I can see health

Chapter 40 Blood clots mixed in phlegm!

Opening his mouth, a strange smell filled the air.

snoring...

snoring...

snoring...

With the old man's breathing movements, the sticky phlegm kept churning in his throat.

But the phlegm can't be discharged, all of it is blocked in the throat, and I can't swallow it when I want to swallow it.

Liu Mei held the sputum suction device in one hand, pressed the old man's cheek tightly with the other hand, and quickly inserted the sputum suction tube into his throat.

In the throat, the vision is blurred, the light is dim, and it is difficult to make out.

Lu Chen immediately turned on the flashlight of his mobile phone, letting the light shine into his throat.

"This is……"

With the light of the mobile phone, in the field of vision, a dark blood clot was blocked in the old man's throat.

This blood clot is not big, but it is mixed with the surrounding mucus!
Lu Chen immediately thought that the sudden drop in the patient's blood oxygen saturation might be related to this blood clot.

"Senior Sister, there is a blood clot in my throat!" Lu Chen immediately said loudly.

Sun Guoguo frowned slightly: "Liu Mei, quickly suck up the blood clot! It seems that not only is the phlegm stuck, but the blood clot is also blocking the airway!"

Liu Mei narrowed her eyes, concentrated her energy, and looked down her throat.

"I don't see a blood clot, where is it?"

The vision in the throat is narrow, and the blood clots are mixed with sticky phlegm, which is difficult to see.

"The right side of the throat is deeper. You need to push the suction tube a little further in." Lu Chen said in a deep voice.

"it is good."

Liu Mei pushed the suction tube forward a few minutes.

嗞... 嗞...

The aspirator continues to work.

But still only sucked out, phlegm!

"I still haven't seen it." Liu Mei frowned, "Doctor Lu, where exactly?"

"Sister Liu, your position doesn't look good, why don't you let me try it?" At this time, Lu Chen was standing on the patient's left side, and Liu Mei was on the right side.

"You?" Liu Mei was taken aback, but considering the critical situation now, she couldn't bear to think too much, so she handed the suction tube to Lu Chen who was opposite.

After getting the suction tube, Lu Chen held his breath and concentrated.

Slowly push the suction tube into the throat.

The depth of insertion is one point deeper than the depth of Liumei sucking phlegm just now.

Lu Chen was very careful not to hurt the old man's tracheal mucosa.

"What's the matter, the blood clot disappeared again?"

Throat is full of sticky phlegm.

Was the blood clot swallowed by the patient?
Lu Chen glanced at the ECG monitor out of the corner of his eye, the blood oxygen saturation was still at 75%!

No, it wasn't swallowed!
If the blood clot is swallowed, at least the blockage of the airway is unblocked, and the blood oxygen saturation will definitely rise.

But now there is no change in blood oxygen saturation, and the blood clot should still be in the throat!
"Did you find it?" Sun Guoguo on the side looked anxiously and clasped his hands tightly.

Lu Chen shook his head, then looked at Liu Mei, and said, "Sister Liu, use the flashlight to help me illuminate."

"it is good."

Liu Mei took Lu Chen's cell phone, turned on the flashlight, and aimed it at the throat.

Others in the ward were equally nervous.

Everyone watched Lu Chen and Liu Mei sucking phlegm, but they couldn't help, they could only pray silently in their hearts.

"Yes! Here it is!"

Under the guidance of the light, Lu Chen successfully found the blood clot mixed in the mucus.

The sticky phlegm has been mixed with blood, so blood clots are extremely difficult to find!
"Sister Liu, increase the attraction of the sputum suction device!"

Adjust the direction of the aspirator to align with the position of the blood clot, and suck repeatedly.

I saw a group of dark black blood clots going up the suction tube!

"Out!"

Joy flashed in Liu Mei's eyes, and she saw this dark blood clot at a glance.

"Good job." Liu Mei looked at Lu Chen who was on the side, her beautiful eyes were full of joy.

Sun Guoguo at the side also breathed a sigh of relief.

As long as you find the source of the drop in blood oxygen saturation, the rest will be easy to handle.

Holding the suction tube, Lu Chen still did not relax his vigilance.

The suction tube continued to work in the throat, sucking out a large amount of bloody mucus.

But why do blood clots occur?

The situation was critical just now, Lu Chen didn't think much about it.

Now that I come back to my senses, the patient's attack is not only due to heart failure, there must be other reasons!
When the blood clot is sucked out, the blood oxygen saturation will rise at a speed visible to the naked eye.

75%...

79%...

82%...

86%...

In just 2 minutes, the blood oxygen saturation gradually increased, and finally directly fixed at 91%...

Although the blood oxygen saturation is still low, it is much better than before!

The blood clot was sucked out, part of the sticky phlegm was sucked out, Lu Chen removed the suction tube.

The remaining sputum in the deep part of the bronchi is not easy to suck, and can only be discharged by the patient's own "cough".

huh... huh...

On the hospital bed, the old man's breathing rate was not as rapid as before.

He took a big breath, enjoying the fresh air of the rest of his life.

Standing by the bed, Lu Chen could still hear the obvious phlegm, but the old man's condition had improved.

……

At this time, Ke Yue pushed a simple non-invasive ventilator and walked into the ward quickly.

The function of the ventilator is to replace or assist the patient to breathe, and to help the patient with respiratory failure pass the most dangerous period.

The assisted breathing of the ventilator is used to ensure the supply of oxygen and discharge the phenomenon of excessive carbon dioxide retention.

However, whether it is a non-invasive or an invasive ventilator, Lu Chen has never touched it before, so he doesn't know how to adjust it at all.

But for Sun Guoguo, he was very familiar with it.

She immediately connected the ventilation tube of the ventilator, replaced the humidification bottle, and adjusted the breathing mode and parameters.

The mask is buckled on the patient's mouth and nose, and the ventilator starts to work.

"Liu Mei, we need to assist the patient to excrete phlegm every day, and we must record the 24-hour urine volume in detail." Sun Guoguo said in a deep voice, "Use the non-invasive ventilator for a period of time, and withdraw it when the patient is better."

"Okay." Liu Mei nodded, and at the same time began to pack the medicines on the ambulance vehicle, putting the discarded needles and medicine bottles into the yellow sharps box, "Dr. Sun, remember to prescribe the emergency doctor's order."

"Yes." After Sun Guoguo explained the precautions for nursing, she turned her gaze to Lu Chen who was at the side.

Lu Chen contributed a lot to resolving this crisis.

This junior is really fearless in the face of danger!
Ke Yue still didn't know what happened, so Dong Hao and two interns explained to her.

After listening to other people's explanations, she looked at Lu Chen differently.

As freshmen this year, everyone is completely different.

At this time, Lu Chen was checking his system panel.

"Congratulations, received a thank you value from Warwick +1!"

"Congratulations, received the thank you from Cao Chunmei +1!"

This time, he received two thank you values ​​at the same time!
It should be the patient and the family members of the patient, that is, the old woman next to her.

The total thank you value has reached 8 points!
The system completion rate has also become 70%!

Just two hours after arriving at the Cardiology Department, the system completion rate has increased by 20%, and the gratitude value has also increased by 3 points.

According to the frequency of this kind of rescue in the cardiology department.

I am afraid that within a few days, the system completion will reach 100%!

(End of this chapter)