I Can See Health

   Chapter 162 Acute Renal Failure (1010 for subscription)

   "Fatty, where is the superior of your group?" Lu Chen said in a deep voice.

  Cheng Peng said with a bitter face, "Director Shao and Senior Brother Xia Gang have both gone to the catheterization room for surgery, and we are the only students left in the group."

  Lu Chen immediately said: "Hurry up and call them, be sure to inform them of the patient's condition, and then order an emergency blood test to check the patient's blood routine, liver and kidney function, myocardial enzymes, and electrolytes."

   If the patient's condition changes, they should tell the superior doctor as soon as possible!

   "Okay." Cheng Peng nodded.

  Lu Chen usually has a high prestige in the freshman, and everyone still trusts him.

   He not only spread the story of being pierced in the elevator, but also the "feat" of getting a perfect score in the entrance examination.

   "By the way, I have to call an emergency nephrology consultation." Lu Chen added.

   "Are you sure it's an emergency consultation?"

   "In this case, emergency consultation is definitely needed!" Lu Chen nodded, "The patient may need emergency dialysis."

   "Yeah!" Cheng Peng also knew the seriousness of the matter, and immediately notified Director Shao Jun by phone, and then asked other friends in the group to give medical advice.

  …

   "Junior Brother, what were you discussing there just now?"

  Sun Guoguo had already noticed the situation on Director Shao Jun's side.

  Lu Chen paused and said, "Senior sister, when I inserted a urinary catheter with Bed 36 just now, I found that he hadn't urinated all day."

   "36 beds?" Sun Guoguo frowned, "What kind of patient is that?"

   "Acute myocardial infarction. I just had a stent. Today is the second day after the operation. The CCU was transferred up just now."

   "Is Director Shao not in the department?" Sun Guoguo looked around the office, but did not see Director Shao Jun and Xia Gang.

   "He and the doctors in the group went to the operating room." Lu Chen said.

   "Did you have another surgery?" Sun Guoguo shook his head helplessly, "Hey, Director Shao turned an internal medicine department into a surgery. Junior brother, go and help the classmates in their group."

"Um."

   Got Sun Guoguo's instruction, Lu Chen didn't have any scruples and came directly to Cheng Peng.

   "Fatty, how are you? Have you contacted Director Shao?"

   "No, no one answered the phone." Cheng Peng shook his head, "It may be that Senior Brother Xia Gang didn't answer the phone during the operation."

   It can’t go on like this!

   "Fatty, let an intern from your group go to the catheterization room to find Director Shao." Lu Chen said.

   "Okay, that's all we can do now."

  …

  Cheng Peng quickly instructed an intern to go to the CCU on the fourth floor to find Director Shao Jun and Senior Brother Xia Gang.

   "Nephrology emergency consultation, which patient is that?"

   A burly middle-aged male doctor walked into the office.

   Judging from his size, he doesn't look like a physician, but rather like a surgeon.

   "Hey, Mr. Wang, why did you come to the consultation in person?"

  Sun Guoguo asked kindly when he saw the middle-aged male doctor.

   "Hey, Dr. Corey is busy." Wang Jun smiled, "Guo Guo, are you working alone now?"

   "Mr. Wang, I've been working for several years." Sun Guoguo laughed.

   "Oh, I forgot." Wang Jun patted his head, "Look at my memory... Oh, which bed is the patient in the consultation?"

   At this time, Cheng Peng got up quickly and said.

   "Teacher, the number of patients in the consultation is 36 beds. I will show you there."

   "Well, good." Wang Jun nodded and followed Cheng Peng out of the doctor's office, "What's the condition of the patient?"

   "The patient's condition..."

  Cheng Peng didn't know how to organize his language for a while, he looked at Lu Chen beside him begging for help.

  Lu Chen immediately understood and walked out of the doctor's office.

"Teacher, the patient's situation is like this." Lu Chen said, "He has just finished the second day after the interventional operation for acute myocardial infarction. Today, he has not urinated. After I inserted a urinary catheter for him, he only went out for a few days. Ten milliliters of urine, consider the possibility of acute renal failure."

