Auto chess in the operating room

Chapter 11 The Scared Li Fan
"Tanglou, as I said just now, the cases in the emergency department are relatively complex. I will personally screen them and make arrangements for your participation. As for casually diagnosing patients without my consent, it is not okay."

Li Fan didn't deliberately rely on his old man to sell his old man. He didn't worry about letting an intern come to see him. If something went wrong, he would be mainly responsible.

Moreover, operational skills such as suturing can be learned through hard work in school, but diagnosis is extremely comprehensive and requires experience and experience. Naturally, he does not believe that Tang Lou can do it.

Zhang Nannan also took it seriously, glanced at Tang Lou, and joked: "Do you think our Xiao Xu is young and beautiful, and want to show off in front of her? Don't worry, Xiao Xu is a nymphomaniac, she can be stunned by just a face No need to rely on talent!"

Tanglou: "."

It's very normal to have jokes like this in the hospital, especially for a head nurse who has experienced many battles under the hands of all kinds of greasy old doctors, the jokes are even more open-mouthed.

"Miss Zhang!"

Xu Lanlan's face flushed all of a sudden, and she was a little afraid to look at Tang Lou's face.

"The patient's methemoglobin concentration is high, and the initial diagnosis is carbon monoxide poisoning. It should be a charcoal hot pot. People nowadays really don't have common sense in life." Li Fan glanced at the case, recalled Zhang Nannan's discussion, and immediately See why.

A little proud of himself, he straightened his stomach in front of Tang Lou: "Zhang Nannan, give the patient hyperbaric oxygen therapy for 1 hour."

Seeing Li Fan return the checklist, Xu Lanlan couldn't help asking:
"Is that all right?"

"Okay. Isn't it fast and accurate? This doctor has cured the disease with the medicine! I can't match my beauty, and we middle-aged people are full of talents." Li Fan patted his general belly like Zhang Nannan proudly , and looked at Tang Lou again, "Tang Lou, in the words of you young people, this is called Jicaowuliu. From now on, you will learn from me slowly. This kind of routine diagnosis can be done at a glance."

"Spicy eyes!" Zhang Nannan covered her face, she really lost to Li Fan.

"Doctor Li, but just now Tang Lou said that he still has nitrous acid poisoning." Xu Lanlan questioned.

"Nitrite poisoning? Impossible, this is pure acute alcohol poisoning plus carbon monoxide poisoning. How can there be nitrite poisoning." Li Fan is very confident in his own judgment. so funny.

"But." Xu Lanlan was still a little unconvinced.

"Silly girl, Dr. Tang is trying to fool you." Zhang Nannan touched Xu Lanlan's head and looked at Tang Lou meaningfully, "Little slick, it seems there is no such thing as Miss Huo Huo. Don't do this in the medical field in the future. Kind of a joke."

Zhang Nannan warned Tang Lou severely.

"I'm not talking nonsense. The patient is really poisoned by nitrite. If you don't believe me, just look at his urine routine."

Tanglou was also anxious, after all, the patient's health was important, so he blurted out.

"Piss on your head."

Zhang Nannan's character was straightforward, so he hit Tang Lou on the head with a burst of chestnuts.

"And you, Xiao Xu, what about your brain? We just did a routine blood test. Where is the routine urine test?"

Tang Lou was speechless all of a sudden, he only read the diagnosis given by the system, but forgot that in reality there was no urine routine at all.

"Xiao Tang, don't do this in the future."

Li Fan was also amused, this guy was talking nonsense, with a serious expression on his face, he almost suspected that he had missed the urine routine.

"Okay, since you have been assigned to the emergency department, I will be your master from now on. Come with me to the office now, and I will give you a seat to explain the rules of our department."

Li Fan is not a mean person, after all, he was young and frivolous, and he has done such embarrassing things before.

"Head nurse, when I was in school, there was a case exactly like him. They all ate charcoal hot pot at home by themselves, and they were poisoned by carbon monoxide and nitrite. Don't be afraid of [-], just in case, why don't you do a urine routine try."

Tang Lou continued to insist.

Zhang Nannan frowned, looked at Tang Lou with a serious face, and for some reason saw a kind of doctor's responsibility and persistence in his eyes.

"Doctor Li, why don't you make one just to be on the safe side?"

"Since you're worried, let's do one. However, the chance of nitrite poisoning is too small. It's the same as Xiao Tang's previous case. It's too absurd." Li Fan's character is very moderate. , then educate him with facts.

I still have authority in the emergency department!

"That's great, Dr. Li, I'll go to the office with you."

Tang Lou looked at Li Fan gratefully. He was very lucky for such a soft-hearted leader.

"Xiao Xu, I'll trouble you then. Arrange hyperbaric oxygen therapy."

"Ok."

An hour later, Xu Lanlan rushed into the office: "Dr. Li, Dr. Li, the patient has woken up."

In the office, Li Fan was sitting in front of the computer, while Tang Lou was in his seat, waiting anxiously.

Hearing Xu Lanlan's feedback, Li Fan was very proud, and raised his voice in the direction of Tang Lou: "The patient is fine now?"

"No, after the treatment according to your arrangement, the patient's consciousness has improved compared to before, but he still has dizziness and chest tightness, and his limbs are still weak. Sister Zhang has continued to wake up, replenish fluids, nourish brain cells and other symptomatic and supportive treatments."

Xu Lanlan described in detail.

"It's unscientific. It stands to reason that it should have recovered."

"Jingle bell~"

Li Fan's landline rang, and he picked it up with a serious face. Zhang Nannan's eager voice came from inside:
"Doctor Li, the patient once again experienced confusion, shortness of breath, and cyanosis all over the body!"

"What!" Li Fan looked at Tang Lou subconsciously, "No way, such a coincidence!"

If Tang Lou hadn't reminded him before, he wouldn't have thought of nitrite poisoning for a while, but after mentioning it, the obvious symptoms were completely consistent.

"Did the urine routine come out?" Li Fan was also anxious. If the treatment is delayed, it may cause life-threatening.

"It's out, I'll send it over right away."

Zhang Nannan hung up the phone.

After a while, there was a sound of Tata's footsteps from far to near.

"Doctor Li, test sheet!"

Li Fan took the test form and was stunned when he saw the data on it.

".Nitrite (++), no abnormalities left"

"Quickly, complete the intravenous injection of 1% methylene blue 1~2 mg/KG + 50% glucose solution 40 mL within 15 minutes, and add 4 g of vitamin C to 10 mL of 1000% glucose for intravenous infusion. Continue high pressure Oxygen therapy."

Hearing the familiar reagent, Xu Lanlan's eyes lit up all of a sudden, and she was happier than her injustice, and secretly gave Tang Lou a thumbs up!

"okay."

The little girl rattled, she shook off her steps and rushed out.

Zhang Nannan also glanced at the Tanglou in surprise and hurried to implement the plan.

"Whoo~"

Li Fan sat down heavily on the chair, and he was also afraid for a while. He was too careless. If Tang Lou hadn't reminded him, he still wouldn't think of nitrite poisoning.

(End of this chapter)