I can see health

Chapter 708 Mr. Lu, please help!
A hospital in the capital city.

The Fifth Ward of the Department of Cardiology.

Today is Yang Fan's first night shift after taking care of the bed independently.

As a doctor who just graduated this year, she spent most of her time in scientific research, so she doesn't have much clinical experience.

Before going to the night shift, she specially asked for a blessing.

But as soon as she took over the shift at night, she felt like crying.

The nurse on duty tonight is also a newcomer.

The two people stared at each other, their hearts trembling with fear for tonight's night shift trip.

Although Yang Fan is a senior doctor today and has a first-year graduate student under her, she dare not lie in the waiting room like other doctors with senior qualifications.

Instead, stay in the doctor's office with the graduate students, ready to deal with all kinds of emergencies.

"Mr. Yang, the 12th bed is uncomfortable, go and have a look." The little nurse ran into the doctor's duty room.

"Okay, got it."

Yang Fan nodded, and the graduate student beside him stood up and went to the ward to check.

Yang Fan also clicked on the patient's course record to see the patient's hospital diagnosis.

"Patients two days after acute myocardial infarction..."

……

5 minute later.

The graduate student who accompanied Yang Fan to work came back.

"Teacher, the patient said he had chest tightness, so I took an electrocardiogram for him." The graduate student handed the electrocardiogram to Yang Fan.

Yang Fan picked it up and took a look.

There is not much difference from the previous ECG.

"Did you auscultate your lungs?" Yang Fan asked.

"I heard it, it seems... I didn't hear anything unusual." The graduate student pursed his lips and said in a low voice.

"Yeah." Seeing the student say this, Yang Fan was a little bit upset, and decided to go see the patient himself.

Come to bed 12.

Yang Fanzai carefully performed a physical examination on the patient, and indeed found no abnormalities.

So, she comforted the patient a little, and then went back to the doctor's office.

Just after treating the patient, the little nurse ran in again.

"Mr. Yang, the 32nd bed complained of chest pain, and the other 46th bed said that he couldn't urinate, which was very uncomfortable. The 57th bed said that his hands were shaking and his body was weak..."

"Oh, okay, I'll go and see."

Yang Fan's buttocks were still warm, so he got up to check on the patient again.

After running back and forth many times, her legs were a little sore.

Fortunately, however, the patients were all minor ailments and pains.

A little reassurance, or a little processing, will be fine.

But just as this thought flashed through Yang Fan's mind, the little nurse hurried in.

"Mr. Yang, bed 12 is breathing heavily, go and see him!"

Hear the anxious voice of the nurse.

Yang Fan was also shocked, and quickly called the graduate students beside him to follow him.

……

in the ward.

The 12-bed patient was sitting on the bed with a pale face and cold sweat on his forehead.

The ECG monitor beside the bed was ticking the alarm.

"Doctor, I have chest tightness, it's too uncomfortable."

Seeing Yang Fan coming in, the patient immediately yelled loudly.

Seeing this, Yang Fan's heart sank.

Within one week after myocardial infarction, the probability of various complications is extremely high.

Such as malignant arrhythmia, acute heart failure, cardiac rupture and so on.

She immediately ran to the bed and auscultated the patient's heart and lungs.

As soon as the stethoscope touched the patient's lungs, Yang Fang was startled.

The lungs are full of wet rales!
However, she visited the patient half an hour ago, and the patient's lungs were still very clean at that time!

Yang Fan froze for a moment, and the patient's chest tightness symptoms became more obvious.

On the bedside ECG monitor, the patient's blood oxygen saturation was only 88%!

"Push a furosemide immediately!"

"Change to a mask to inhale oxygen!"

The nurse has pushed the ambulance away and started dispensing medicine.

"Xiao Fang, measure your blood pressure, and then check the electrocardiogram again." Yang Fang instructed the graduate students beside her.

"Okay, received."

However, as soon as the graduate student finished measuring the blood pressure, he whispered: "Teacher, the patient's blood pressure is only 84/54mmHg!"

"Blood pressure so low?" Yang Fan frowned.

Diuretics affect blood pressure, making it lower.

At this time, the patient is already in a state of shock, and pushing diuretics is very likely to aggravate the condition.

"Is furosemide still pushed?"

The little nurse had already prepared the medicine and turned to look at Yang Fan, waiting for her decision.

"For now...don't push." ​​Yang Fan paused, "Use dopamine to raise blood pressure first."

But Yang Fan looked at the ECG monitor, and the patient's heart rate was 120 beats per minute.

Dopamine also increases the heart rate while raising blood pressure.

She quickly changed her words, "Norepinephrine instead of dopamine!"

The little nurse nodded and immediately began to dispense norepinephrine.

But at this moment, the patient's blood oxygen saturation could not be maintained.

From 88% at the beginning, it has been falling.

Even if the oxygen concentration is increased, it can only be maintained at about 83%.

What made Yang Fan even more flustered was that premature ventricular contractions frequently appeared on the patient's ECG monitor.

Three consecutive premature ventricular beats together are called ventricular tachycardia!
By the time the graduate student named Xiao Fang finished the electrocardiogram, a series of ventricular tachycardias could already be seen.

……

CCU Inpatient General Lounge.

Lu Chen was chatting with Fan Zhiping.

After Lu Chen was bubbling in the group just now, Fan Zhiping tentatively sent him a message.

Unexpectedly, Lu Chen replied immediately.

This surprised Fan Zhiping a little.

"Professor Lu, thank you for the patient who underwent TAVR surgery last time."

Lu Chen looked helplessly at the message sent by Fan Zhiping, "Brother Fan, it's fine if you call me a professor in the group, just say goodbye in private."

"Hey, I'm used to it, but I haven't changed it for a while." Fan Zhiping smiled, "Anyway, it's a matter of time, I'll call first, so you can get used to it."

Lu Chen had nothing to do with him.

"By the way, Lu Chen, how are you doing in Shanghai?"

"It's okay, the medical resources here are better than Jinghua." Lu Chen said.

"Um... is it easy for the medical postgraduates in Shanghai to take the exam?"

Fan Zhiping's sudden words made Lu Chen slightly taken aback.

"What's wrong, Brother Fan, your son is going to take the postgraduate entrance examination?" Lu Chen asked suspiciously.

Fan Zhiping blushed, "No, I... want to take the exam."

"Ah?" Lu Chen was surprised when he heard this.

Comrade Lao Fan is in his forties, but he still wants to continue his studies. It is really not easy, he is not convinced!

"Brother Fan, you're taking an in-service postgraduate exam, and you want to improve your education?" Lu Chen asked suspiciously.

"No, I'm going to leave work and study a full-time school." Fan Zhiping didn't hesitate at all, he should have thought about it a long time ago.

Lu Chen couldn't help giving Comrade Fan a thumbs up.

It takes a lot of courage to go to a full-time graduate school at such an age!

"Brother Fan, if you want to come to Shanghai, I can ask for you." Lu Chen said.

He also has some roots in Shanghai now, and it is relatively easy to help inquire about graduate student enrollment.

"That's really great." Fan Zhiping beamed with joy.

Just as Lu Chen was about to continue replying, the mobile phone dedicated to the hospital chief rang again!
"Mr. Lu, rescue the five areas in my heart, please help!"

　I tried my best today
　　Ask for tickets

　　I'll be off the night shift tomorrow, make it up

　　
　
(End of this chapter)