I Can See Health

   Chapter 708 Mr. Lu, please help!

  The First Hospital of Magic City.

  The fifth ward of the Department of Cardiology.

   Today is Yang Fan's first night shift after he manages the bed independently.

   As a PhD student who just graduated this year, she has been engaged in scientific research most of the time before, so she does not have much clinical experience.

  Before working the night shift, she also asked for a blessing.

   But as soon as she took over the shift at night, she wanted to cry without tears.

   The nurse on duty tonight is also a newcomer.

   These two people stared at each other with big eyes, and their hearts were terrified about tonight's night shift trip.

   Although Yang Fan is a high-level doctor today and has a first-year graduate student, she does not dare to lie directly in the lounge like other qualified doctors.

   Instead, stay in the doctor's office with graduate students, ready to deal with emergencies.

   "Mr. Yang, bed 12 is uncomfortable, you go and have a look." The little nurse ran into the doctor's duty room.

   "Okay, got it."

  Yang Fan nodded, and the graduate student beside him took the initiative to stand up and go to the ward to check.

  Yang Fan also clicked on the patient's course record and looked at the patient's hospitalization diagnosis.

   "Patient two days after acute myocardial infarction..."

  …

five minutes later.

   The graduate student who accompanied Yang Fan to work came back.

   "Teacher, the patient said that he had chest tightness. I made an electrocardiogram for him." The graduate student handed the electrocardiogram to Yang Fan.

  Yang Fan picked it up and took a look.

   is not much different from the previous ECG.

   "Have you auscultated your lungs?" Yang Fan asked.

   "Listen, it seems... I didn't hear anything unusual." The graduate student pursed his lips and whispered.

   "Yeah." Seeing the students say this, Yang Fan felt a little stunned, so he decided to visit the patient in person.

   came to bed 12.

  Yang Fan carefully performed a physical examination on the patient and did not find any abnormality.

  So, she comforted the patient a little and went back to the doctor's office.

  Just finished treating this patient, the little nurse ran in again.

   "Mr. Yang, 32 beds complained of chest pain, the other 46 beds said that they couldn't urinate, and it was very uncomfortable. 57 beds said that their hands were shaking and they had no strength..."

   "Oh, well, I'll take a look."

   Yang Fan's buttocks were still hot, so he got up to check on the patient.

   After running back and forth many times, her legs were a little sore.

   However, fortunately, the patients suffered from minor illnesses and pains.

   A little comfort, or deal with it, it will be fine.

   But just as this thought flashed through Yang Fan's mind, the little nurse hurried in.

   "Mr. Yang, bed 12 is out of breath, go and see him!"

   heard the eager voice of the nurse.

   Yang Fan was also surprised, and quickly called the graduate student beside him to follow him.

  …

   in the ward.

   The 12-bed patient sat on the bed, looking pale and sweating on his forehead.

   The ECG monitor beside the bed is beckoning to the police.

   "Doctor, I have chest tightness, it's so uncomfortable."

   Seeing Yang Fan coming in, the patient immediately shouted loudly.

   Yang Fan's heart sank when he saw this.

   Within a week after myocardial infarction, the probability of various complications is extremely high.

   Such as malignant arrhythmia, acute heart failure, heart rupture, etc.

   She immediately ran to the bedside and auscultated the patient's heart and lungs.

   As soon as the stethoscope touched the patient's lungs, Yang Fang was taken aback.

  The whole lungs are full of wet rales!

   However, half an hour ago, she visited the patient, and the patient's lungs were still very clean!

  Yang Fan was stunned for a moment, and the patient's chest tightness became more obvious.

   On the bedside ECG monitor, the patient's blood oxygen saturation is only 88%!

   "Push a furosemide immediately!"

   "Change to a mask to inhale oxygen!"

The    nurse has pushed out the ambulance and started dispensing medicine.

   "Xiao Fang, take your blood pressure, and then review the electrocardiogram." Yang Fang instructed the graduate student beside him.

   "Okay, received."

   However, as soon as the graduate student finished measuring his blood pressure, he whispered, "Teacher, the patient's blood pressure is only 84/54mmHg!"

   "Blood pressure so low?" Yang Fan frowned.

  Diuretics can affect blood pressure and make blood pressure lower.

   At this time, the patient is already in shock, and the diuretic is pushed again, which is very likely to aggravate the condition.

   "Is furosemide still pushed?"

   The little nurse had already prepared the medicine, turned her head to look at Yang Fan, and waited for her decision.

   "First... let's not push." ​​Yang Fan paused, "Use dopamine to raise blood pressure first."

   However, Yang Fan looked at the ECG monitor, and the patient's heart rate was 120 beats per minute.

  Dopamine increases blood pressure and increases heart rate.

   She quickly changed her words, "No dopamine, norepinephrine!"

   The little nurse nodded and immediately began to dispense norepinephrine.

   But at this time, the patient's blood oxygen saturation was somewhat unsustainable.

   From 88% at the beginning, it has been falling down.

   Even if the oxygen concentration is increased, it can only be maintained at about 83%.

   What made Yang Fan even more confused was that premature ventricular contractions frequently appeared on the patient's ECG monitor.

  Three consecutive premature ventricular beats together is called ventricular tachycardia!

When    and other graduate students named Xiaofang finished the electrocardiogram, they could already see a series of ventricular tachycardia.

  …

  CCU inpatient general lounge.

  Lu Chen is chatting with Fan Zhiping.

   After Lu Chen was bubbling in the group just now, Fan Zhiping tentatively sent him a message.

   Unexpectedly, Lu Chen replied immediately.

   This surprised Fan Zhiping a little.

   "Professor Lu, thank you for the patient who underwent TAVR surgery last time."

  Lu Chen reluctantly looked at the message sent by Fan Zhiping, "Brother Fan, just call me a professor in the group, and leave it privately."

   "Hey, I'm used to it, but I haven't changed it for a while." Fan Zhiping smiled, "Anyway, it's a matter of time. I'll call you first so you can get used to it."

  Lu Chen had nothing to do with him.

   "By the way, Lu Chen, how are you in the magic capital?"

   "It's okay, the medical resources here are better than Jinghua." Lu Chen said.

   "That...is the medical graduate student in the magic capital good for the exam?"

   Fan Zhiping's sudden words made Lu Chen slightly stunned.

   "What's the matter, Brother Fan, your son is going to graduate school?" Lu Chen wondered.

  Fan Zhiping blushed, "No, it's me... I want to take the test."

   "Huh?" Hearing this, Lu Chen was astonished.

  Old Comrade Fan is in his 40s, yet he still thinks about continuing his studies. It’s really not easy.

   "Brother Fan, are you taking an on-the-job postgraduate exam to improve your education?" Lu Chen wondered.

   "No, I'm going to quit my job and study a full-time program." Fan Zhiping didn't hesitate and I should have thought about it a long time ago.

  Lu Chen couldn't help giving Comrade Fan a thumbs up.

   It takes a lot of courage to go to a full-time graduate school at such an old age!

   "Brother Fan, if you want to come to the magic capital, I can help you ask." Lu Chen said.

   He also has some foundations in the magic capital now, and it is relatively easy to help inquire about graduate admissions.

   "That's really good." Fan Zhiping looked overjoyed.

   Just as Lu Chen was about to continue replying, the hospital chief's cell phone rang again!

   "Mr. Lu, rescue the five districts in my heart, ask for support!"

   I tried my best today

   Ask for a wave ticket

   Tomorrow night shift, make up

   (end of this chapter)