I Can See Health

  Chapter 161 Patients with myocardial infarction who cannot urinate (910 subscription)

   Eight districts in the heart, the doctor's office.

  Lu Chen was busy making up his medical records when a little nurse suddenly walked up to him.

   "Lu Chen, go do me a favor."

   The little nurse's name is Jia Liu, and she has only been working in the eight districts of the heart for one year.

   "What's wrong?" Lu Chen looked back at Jia Liu suspiciously.

   "I have a patient after PCI. I have been unable to urinate and need to insert a urinary catheter..." Jia Liu whispered, "Will you help me get it?"

   "Male patient?"

   "Yes, if it's a female patient, why would I want you to go?" Jia Liu patted Lu Chen's shoulder lightly, "Go, do me a favor, don't you usually help Sister Liu Mei?"

   "But you usually do it yourself for male patients, why did you let me go today?"

"Hey, that male patient is very young and a little shy, so he had to let the man insert him." Jia Liu smiled helplessly, "We are not shy, I really don't know how shy he is, a big man. Woolen cloth."

  Lu Chen coughed lightly and smiled: "You guys are well-informed, but the patient may not have a girlfriend."

   "Fuck you." Jia Liu laughed and scolded, "Will you go?"

   "Okay." Lu Chen naturally agreed.

   This kind of thing to improve skill proficiency, the more the better.

   "Thank you." Jia Liu smiled, "Next time we work night shift together, please drink milk tea."

   "Okay." Lu Chen nodded and went to the treatment room to get a catheter pack.

  This time, the little class behind him didn't follow him.

  …

   Eight district wards in the heart.

   Yang Song felt that he was too miserable.

   He is only 21 years old this year. After staying up all night for a week, he suddenly suffered from chest pains.

   After being sent to Jinghua Second Hospital, he was diagnosed with acute myocardial infarction, and three stents were placed.

  On the second day after the operation in today's room, he was transferred from the CCU ward back to the general ward.

   But the embarrassing thing happened again.

  The patient with myocardial infarction cannot get out of bed in the acute stage, and his urination has never been solved!

  The nurse said to put him in a catheter.

  Yang Song quickly refused, how embarrassing it is!

   But lying on the bed, he had the urge to urinate, but he couldn't urinate.

   This taste is even more uncomfortable!

   "Why don't you find a male doctor for me to insert it." In the end, Yang Song had no choice but to compromise.

  …

  Lu Chen took the catheterization kit and came to the 36th hospital bed that needed catheterization.

   "Yang Song, right?" Lu Chen began to check the patient's name.

   "Well." Yang Song nodded, "Doctor, are you here to insert a catheter for me?"

   "Yes." Lu Chen smiled, "If you have any discomfort during the intubation process, you can tell me at any time."

   "Is there any discomfort?" Yang Song frowned.

   He was most afraid of pain.

   "Definitely, when the catheter is inserted, it will be a little uncomfortable." Lu Chen said.

   "Oh, doctor, please be gentle." Yang Song whispered.

  Lu Chen nodded.

   "Take off your pants."

   "Ah? Why, how to take it off?"

   "It's just taking your pants down below your knees and keeping your legs slightly apart."

   "Oh." Yang Song blushed and pulled down his pants.

   "Take off your **** too."

  Yang Song glanced to the side, there was no one else, and then slowly took off his underwear.

   "I need to disinfect first." Lu Chen said to Yang Song.

   "What do you use to disinfect?" Yang Song was taken aback.

   "Iodophor, which is commonly used in the hospital, don't be too nervous. I'm doing it well, and it's over soon."

  Yang Song nodded, then closed his eyes, not daring to look directly.

  When sterilizing, you need to sterilize from the outside to the inside for the first time.

   The second pass is disinfected from the inside out.

   After disinfection, the catheter is inserted.

   The whole process went very smoothly.

   When the catheter entered the urethra for about 20cm, Lu Chen saw urine flow out.

   and then insert 2-3cm.

  Inject 20mL of normal saline into the balloon port, and then fix the catheter to connect the catheter bag.

