I Can See Health

  Chapter 705 The first night shift in the total hospitalization career (third more)

   Night falls.

   Lu Chen's first night shift in his hospitalization career started.

   During the day, Lu Chen is mainly responsible for emergency consultations in various departments.

   In the evening, Lu Chen had another job, which was to be ready to support the rescue of various departments of the Cardiology Department at any time.

   In general, the department is crowded during the day, and there is no need for Lu Chen's help when a rescue incident occurs.

   But it’s different at night. The night shift configuration of most wards is an attending doctor with a graduate student.

   In case of a little trouble, the hospital manager needs to be called for help.

  Lu Chen put the old mobile phone on the bedside, turned up the volume of the phone ringtone, and started to sleep.

   That's right, just start sleeping.

   Take the time to sleep, this is a general practice as a hospital.

  Because you can't tell, in the next second, you will be called up.

  …

One o'clock.

  An ambulance whizzed into the first courtyard of the magic capital.

   "Doctor, rescue rescue!"

   A flat cart was pushed from the ambulance by doctors and nurses.

   On the flat car, a man in his sixties was breathing heavily.

   "The patient has severe breathing difficulties, poor blood oxygen, and may require endotracheal intubation!"

  120 The doctor who followed the car rushed the patient to the emergency department ward.

   The doctor on duty in the emergency department rushed out immediately.

   "What is the patient's condition?"

   "The 60-year-old male patient has been breathing poorly at home for 5 days. He has some cough and sputum. He came to the emergency department early this morning. There was no bed in the respiratory department, so he went home temporarily. He had chest tightness again at night!"

   The patient was immediately pushed into the emergency ward of the emergency department.

   The man was half-sitting on the bed, panting a little, wearing his mask on oxygen, unable to see if his lips were cyanotic.

   But the other person is still awake. Bedside ECG monitoring: blood pressure 160/80mmHg, heart rate 118 beats/min, respiratory rate 25 beats/min, blood oxygen saturation 92%.

   Wu Si immediately felt that the situation was not very good.

   The values ​​of these indicators are not very good, especially the blood oxygen saturation. In the state of oxygen inhalation, his blood oxygen is only 92%!

   When a normal person breathes in air, the oxygen saturation should be above 98%, which means that most of the hemoglobin is combined with oxygen.

   Hemoglobin is like a speedboat, which is specially responsible for transporting oxygen to the body tissues. The 98% blood oxygen saturation means that so many speedboats are almost fully loaded.

   But the patient in front of him has a blood oxygen saturation of only 92% under oxygen inhalation with a mask, which means that a lot of hemoglobin is not fully loaded, which means that the oxygen is not enough, of course he is hypoxic!

   "Please call the department of respiratory, cardiology, and ICU emergency consultation immediately!"

   "Bring the intubation bag here!"

   "Open two more venous accesses!"

  …

  In the CCU lounge.

  Lu Chen was sleeping soundly when a sudden ringing of his mobile phone woke him up.

   Heart rate immediately went from 60 beats/min to 120 beats/min.

  Lu Chen rubbed his eyes and got up from the bed.

   shook his mushy head, put on a white coat, and carried a stethoscope, and he went out.

   "It's the emergency department again, it's really not going to stop every day!"

  Lu Chen complained a little, but his steps were not slow at all, and he arrived at the emergency department ward in no time.

  At this time, in the emergency department ward.

   The patient's breathing has calmed down a little, but the oxygen saturation is still around 90%.

   As soon as Lu Chen walked into the ward, Wu Si, the attending doctor of the emergency department, immediately stepped forward, "Mr. Lu, a patient with breathing difficulties has just arrived, so please come and have a look."

   "What is the specific situation?"

  Lu Chen silently accepted the title of "Mr. Lu".

   "The patient caught a cold 5 days ago, and has been coughing and expectorating sputum since then. This morning, he came to the respiratory department to be hospitalized, but there was no bed, and the chest tightness worsened at night."

After   , Wu Si handed Lu Chen a blood gas analysis result, "The blood gas was just drawn, and the partial pressure of oxygen is only 56%."

  Lu Chen took the blood gas analysis and frowned, "Severe pneumonia? Respiratory failure?"

  The partial pressure of oxygen is so low that it can already diagnose respiratory failure.

   Wu Si nodded, "It is currently considered pneumonia and respiratory failure."

   "Then you should ask the respiratory department for consultation, right?" Lu Chen glanced at Wu Si.

Wu Si smiled embarrassedly, "The patient has a history of high blood pressure, so I still have to ask you to take a look and rule out heart diseases. If I send a myocardial infarction and heart failure to the respiratory department, they will not go to the medical department to complain to me tomorrow. what……"

  Lu Chen smiled and said nothing.

   These doctors in the emergency department are very shrewd, and this kind of patient basically invites all relevant departments.

   After all, the patient is old, and he is not allowed to have heart disease, because of respiratory failure caused by heart failure.

  Lu Chen looked at the other examinations the patient had done in the emergency department in the morning.

   In the morning, the patient also did a blood routine, and the white blood cell count increased a little.

   "It's probably a lung infection." Lu Chen thought.

   In addition, the patient has moderate anemia. Lu Chen asked the patient's family. The family said that the man has had hemorrhoids for many years, which is probably caused by excessive bleeding.

   "It looks like the patient has pneumonia." Lu Chen said to Wu Sidao, "It is the most suitable for the respiratory intensive care unit."

   "The bed is temporarily unavailable." Wu Si spread his hands. "You can't live in the corridor. Now you can't live in the corridor."

   During the conversation between the two, doctors from the respiratory department and the ICU came.

   Four people discussed, this patient can only be admitted to the ICU for the time being.

   The patient's pneumonia is not ordinary pneumonia, but a severe one. The blood oxygen drops at any time and cannot be maintained, so he needs to be put on a ventilator.

   "What is the attitude of the family?" said the ICU doctor.

   "Go all out, no matter what the cost." Wu Si replied immediately, "This is what the patient's daughter just said, they are waiting outside."

   The respiratory doctor couldn't help but spit out, "It's inexplicable, since you're going all out, why did you go early, and it took 5 days to come to the hospital after being at home."

Wu Si reminded, "I asked the family members and said that no one was at home at the time, and it was inconvenient for the patient to come to the hospital alone, so he took it for a few days. I also scolded them just now, and you will stop talking about this later. , lest they collapse."

The    family members are the patient’s two daughters.

  The eldest daughter is a few years older than Lu Chen, and the youngest daughter is about the same as Lu Chen.

   Oh, and two sons-in-law.

  The son-in-law was smoking at the door. Although the nurses had already discouraged them, they still smoked secretly. The smell of smoke in one mouth could not be hidden.

  Wu Si reported the patient's condition to the family, which roughly meant that he was seriously ill, it was a severe pneumonia, and he needed to go to ICU for treatment, but the ICU was expensive, so he had to be mentally prepared, and he could only go all out for treatment without any guarantee.

   These are all rhetoric. Wu Si is already a veteran of the emergency department. He must report truthfully and not scare his family.

   It takes a little skill to let the family know the seriousness of the condition, but not to speak out.

  …

   Outside the rescue ward.

   The two daughters were worried and said they would try their best to rescue them and agreed to be admitted to the ICU.

   It seems that they have already discussed it, so they did not hesitate too much.

   At this time, Lu Chen wrote the consultation opinion and was about to leave.

  Suddenly, the patient's eldest daughter sighed, "My father is really suffering. Last year, my uncle and my uncle passed away because of bowel cancer, and this year he came again. What a disaster!"

   When Lu Chen heard this, he suddenly woke up.

   (end of this chapter)