I Can See Health

   Chapter 487 The Busy Little Doctor

   To be honest, although Zhou Bin had made all the preparations for the surgery, everyone was a little nervous.

   This kind of patient without family members, if something really happens, it’s hard to say.

  Lu Chen is writing the patient's course record while refreshing the interventional surgery record, wanting to know the real-time dynamics of the surgery.

   At this moment, the WeChat alert tone of his mobile phone suddenly rang.

  Lu Chen picked it up and looked at it, it was a message to add a friend.

   The other party's nickname is Xiaohan, and the image is a very cute cartoon cat.

The    remarks were introduced by Auntie Li Xuan.

  Lu Chen thought it was a little girl selling tea, and was about to close WeChat when he suddenly thought, isn't "Li Xuan" the name of the CCU head nurse?

   Could it be that this little Han is really a blind date?

   So, he clicked "Pass".

  Add friends successfully, the other party will send a WeChat message immediately.

   "Hello, I was introduced by Auntie Li."

   It was really introduced by the head nurse. Lu Chen was thinking of replying when suddenly there was a shout from the nurse from the rescue room.

   "Grab 8, rescue! Rescue!"

  Lu Chen was startled and ran out of the office.

   The patient who grabbed 8 was the girl who was on ECMO.

   Everyone spent so much energy to save him, but they didn't want to see her just gone.

   As soon as the nurse's voice came out, all the doctors who were idle ran towards the 8th rescue room.

  …

   Zhou Bin took the lead and ran at the forefront.

   "What happened to the patient?!"

   The nurse in the rescue room immediately stepped forward and said quickly: "Blood oxygen has suddenly dropped! It has always been at 95% in the morning, and it just dropped to 85%."

   Zhou Bin frowned and stepped forward to check the pipes and parameters of the ECMO machine.

  Lu Chen nervously followed behind Zhou Bin and watched.

  Because of ECMO, patients need long-term heparinization to prevent coagulation in the pipeline access.

   At this time, it is easy to produce various complications, the most common is bleeding, such as skin and mucous membrane bleeding, intracranial bleeding, visceral bleeding.

   Hemorrhage of the skin and mucous membranes, which is easy to see.

   However, the patient was in a sedative state, with intracranial hemorrhage, visceral hemorrhage, etc., and no external symptoms appeared.

   In addition, the joints and side branches of the pipeline may fall off, leak blood or enter the air.

   "Check the blood coagulation items urgently first!" Zhou Bin said immediately.

  By monitoring the activated partial thromboplastin time, the blood coagulation in the patient can be known to prevent the occurrence of cerebral hemorrhage.

   "In addition, some channels should be closely monitored! Note that the patient's body temperature is not easy to be too high or too low, and the ear temperature is generally kept at 36-37 °C. If the body temperature drops, a heating blanket or a constant temperature water tank can be used."

   "Okay, received!" The nurse said immediately.

   After issuing these medical orders, Zhou Bin still frowned.

   The problems she thought of were not enough to cause the patient's blood oxygen to drop!

   At this time, Zhou Bin saw that Lu Chen was lying in front of the ECMO machine, and seemed to be hesitant to speak.

   "Lu Chen, what's wrong with you?"

  Lu Chen pointed to the liquid infused on the pipeline, "Mr. Zhou, can I give fat emulsion on the extracorporeal circulation pipeline? I remember it was reminded in the book that the fat emulsion may affect the oxygenation effect of ECMO patients!"

   Zhou Bin looked down.

   Indeed, in the extracorporeal circulation pipeline, it seems that fat emulsion is really infused.

   However, will this nutrient solution affect the oxygenation of the patient?

   There are not many patients who need ECMO, and CCU doctors are not very experienced in this regard.

   Zhou Bin is also a little unsure.

   "Wait a minute, I'll call Brother Feng to check with him."

   Zhou Bin quickly took out his mobile phone and called Ren Feng.

  …

  Interventional operating room.

  Ren Feng was performing an interventional operation on the aunt just now, and the assistant in the catheter room handed the mobile phone to his ear.

   "Zhou Bin, what's the matter?"

   "Brother Feng, the patient on ECMO just now has a sudden drop in blood oxygen. I would like to ask her if she can use fat emulsion for cardiopulmonary bypass?"

   "Fat milk? Of course this drug can't be used!" Ren Feng said solemnly, "Besides, I remember that I didn't allow fat milk to be used, right?"

   "This...it seems to be a doctor's order from Brother Hui." Zhou Bin said, "He may not have paid much attention to this."

   "Hurry up and stop, and then observe the patient's blood oxygen condition. There shouldn't be a big problem." Ren Feng said, "When I finish this intervention, come over immediately."

   "Okay." Zhou Bin hung up the phone.

  …

  CCU Ward, No. 8 Emergency Room.

   Zhou Bin immediately instructed the nurse, "Stop the fat milk immediately!"

   She also glanced at Lu Chen, who was beside him. It was the first time this kid came into contact with ECMO. How did he find so many?

   Back to the doctor's office.

  Lu Chen thought of the friend he just added, and it seems like he hasn't replied to her yet!

   So he quickly took out his mobile phone and edited the message: "I'm sorry, I was rescuing a patient just now."

   Zhou Xiaohan was holding the phone, frowning slightly.

   She added this person as a friend, in fact, to complete the task.

   Auntie Li is so enthusiastic, she is too embarrassed to take other people's face.

   I just didn’t expect that the other party’s exit was rescuing the patient!

   Listening to Aunt Li, the other party is only in graduate school, so he can lead the rescue work?

   Is this pretending to be cold and attracting your attention? Or is it a polite refusal?

   "However, this is fine, so as not to embarrass both parties." Zhou Xiaohan thought for a while.

   So, she also replied: "Oh, let's get straight to the point, don't be so verbose, and just go through the procedure."

  …

  Lu Chen was stunned, go through the program?

What does it mean?

   He was about to reply when the nurse ran into the doctor's office again.

   "Lu Chen, the family member of the patient who had an interventional operation just now called. Dr. Zhou was seeing other patients. She asked you to pick it up and communicate with the patient's family."

   "Oh, good." Lu Chen put away his phone and came to the nurse station.

   On the other end of the phone is the patient's son.

   He was out of town. After finding out about his mother's situation, he immediately made a job handover and rushed back.

   However, tomorrow morning at the earliest.

  Lu Chen explained the patient's situation to the family members in detail.

   "The patient is undergoing surgery and the surgery is over. We will communicate with you as soon as possible!"

   "Trouble the doctor, I will come back as soon as possible, if there is anything, please contact us in time!"

  …

  Lu Chen also understood the feelings of the patient's family, so he took the trouble to explain it many times.

   It took more than ten minutes before he returned to the doctor's office.

   "I don't seem to have replied to her again?"

  Lu Chen thought about it, he was going to work, he should wait until after get off work.

   So, he replied directly: "I'm very busy right now, what procedure did you talk about, let's talk about it when I get off work."

   At this time, Zhou Xiaohan on the other end of the phone was speechless.

   "Why is this little doctor busier than the boss of other companies?"

   (end of this chapter)