the eighth district of the heart for five days.

However, with repeated heart failure attacks, a large number of diuretics have been used, and the symptoms are still ups and downs.

"Junior Brother Wei, go to District [-] and call back Senior Sister Guoguo!" Lu Chen turned to Wei Zhongwen.

The chief secretary of the Department of Cardiology is in the seventh district, and Sun Guoguo happened to go to the next door to hand in a document in the seventh district.

"Okay!" Wei Zhongwen nodded, turned his head and ran towards the heart seven districts next door.

Lu Chen took the lead, and Ke Yue and Jiang Qingyan followed behind him.

……

Wang Ruoxi found the No. 15 hospital bed, put down her small bag, and began to look at the ward.

This is a female ward.

The two beds of the narration are old ladies who are about 60 years old.

Wang Ruoxi sat on the edge of the bed, looking around.

The environment of the ward is a bit bad, far inferior to other hospitals of the same level.

The decoration and furnishings are too old. If it weren't for the high level of the Cardiology Department of Jinghua Second Hospital, the number of patients would certainly not be too many.

At this time, she suddenly found that the old lady with 16 beds next door became restless.

To make matters worse, she has no accompanying family members by her side.

Wang Ruoxi frowned, and asked softly: "Grandma, what's wrong with you?"

The old lady on bed 16 turned her head to look at Wang Ruoxi, opened her mouth, and wanted to speak, but couldn't.

Wang Ruoxi found that the old lady was in a strange state.

She opened her mouth wide and breathed very rapidly, and fine sweat broke out on her forehead.

A pair of wrinkled old hands kept waving.

Wang Ruoxi is also a medical professional.

She immediately sensed that something was wrong with the patient, and hurried to the patient's bedside, and rang the emergency caller.

"Grandma, how do you feel?"

"I... bored..."

The old lady spit out a few words intermittently.

"Is it acute heart failure?"

Wang Ruoxi frowned, and hurried to the head of the bed, turned the bed to a 45° angle, and then said to the patient's family on the other bed: "Go and call the doctor and nurse."

Although the emergency caller has been pressed, the average patient can't tell the difference between a normal call and an emergency call at all, and usually uses it mixed up, so even if the nurse hears the emergency call alarm, he will not rush over.

The family members who were watching the excitement also understood that something was wrong.

A man immediately ran out of the house, then slit his throat and called for a nurse.

At this time, the old lady's breathing rate was getting faster and faster, her lips were cyanotic, and the bedside ECG monitor showed a heart rate of 130 beats per minute.

Even if the head of the bed was shaken, the patient's symptoms did not change at all.

Just after Wang Ruoxi was helpless, Lu Chen arrived with Ke Yue and Jiang Qingyan.

The nurse on duty also ran into the ward pushing the first aid kit.

……

"Quickly push 40mg furosemide! Open another intravenous channel."

Walking into the ward, seeing the symptoms of the patient's non-stop panting, Lu Chen immediately judged the changes in the patient's condition.

Combined with the patient's condition, nine out of ten patients have an attack of acute heart failure.

Acute heart failure is usually caused by the sudden onset of chronic heart failure, and the mortality rate is very high.

Moreover, the patient's current life value is only 42, indicating an extremely dangerous situation.

"Ms. Liu, do an emergency blood test for the patient, including blood routine, biochemistry, blood gas, and myocardial enzyme spectrum!"

While auscultating the patient, Lu Chen gave orders without hesitation: "Brother, take the patient's blood pressure, and then take an electrocardiogram."

"Brother, the patient's blood pressure is 192/120mmHg, and the bilateral blood pressure is symmetrical."

The patient immediately said: "Ms. Liu, add another set of nitroprusside."

"Roger that!"

……

Lu Chen was directing the rescue in an orderly manner, and the patient's dyspnea gradually improved.

Blood pressure dropped to 165/98mmHg, and heart rate also dropped to 102 beats/min.

Wang Ruoxi on the side looked at this scene curiously.

It is really extremely rare for a graduate student to preside over the entire rescue.

Although Sun Guoguo came to the ward soon, most of the first rescue was led by Lu Chen.

Ordinary graduate students will not panic when encountering such a situation, but it is extremely rare to quickly judge the patient's condition and issue accurate doctor's orders.

The strangest thing is that the nurses around are very cooperative.

The nurses in the provincial tertiary hospitals are slightly older, and they generally don't pay attention to the newly arrived residents or graduate students.

When encountering this kind of rescue, he would definitely not easily follow the advice of a first-year graduate student.

But the group of nurses just now obeyed Lu Chen's doctor's orders extremely.

And looking at it like this, Lu Chen must have participated in many rescues in the past.

Wang Ruoxi was also from the medical system, so she was surprised by this situation.

Few graduate students can reach Lu Chen's level.

……

After about 10 minutes, the patient's symptoms gradually subsided.

The symptoms of acute heart failure also gradually disappeared.

"This attack of heart failure may be due to poor blood pressure control of the patient, or the usual restriction of fluid intake."

Lu Chen pointed to a large water cup beside the patient's bed.

In patients with heart failure (heart failure), the heart is no longer functioning.

The heart is a function of pumping blood, and now it can't pump blood.

If a large amount of fluid is ingested again, the fluid in the blood circulation will increase, the burden on the heart will increase, and chronic heart failure may develop acutely.

Therefore, patients with heart failure generally need to strictly control fluid intake, and it is best to maintain a negative body balance.

At this time, the family members of the patient also arrived.

Sun Guoguo immediately communicated with the patient's family members that such a seriously ill patient needs 24-hour care from the family members.

Once the patient's condition changes, he can be informed at any time.

……

"Thank you." Lu Chen stood on the bedside of bed 15 and said to Wang Ruoxi with a smile, "If you hadn't discovered it in time, we might not have been able to treat it so promptly."

Wang Ruoxi nodded slightly, then raised her eyebrows, and looked at Lu Chen: "Are you really Yanyi?"

She knew that Wang Zihao and Lu Chen share a dormitory, and everyone should be a freshman in Yanyi.

But judging from today's rescue performance, Lu Chen doesn't look like a student of Yanyi, but rather an attending doctor who has been in the clinic for a long time.

"Yes, what's the matter?" Lu Chen wondered.

"Nothing, I'll just ask."

Wang Ruoxi smiled, seeing the smile of the sunny boy in front of her, her heart suddenly moved.

Lu Chen's body seemed to be covered with a thin veil, very mysterious and fascinating.

"Oh, yes, I'm going to see you." Lu Chen said with a smile, "I just came to ask about your medical history."

"Well, okay." Wang Ruoxi nodded slightly, and then lay down on the hospital bed calmly.

Seeing her movements, Lu Chen was slightly taken aback. Is this preparing for the physical examination?

He suddenly remembered that Wang Zihao said that her sister used to study medicine, but she didn't choose to be a doctor after graduation.

(End of this chapter)