   "It's done." Lu Chen opened the catheter, "Yang Song, I'll put 400ml of urine for you first, but you can't put more."

   The first catheterization can not be too much.

  Otherwise, it is easy to cause the bladder volume to shrink rapidly, resulting in bladder bleeding.

   "Thank you, doctor." Yang Song opened his eyes, but he was still a little uncomfortable.

   After Lu Chen cleaned the catheterization equipment, he heard the system prompt.

   "Congratulations, +1 for receiving Yang Song's thanks!"

   "Congratulations, the proficiency in catheterization has reached 81%!"

not bad.

   You can gain thanks points for one operation, and you can also train skills.

   "Doctor, wait a minute." Yang Song suddenly stopped Lu Chen.

  Lu Chen stopped and looked back.

   "Anything uncomfortable?"

   "I feel like I still can't pee." Yang Song frowned.

  Lu Chen was taken aback for a moment, then looked towards.

   There is indeed no urine coming out of the catheter.

  There is only about 20ml of urine in the catheter bag.

   There is definitely no problem with the operation of this catheter.

The    system has increased his proficiency.

   But why is there no urine drainage?

   "How long have you been urinating?" Lu Chen frowned.

   "It's almost a day." Yang Song thought about it and said.

   "One day?" Lu Chen looked solemn, "This day, did you eat a normal diet? Did you drink a lot of water?"

   "Didn't your doctor tell me to drink more water?" Yang Song wondered, "I drank a lot of water."

   "Do you feel chest tightness?" Lu Chen continued.

  Yang Song nodded quickly.

   "I felt chest tightness last night. I told the doctor on duty and he said that I had acute myocardial infarction. Although a stent was placed, it would definitely not fully recover."

   "Before the stent was placed, what symptoms did you have? Did you have chest tightness?"

   "It's just chest pain, no chest tightness."

  Drinked a lot of water and did not urinate all day.

   There are more symptoms of chest tightness.

  Lu Chen felt that something was wrong with the patient's condition.

   This is not a simple problem of inability to urinate.

  Almost no urine for a whole day, which can completely diagnose acute renal failure!

  The human body undergoes metabolism all the time.

   Most of the wastes produced by metabolism are excreted through the kidneys.

   If there is no urine, it means the kidneys are damaged.

  Persistent anuria, the accumulation of metabolic waste in the body, is likely to cause damage to various organs.

  If there is no urine for a long time, it is also called "uremia".

   "Yang Song, rest in bed first." Lu Chen said, "I'll have your doctor in charge come to see you later."

   "Okay, thank you doctor." Yang Song nodded.

  …

   Dispose of the waste from the catheterization and return to the doctor's office.

  Lu Chen immediately opened the laboratory test list of 36 beds of Yang Song.

   "Preoperative creatinine was normal."

   Afterwards, Lu Chen turned to the renal function indicators that were reviewed after Yang Song's operation.

   "Creatinine 141umol/L!"

  Lu Chen's eyes narrowed.

  In the first follow-up after the operation, the creatinine increased, which means that the renal function has been damaged.

   Open the doctor order system.

  Lu Chen saw that in the doctor's order system, there was no doctor's order to review the renal function again.

   This patient is not a patient in their group, but a patient in Chief Physician Shao Jun’s group.

  Lu Chen has no right to dispose of it.

   "Fatty, who are you in charge of this 36-bed?" Lu Chen came to the students of Director Shao Jun's group.

  Cheng Peng is Director Shao Jun's graduate student, and Lu Chen is the same as a freshman in the first year.

  Because of his fat body, everyone called him fat.

   "36 beds Yang Song..." Cheng Peng turned on the computer, "I am in charge of the patient who was transferred from CCU yesterday, what's wrong?"

  Lu Chen said in a deep voice, "This patient hasn't urinated for a day. His diet is normal. I heard from him that you even made him drink a lot of water, but he still hasn't urinated."

   "I haven't urinated all the time? Could it be acute renal failure?"

  Cheng Peng's complexion changed, and the fat on his face shook.

   Don't worry, there are a few more chapters tonight.

   (end of this chapter)