I can see health

Chapter 705 The first night shift in the total hospitalization career (third update)
Night falls.

The first night shift of Lu Chen's hospitalization career started.

During the day, Lu Chen is mainly responsible for emergency consultations in various departments.

In the evening, Lu Chen had one more job, which was to prepare for the rescue of various departments of the Cardiology Department at any time.

Generally, there are many people in the department during the day, and there is no need for Lu Chen's help when there is a rescue incident.

But it is different at night. The night shift configuration in most wards is one attending doctor and one graduate student.

In case of a little bit of trouble to rescue, you need to call the hospital manager to help.

Lu Chen put the old cell phone by the bed, turned up the volume of the cell phone ringing, and went to sleep.

That's right, start to sleep.

Take the time to sleep, this is the general self-cultivation of a hospital.

Because you can't tell, you will be called up in the next second.

……

One o'clock.

An ambulance roared into the first courtyard of Modu.

"Doctor, rescue and rescue!"

A flatbed was pushed from the ambulance by doctors and nurses.

On the flat car, a man in his 60s was panting heavily.

"The patient has severe dyspnea, poor blood oxygenation, and may need endotracheal intubation!"

120 The doctor following the car hurriedly pushed the patient into the emergency ward.

The doctor on duty in the emergency department rushed out immediately.

"What's the patient's condition?"

"A 60-year-old male patient has been breathing badly at home for 5 days. He has some cough and sputum. He came to the emergency department early this morning. There is no bed in the respiratory department, so he went home temporarily. At night, he suddenly suffered from chest tightness!"

The patient was immediately pushed into the rescue ward of the emergency department.

The man was half-sitting on the bed, a little out of breath, wearing a mask to inhale oxygen, unable to see if his lips were cyanotic.

But others are still awake, bedside ECG monitoring: blood pressure 160/80mmHg, heart rate 118 beats/min, respiratory rate 25 beats/min, blood oxygen saturation 92%.

Wu Si immediately felt that the situation was not good.

The values ​​of these indicators are not very good, especially the blood oxygen saturation. In the state of oxygen inhalation, his blood oxygen is only 92%!

When a normal person breathes in air, the blood oxygen saturation should be above 98%, which means that most of the hemoglobin is combined with oxygen.

Hemoglobin is like a speedboat, which is responsible for transporting oxygen to body tissues. A blood oxygen saturation of 98% means that so many speedboats are almost fully loaded.

But for the patient in front of him, the blood oxygen saturation is only 92% when inhaling oxygen with a mask, which means that a lot of hemoglobin is not fully loaded, which means that the oxygen is not enough, of course he is hypoxic!

"Immediately ask the respiratory department, cardiology department, and ICU for emergency consultation!"

"Bring over the intubation bag!"

"Open two more veins!"

……

In the CCU break room.

Lu Chen was sleeping soundly when a sudden ringing of his mobile phone woke him up.

The heart rate immediately soared from 60 beats per minute to 120 beats per minute.

Lu Chen rubbed his eyes and got up from the bed.

Shaking his somewhat confused head, he put on a white coat, put on a stethoscope, and went out.

"It's the emergency department again. It's been a long day, and it really doesn't stop!"

Lu Chen complained a little, but his pace was not slow at all, and he arrived at the emergency ward in a short while.

At this time, in the emergency department ward.

The patient's breathing calmed down slightly, but the blood oxygen saturation was still hovering around 90%.

As soon as Lu Chen walked into the ward, Wu Si, the attending doctor of the emergency department, immediately stepped forward, "Mr. Lu, a patient with difficulty breathing just arrived, please come and have a look."

"What's the specific situation?"

Lu Chen silently accepted the title "President Lu".

"The patient caught a cold 5 days ago, and has been coughing and expectorating since then. This morning, he said he was hospitalized in the respiratory department, but there was no bed, and his chest tightness worsened at night."

After finishing speaking, Wu Si handed Lu Chen a blood gas analysis result, "The blood gas was taken just now, and the oxygen partial pressure is only 56%."

Lu Chen took over the blood gas analysis, frowned and said, "Severe pneumonia? Respiratory failure?"

Such a low partial pressure of oxygen can already diagnose respiratory failure.

Wu Si nodded, "The current consideration is pneumonia and respiratory failure."

"Then you should ask the respiratory department for consultation, right?" Lu Chen glanced at Wu Si.

Wu Si smiled embarrassingly, "The patient has a history of high blood pressure, I still have to ask you to take a look and rule out heart disease. If I send a patient with myocardial infarction and heart failure to the respiratory department, they will not be able to complain to the medical department tomorrow. ah……"

Lu Chen smiled and didn't say much.

These doctors in the emergency department are very shrewd. Basically, all the relevant departments are invited over for this kind of patients.

After all, the patient is old, so he is not allowed to have heart disease, because of respiratory failure caused by heart failure.

Lu Chen looked through the other examinations that the patient had done in the emergency room in the morning.

In the morning, the patient also had a routine blood test, and the white blood cell count increased a little.

"It's probably a lung infection." Lu Chen thought to himself.

In addition, the patient had moderate anemia. Lu Chen asked the patient's family members, and the family members said that the man had hemorrhoids for many years, which was probably caused by excessive bleeding.

"It looks like the patient has pneumonia." Lu Chen said to Wu Si who was beside him, "It's most suitable to be admitted to the Respiratory Intensive Care Unit."

"I can't move the bed temporarily." Wu Si spread his hands. "You can't live in the hallway, you can't live in the hallway now."

While the two were talking, doctors from the respiratory department and the ICU all came.

The four discussed together, and the patient can only be admitted to the ICU for the time being.

The patient's pneumonia is not ordinary pneumonia, but severe. The blood oxygen drops at any time, cannot be maintained, and needs to be put on a ventilator.

"What's the attitude of the family?" the ICU doctor asked.

"Go all out, at all costs." Wu Si replied immediately, "This is what the patient's daughter said just now, and they are waiting outside."

The respiratory doctor couldn't help complaining, "It's inexplicable, since I'm going all out, why did I go early, and it took me 5 days to come to the hospital at home."

Wu Si reminded, "I asked the family members, and they said that it was inconvenient for the patient to come to the hospital alone because no one was at home at the time, so I had to bear it for a few days. I also scolded them just now, so don't talk about it later. , lest they collapse."

The family members are the patient's two daughters.

The eldest daughter is a few years older than Lu Chen, and the youngest daughter is about the same as Lu Chen.

Oh, and two sons-in-law.

The son-in-law smoked at the door. Although the nurse had dissuaded them, they still smoked secretly. The smell of cigarettes could not be hidden.

Wu Si reported the patient's condition to the family members, roughly saying that the condition was serious, it was severe pneumonia, and needed to be treated in the ICU, but the ICU was expensive, so one had to be psychologically prepared, and the treatment could only be done with all one's strength, and no guarantee could be made.

These are all routines. Wu Si has already mastered his skills as a veteran of the emergency department. He has to report the truth without scaring his family members.

It takes a bit of skill to let the family members know the seriousness of the disease, but not say it dead.

……

Rescue outside the ward.

The two daughters were worried and said they would try their best to rescue them and agreed to be admitted to the ICU.

It seems that they have discussed it long ago, so they didn't hesitate too much.

At this time, Lu Chen had written his consultation opinion and was about to leave.

Suddenly, the eldest daughter of the patient lamented, "My father is really suffering. Last year my uncle and uncle passed away because of bowel cancer, and this year he came again. What a disaster!"

When Lu Chen heard this, he suddenly woke up.

(End of this chapter)