  Wang Jun glanced at Lu Chen, "Are you a doctor in charge of the bed?"

  Lu Chen was taken aback for a moment, then shook his head.

   "Teacher, I'm a bed doctor." Cheng Peng whispered.

   "You are the doctor in charge of the bed, how can you ask others to explain your condition?" Wang Jun raised his brows.

  Cheng Peng was a little nervous and didn't know what to say for a while.

  Lu Chen smiled and said, "Teacher, I just inserted a urinary catheter into the patient. I just found out that he didn't urinate today, so I know the changes in his condition."

   "Don't you routinely record the amount of urine after your surgery?" Wang Jun wondered.

   "It will record the 24-hour urine output." Lu Chen said.

   "Why didn't the doctor of the tube bed find any abnormal urination?"

   Wang Jun's series of questions made Cheng Peng sweat on his forehead.

   Fat people tend to sweat easily.

   Being asked by Wang Jun, he felt that his palms and backs were all sweaty.

  Lu Chen also felt the oppression of the middle-aged doctor in front of him.

   "Who is your superior doctor?"

   "Teacher, I am from Director Shao Jun's team." Cheng Peng whispered.

   "Oh, is that kid Xia Gang taking you?"

   "Well, Senior Brother Xia will take me." Cheng Peng nodded straight.

   "Then I understand, they really got into the surgery eye." Wang Jun shook his head helplessly, "Let's go see the patient first."

  …

   In front of the hospital bed.

   Yang Song nervously looked at the three doctors in front of him.

   He read a joke on the Internet, inpatients are most afraid of having many doctors come to see you.

   Either your condition is typical or your condition is critical.

   At this moment, Yang Song hopes that he is the former.

   "Young man, don't be nervous, I'll show you." Wang Jun came to the bed and began to perform a physical examination on Yang Song.

   "Small wet rales can be heard at the bottom of both lungs, the heart auscultation is normal, and the lower extremities are slightly edematous."

  Wang Jun said all the positive signs he checked out.

  Lu Chen was surprised.

   At that time, he only cared about the situation that "the patient did not urinate" and forgot to examine the patient.

Positive signs like    are very meaningful and represent that the patient has fluid retention at this time.

   "Young man, you haven't urinated all day today?" Wang Jun said.

   "Yeah." Yang Song nodded, "Just when the catheter was inserted, there was a little pee."

  Wang Jun put away the stethoscope and looked at Cheng Peng beside him.

   "What was the patient's creatinine before and after surgery?"

  Cheng Peng thought for a while and said, "It was normal before surgery, but a little higher after surgery."

   "How high is it?" Wang Jun frowned.

   "One hundred thirty or forty." Cheng Peng hesitated.

   "How many patients are you in charge of? Can't even remember the patient's test value?" Wang Jun raised his eyebrows, then looked at Lu Chen beside him, "Tell me, what is the patient's creatinine?"

   "73umol/L before surgery, and 141umol/L on the first day after surgery."

  Wang Jun glanced at Lu Chen in surprise, "What's the creatinine clearance rate?"

  Lu Chen paused, "Teacher, I roughly calculated that his creatinine clearance rate should be 58ml/min."

   "Well, not bad." Wang Jun's face finally showed a relieved smile, not all those unreliable ones.

   "You are also from Director Shao Jun's team?"

   "No, I was in Teacher Li Yao's group, and now Senior Sister Sun Guoguo is taking me." Lu Chen said.

   "Well, Guoguo brought it well." Wang Jun smiled and walked out of the ward first.

   Back to the doctor's office.

  Wang Jun read the patient's disease course and auxiliary examination.

   "Student Lu, right? You think this patient has acute renal failure. What is the cause? Is there any basis?"

   Hearing Teacher Wang's question, everyone around turned their attention to Lu Chen.

   Thank you Xirushui for the reward, so there is one more update.

   Also, thank you for the donations from other students!

   (end of this chapter)