I can see health

Chapter 30: Cardioversion
"Old Dong, so this ECG is really not supraventricular tachycardia, but left posterior branch ventricular tachycardia?"

After speaking, Lu Wenguo looked up at Lu Chen.

On the other side of the phone, Old Dong smiled and sighed.

"Yes, it is indeed left posterior fascicular ventricular tachycardia."

"This special type of ventricular tachycardia is easily confused with supraventricular tachycardia with right bundle branch block. This kind of ECG is rarely seen in our primary hospital. I didn't find it at first glance just now. But I looked carefully again. Look, there is atrioventricular dissociation, it should be left posterior branch ventricular tachycardia."

"You quickly disable Cordron and push a dose of Verapamil, which should be able to terminate the left posterior branch ventricular tachycardia."

"Okay, but our department doesn't have verapamil. I'll ask the nurse to borrow two from your department."

Lu Wenguo sighed in his heart, this is exactly the same treatment method as Lu Chen said.

"Hey, old Lu, hang up the phone later! You haven't said who saw it in the electrocardiogram room?"

Lu Wenguo smiled, "Let's talk about it next time we meet. The patient's condition is urgent now, so I'll let the nurse take the medicine first."

Hearing the busy tone from the phone, Lao Dong shook his head helplessly.

He knows the level of Pingyang City Hospital very well.

As the deputy chief physician of the heart, if he didn't even judge that this electrocardiogram was left posterior fascicular ventricular tachycardia at the first time, let alone other people.

What's more, the other party is a surgeon.

This is definitely not the level that Lao Lu can have!

Is there someone behind him?
Old Dong thought to himself, he guessed that there was someone behind Lu Wenguo, but he couldn't guess it was his son.

……

General Surgery.

After making this phone call, Lu Wenguo can basically make a definite diagnosis. This electrocardiogram should be "left posterior branch ventricular tachycardia".

Wu Yun on the side also heard the conversation between the two, and after confirming that this was left posterior branch ventricular tachycardia, he gave Lu Chen a thumbs up.

"Zhang Xin, stop the Corda Dragon of this patient just now."

Lu Wenguo walked to the nurse's desk.

"Then call the nurse and go to the cardiology department to borrow two Verapamil."

Sometimes, the medicines from the night shift emergency pharmacy in the hospital are slow to arrive, so it is better to borrow one from the relevant department, and then return the medicine when the medicine comes to the pharmacy afterwards.

Zhang Xin asked in surprise, "Director Lu, this patient's Cordron pump still has more than half of the liquid, so just stop using it?"

Lu Wen nodded.

"After borrowing Verapamil, push one quietly first."

"Okay." Zhang Xin immediately called the cardiology department.

In less than 5 minutes, the nurse brought verapamil from the cardiology department.

Verapamil, a derivative of papaverine, belongs to Class IV antiarrhythmic drugs and is an inhibitor of calcium ion influx.

Lu Wenguo and Wu Yun stood beside the patient's bed, watching Zhang Xin slowly and quietly push a dose of verapamil into the patient's vein.

"Director Lu, your medicine is..."

The fat man with big ears carefully looked at the doctor's order on the treatment sheet.

"Vicela rice."

Lu Wenguo glanced at the fat man: "Verapamil."

"Director Lu, why did you take away the medicine just now?" The fat man asked suspiciously, "I think there is still half a bottle in it, isn't it a waste?"

Lu Wenguo kept staring at the ECG monitor, and replied without raising his head: "Your father is not sensitive to the drug just now, and his arrhythmia is more complicated. We need to try another drug."

"Oh." The fat man nodded, and then he sat down beside the bed with peace of mind.

In many cases, based on the medical level of the hospital and the degree of awareness of the disease, errors in diagnosis or treatment often occur, but this is inevitable.

For example, the identification of left posterior branch ventricular tachycardia and supraventricular tachycardia with right bundle branch may be mistaken in top three hospitals, let alone a grassroots hospital like Pingyang City!

So when this happens, proper communication can avoid medical disputes.

If Lu Wenguo tells the truth now, saying that the diagnosis was wrong and the medicine was used wrongly, then the family members of the patient may not be sure that there will be another riot.

……

Time passed by minute by minute.

It has been 5 minutes since the intravenous bolus of verapamil.

Lu Wenguo and Wu Yun were still standing beside the patient's bed, their eyes fixed on the ECG monitor.

Heart rate is still 150 beats per minute!
Wu Yun whispered: "Director Lu, I just heard from Xiaochen that if the first verapamil does not work well, you can wait 10 minutes and try another one."

"Yeah." Lu Wenguo responded softly, "Then observe for a few minutes, and if it doesn't work, push another one."

Another 3 minutes passed.

The patient's heart rate is still 150-160/min.

"Zhang Xin, prepare to push another Verapamil." Lu Wenguo ordered.

"Okay, I'll go to dispense the medicine." Zhang Xin nodded, turned and left the ward, and walked towards the dispensing room.

Zhang Xin just walked out of the ward.

The heart rate value on the ECG monitor suddenly jumped!
Lu Wenguo and Wu Yun saw that the original value of 150 suddenly dropped to 130...

Then another jump, down to 110...

"Zhang Xin, wait a minute, you don't need to go." Lu Wenguo immediately looked at the patient on the bed, "Master, how do you feel now?"

The old man on the bed slowly opened his eyes.

"It's not a big feeling, but the panic is better, and I feel that my heart is not beating as fast as before."

Lu Wenguo turned his head and said, "Xiao Wu, contact the electrocardiogram room and give the patient a reexamination of an electrocardiogram."

"Good director."

Wu Yun immediately took out his mobile phone and called the EKG room.

Surgical departments of primary hospitals like theirs do not have standing electrocardiogram machines.

Once a patient with this kind of arrhythmia is encountered, the night shift doctor in the electrocardiogram room needs to come to do an electrocardiogram.

"Director Lu, my dad's heart rate has dropped!" The fat man looked delighted, and he also saw the phone call on the ECG monitor, "Is he healed?"

Lu Wenguo's serious expression softened slightly.

"It's hard to say now, we are going to review an electrocardiogram for your father."

Clinicians are never full of words, and everything must be based on the evidence of auxiliary examination.

"Alright, listen to Director Lu."

The fat man nodded like a chicken pecking rice. With his bloated figure, there was a sense of joy.

The night shift doctor in the EKG room will arrive soon.

"Buzz...buzz..."

A twelve-lead ECG was completed.

Heart rate 106 beats/min!
Although compared with normal people, the heartbeat is still faster, but it has dropped significantly.

……

doctor's office.

Lu Chen suddenly received a system prompt.

"The completion of the system has increased!"

The system completion rate rose again, from 40% to 50%.

Lu Chen smiled slightly, it seems that the patient should have been rehabilitated!
But this time, the thank value did not increase.

Lu Chen guessed that although he diagnosed the case this time, the patients and their family members did not know of his existence.

So this time only the system completion degree increased, but the thank value did not increase.

on the system light curtain.

There are a total of 5 thank you points.

System completion is 50%.

One step closer to 100% system completion!
　All cases, diagnoses, and treatments mentioned in the book are true.

　　Some I encountered, some I heard, and some came from case reports and papers.

　　Including eating barbecue, leading to rat poison poisoning, this is a patient who has personally experienced it.

　　
　
(End of this chapter)