I Can See Health

   Chapter 113 Arteriovenous puncture

   It was 1:00 noon after the treatment of this gout patient.

  Lu Chen returned to the duty room, finished the rest of the claypot rice, and prepared to take a nap.

   After several days of accumulation, his gratitude value has reached 10 points again.

   As usual, 10 draws will be made in one round.

   "Congratulations on getting an arteriovenous puncture (primary)."

  Wow, I earned it!

  Lu Chen's expression brightened, the drowsiness that had just arrived disappeared instantly!

   This skill book includes both arterial puncture and venipuncture.

   Venipuncture, the most common one is our usual "drop infusion", which is peripheral venipuncture.

   In addition, there are central venous punctures, such as the jugular vein and femoral vein commonly used in hemodialysis, and the subclavian vein puncture commonly used in the rescue room.

  Arterial puncture, the most common is radial artery puncture, blood gas analysis or arterial blood pressure test.

   The most important reason why Lu Chen was so excited was the arterial puncture.

  The first step of coronary angiography is the puncture of the artery, including the puncture of the radial artery and the femoral artery!

  Only after mastering arterial puncture is the beginning of learning coronary angiography!

  Lu Chen couldn't wait to use the "arterial and venous puncture" skill book.

With a    "swipe", his consciousness entered the virtual training space of the system.

   There are many classifications of arteriovenous puncture, and the system space is carried out in order of difficulty.

   But when Lu Chen saw the first training skill, he was dumbfounded.

  Peripheral Venipuncture!

  Take... an injection?

   Isn't this just injecting the back of the patient's hand?

  …

   A virtual console appeared in front of Lu Chen's eyes.

   There is a virtual patient on the table.

  Since everyone has come, we have to start training.

   Having said that, injections are usually the work of nurses.

  Lu Chen has never given any injection to a patient.

   At first glance, the injection is simple.

   But there are so many doorways.

  The first step is to select a suitable vein, tie a tourniquet, and disinfect the skin.

   Commonly used are the noble veins of the cubital fossa, the median vein, the cephalic vein, or the superficial veins on the back of the hand, the back of the foot, and the ankle.

   The second step is puncture.

  Tighten the skin at the lower end of the vein with the thumb of the left hand to make it fixed, hold the syringe with the right hand, the needle is inclined upward, the needle and the skin are at a 35-degree angle, pierce the skin from the top or side of the vein, and then sneak into the direction of the vein.

  …

   This is not a complicated medical skill operation.

   However, in real life, it is difficult to say that there are real people who can keep you practicing, so the proficiency of piercing skills progresses very slowly.

   But now, relying on the virtual space of the system, it took only about an hour for Lu Chen to completely master the peripheral venipuncture.

  Skill proficiency is fixed at 80%!

   Based on the last pericardiocentesis training, Lu Chen knew that it would be difficult to increase his proficiency without going through actual combat.

   However, in normal departments, the nurses would not let a graduate student of them give injections to patients!

   Therefore, the proficiency of peripheral venipuncture, it is really difficult to continue to increase.

   But the good news is that when the peripheral venipuncture proficiency reached 80%, another virtual console appeared beside Lu Chen.

   "Is this a radial artery puncture?!"

   Lu Chen's brows flashed with joy.

   The gold content of this skill book is really high!

  Radial artery puncture is the most basic and important operation in coronary angiography!

   Compared with the transfemoral approach, the transradial approach has significantly fewer vascular complications at the puncture site, and the patient suffers less pain, shorter hospital stay, and earlier ambulation.

   Just relying on this radial artery puncture, Lu Chen felt that he had spent so much gratitude before, and he was not wronged!

   However, it's almost time for work in the afternoon.

  Lu Chen had no time to attempt radial artery puncture, and his consciousness exited the virtual space.

  …

  The afternoon in the endocrinology department is easier than the morning.

  Lu Chen wrote about the course of his illness in the office, and occasionally read a book, which was quite relaxing.

time flies.

   Soon it was time to get off work.

   "Excuse me, is Dr. Min here?"

   At the door of the office, a middle-aged woman suddenly appeared.

  Lu Chen saw that she looked familiar, but he didn't remember where he had seen her for a while.

   "Dr. Min is seeing patients in the ward and will be back soon. What's the matter with you?"

The middle-aged woman did not reply immediately, but walked into the office and stared at Lu Chen for a few seconds.

   "You, are you Dr. Lu?"

  Lu Chen was stunned for a moment, looked at the middle-aged woman carefully, but still didn't remember who she was.

   "I am, may I ask you to be..."

   "Doctor Lu, I'm Feng Xiaorui's family." The middle-aged woman stepped forward and smiled.

   "Feng Xiaorui?" Lu Chen was still confused.

   "It's also in this department, that night, a little girl with hypokalemia came..."

   As soon as the middle-aged woman told her illness, Lu Chen immediately recalled it.

   "Oh, it's her!"

  Clinically, we encounter too many patients every day!

   Simply remembering the name is impossible.

   But often, most doctors can recall only the characteristic condition.

   "Auntie, hasn't your daughter been discharged from the hospital?" Lu Chen smiled.

   "Yeah, thanks to you and Dr. Min, I found out the cause of my daughter. We stayed in the county below for a month and the doctor didn't find out." The middle-aged woman looked at Lu Chen gratefully.

   "Then why did you come to the hospital this time..." Lu Chen wondered.

   The middle-aged woman sighed deeply after hearing the words, and said slowly after a long while.

   "The cause is found, but it is still difficult to cure it!"

   "After she was discharged from the hospital, she couldn't quit the licorice tablets. She clamored for it every day. If she didn't eat it, she felt uncomfortable, just like a drug addict. If we didn't give her food, she would make a scene with us."

   "Later I thought of what you and Dr. Min said before, that you can send her to a drug rehabilitation shelter. But the drug rehabilitation shelter requires a diagnosis certificate issued by the hospital, so I came here today to find a true certificate from Dr. Min."

   The middle-aged woman spoke, her eyes slightly reddened.

  Hey, I really pity the hearts of parents all over the world, who sent their daughter to a drug rehab shelter with their own hands.

  Lu Chen felt very uncomfortable for a while, he still remembered the little girl lying in the corner of the hospital bed.

   At a young and lively age, he contracted this disease.

   Since then, the colorful life has only been left in black and white.

   "Auntie, don't worry too much. When she comes out of the drug rehab center, she will slowly get better. She will also understand your good intentions in the future."

  Lu Chen didn't know how to comfort him. Sometimes his language was too pale.

   "Well, thank you Dr. Lu." The middle-aged woman nodded.

  …

   After waiting in the office for five minutes, Min Ling came back.

  Min Ling gave the middle-aged woman a certificate of diagnosis and she left.

   It is exactly 5:30, it’s time to get off work!

After    and the night shift, Lu Chen's task for today is complete.

   "Little Lu, let's add a WeChat account. If we meet again at work in the future, then we can get in touch."

"OK, all right."

   and Min Ling added WeChat, and Lu Chen got off work.

   went to the cafeteria to quickly settle the dinner, and Lu Chen went back to the bedroom.

   He can't wait to enter the virtual space of the system and wants to try radial artery puncture!

   (end of this chapter)