medical road high rise

Chapter 125
Chapter 125 Finding the Right Way
The ICU doctor also breathed a sigh of relief. He was prepared to sign a body donation contract if the patient is still awake today.

This is a step that family members of ICU patients often go through. When it reaches this step, it proves that the patient is really hopeless.

Picking up the phone, the ICU doctor made a call to the director, and told the director Qin Feng's guess and the drug information submitted by the patient's friend.

The director still knows about this patient. After all, he didn't wake up for a week, which is considered an exception in the ICU.

The director said that when he came over, he would give the patient a sleeping pill antagonist today and a blood purification treatment at the same time.

"Doctor Qin, thank you for your hard work this time." The ICU doctor felt that the burden on his shoulders was relieved a little.

This patient has always been a serious problem for ICU doctors, and no one wants their patient to die in this situation.

"It's okay, I just happened to be reminded by someone." Qin Feng smiled.

The ICU doctor didn't believe Qin Feng. The patient had been in the ICU for a week. With such a powerful person, why didn't he come to remind him, but instead reminded Qin Feng.

It must be Qin Feng who said this on purpose in order not to take credit.

Qin Feng is also considered a special existence in the Second Hospital. Generally speaking, when doctors go to participate in consultations, they will ask for a performance.

But Qin Feng doesn't want anything, as long as he can perform the operation and participate in it.

However, Qin Feng is still the kind of doctor with strong surgical ability, which made doctors in many departments of the Second Hospital happy.

If my own ability is not enough, it is the same to find Qin Feng. The patient does not need to give Qin Feng even if his performance is considered.

"By the way, are you sure about your medical license exam this time?" the ICU doctor asked.

"It should be fine." Qin Feng affirmed.

Since having the system, Qin Feng found that his memory has improved, and he can remember everything he reads once. In addition, Qin Feng has more practical exercises, so it is easy to digest these contents.

"Come on, I just talked to our director. Our director especially welcomes you." The ICU doctor patted Qin Feng on the shoulder, showing that I am very optimistic about you.

Qin Feng smiled, picked up the water glass on the table and took a sip, but didn't answer.

There was a sound of hurried footsteps at the door.

"Dr. Luo, the blood pressure of patients in bed 3 is getting lower and lower."

Qin Feng and the ICU doctors stood up collectively, and looked at the nurse who came outside the door to report.

Hypotension can lead to positive feedback, that is, falling into an infinite cycle of hypotension until the patient dies.

Low blood pressure means low blood flow back to the heart, which results in low end-diastolic volume.

A low end-diastolic volume results in low cardiac output, which in turn lowers systolic blood pressure.

Once a certain peak is reached, there will be blood transfusion, and the blood pressure will not be able to rise, and the patient can only wait to die.

"Call the director first, we must prepare for blood pressure purification now, otherwise the day lily may be cold when the director comes over." Qin Feng said.

The ICU doctor nodded approvingly, and asked Qin Feng to check the patient's blood pressure first, while he called the director in the office.

"Prepare the vasopressor and start the blood purification machine."

"Preparing for venipuncture."

Qin Feng glanced at the patient's ECG. The current blood pressure is only 70/40mmhg. If it is lowered a bit, the patient will reach the peak of positive feedback.

Just as Qin Feng commanded the ICU nurse to dispatch, the ICU doctor also rushed over.

"How is the patient doing now?"

"It's very dangerous. There may be problems at any time." Qin Feng worried.

This is the most difficult patient Qin Feng has encountered. Although there is no serious trauma, the impact of taking medicine is far greater than that of wound surgery.

This kind of drug is the same as taking dichlorvos, and it may be the same as a normal person, but the volatilization of the drug in the human body, the path of distribution, and the affected organs cannot be judged at the first time.

It is possible that the evaporation of the CT drug only reaches the kidneys during the CT scan, but may reach the heart the next second after the CT scan is completed. This situation also occurs.

"The patient's family members seem to be still at home." Qin Feng suddenly thought.

"I'll call the family, explain the situation, and wait for them to come back and sign afterward," said the ICU doctor.

This is a method often used by the ICU. After all, it is impossible for ICU patients to wait for your family members to get sick. The illness is like a tornado. It will come and go when it is said.

After 5 minutes, the ICU doctor re-entered the ward and said that everything was fine.

"The patient's family has agreed, and as long as we have a way, they will all agree." The ICU doctor also understands the psychology of the patient's family. For the past seven days, bad news came every day. I saw a glimmer of light.

"Okay, will you do the puncture or I will do it?" Qin Feng looked at the ICU doctor.

"Come on, if there is any situation, I can dispatch it directly." The ICU doctor said.

Qin Feng was not too polite, directly picked up the puncture kit, and made a three-point positioning on the patient's neck.

The upper section is located inside the sternocleidomastoid muscle, behind the internal carotid artery, the middle section is located under the front edge of the sternocleidomastoid muscle, and the posterolateral side of the common carotid artery, and the lower section is located in the triangular space between the sternal head and the clavicular head of the sternocleidomastoid muscle .

Looking at Qin Feng's technique, the ICU doctor couldn't help but click his tongue a little. The ICU doctor can naturally see the skill in this position.

These three points are all for puncturing from the right internal jugular vein, which can ensure that the right internal jugular vein merges with the subclavian vein at the sternoclavicular joint to form an innominate vein.

In addition, the right internal jugular vein forms a straight line with the innominate vein and the superior internal vena cava. When Qin Feng punctures, blood can be seen at one time, and then the catheter is connected.

"The patient's head is rotated 45° contralaterally."

"Head down and feet up."

Qin Feng ordered the nurse to adjust his body position. Keeping the head low and the feet high can prevent the air from entering the veins and causing embolism. This is why people often joked that people would die unconsciously if they injected air into their veins. it's the same.

The contralateral rotation of the head is to prevent over-rotation and prevent the veins from collapsing due to stretching.

"Are you going to choose this place for puncture?" The ICU doctor was a little surprised when he saw the puncture point chosen by Qin Feng.

"Yes, this is the carotid triangle of the sternocleidomastoid muscle, which just connects with the three points I just made to ensure that the veins are filled." Qin Feng said.

The ICU doctor recalled what Qin Feng said just now in his mind, as if it is really possible to do what Qin Feng said.

However, the points I chose before are the conventional points in the textbooks, and there is no risk. However, if you encounter a slightly difficult vein, you will not be able to enter it, and you will be helpless.

Therefore, Qin Feng's method is equivalent to waking up the ICU doctors.

(End of this chapter)