bookmarkrole Chapter 420
Chapter 420
Chapter 420
This night, apart from the fact that this incident was relatively ‘big’, it remained calm.
Lin Feng spent this night shift very leisurely.
6 o’clock in the morning,
News from icu,
The female patient woke up.
Although weak, the vital signs are stable.
And after diagnosis, the female patient did not have brain hypoxia that caused brain death and became stupid. She has clear consciousness, logical thinking, memory, etc., which are all great.
Obviously, the quality of CPR is very high.
Many doctors and nurses were happy for the female patients when they heard this news.
…
In the following days, the patient’s husband did not show up.
Instead, the patient’s parents came, crying and scolding the son-in-law.
At this time, everyone knew that the couple was ready to start a divorce and would sue the husband.
As for the medical accident in the rescue, the female patient’s parents did not blame the bedside doctor or the hospital, but thank the hospital for saving their daughter.
This makes the tube bed doctor very grateful. (Actually, from the process point of view, he is no problem)
…
…
a new day,
Lin Feng goes to work.
When he first went to work, Lin Feng heard news about a female patient with syphilis:
The patient’s condition improved.
Transferred from icu to the Department of Infectious Diseases, and then performed the “syphilis” treatment again. Because penicillin can no longer be used, I switched to cephalosporin anti-syphilis treatment.
This time, the syphilis treatment went smoothly and nothing happened.
The good news is that the female patient’s syphilis is only in the early stage, and it can be completely recovered through drug treatment.
As for the surgical removal of the thyroid tumor of the female patient, it will be removed in a few days, but this is a minor operation…
…
After talking about gossip,
Lin Feng starts to work.
At this time, there are still seven or eight patients in line.
“Please Zhang Dezhu go to Clinic No. 3 for treatment…”
Lin Feng’s first patient (ranked first) is naturally the one with the more serious condition.
soon,
An old man, sitting in a wheelchair, about 70 or 80 years old.
Wearing a non-invasive ventilator, I am constantly inhaling oxygen.
Snoring phlegm sounds can be heard far away.
Looking closer, his lips are slightly cyanotic and his breathing is short.
obviously,
Hypoxia!
And it looks like a lot of sputum! ! !
The old man was pushed into the clinic by his son.
“Doctor, help me contact icu, my dad is going to icu…¨々…”
As soon as the son came in, he said bluffing, as if ‘I’m in a hurry, make arrangements quickly’.
Lin Feng: “…………………………”
I am a little puzzled.
How is this son so familiar with Icu?
Lin Feng solemnly said: “What’s the situation?”
The son looked impatient: “Hurry up, it delayed my dad’s condition, can you bear the responsibility? Thank you for sending icu~~~~”
And at the same time,
The old man kept waving his hands, as if refusing.
Lin Feng: “???”
what’s the situation?
However, Lin Feng didn’t care about this either. In the old man’s breath, there was obviously a lot of phlegm, which was very serious!
Obviously respiratory failure.
“Send to the rescue room!”
Lin Feng, Xiaoru, and the nurses quickly pushed the patient to the rescue room.
And his son kept yelling at the back: “Didn’t I understand what I said? Send ICU quickly, my dad will die later!”
Naturally, it is impossible for Lin Feng to send icu directly.
The emergency department has the obligation to triage.
The patient’s condition needs to be diagnosed before being sent to other departments.
But send icu without diagnosis?
joke!
However, Lin Feng feels that the situation of the elderly seems to be more serious. You can contact icu first and let icu prepare…
“Xiao Ai, contact icu…”
…
Pushed into the rescue room,
“Quick, ECG monitor!”
The nurse quickly connects.
Soon, the data came out!
·High blood pressure, 168/102……
·Heart rate, 140 beats/min…
·Blood oxygen saturation, 90%…
Obviously there is a lack of oxygen, and the heart speeds up its working frequency (heart rate) in order to quickly replenish nutrients for the whole body. As soon as the heart rate is high, the blood pressure is high…
At this time, there is nothing to say,
Lin Feng gave the command:
“Suction, intubate!”
Fortunately, at this time, the patient’s elderly consciousness was sober and agreed to Lin Feng’s operation.
Then the nurse began to intubate the sputum.
And Xiaoru, at this time, had finished understanding the situation with the patient’s son, and returned to the rescue room.
“Teacher, I have already understood clearly. The old man himself has advanced lung cancer. A month ago, the lungs were infected and the cleansing was not clear. There was always a lot of sputum, and it recurred from time to time… I was in other hospitals twice, and then the old man ran out. I can’t help it… now his son is forcibly pulling the old man over…”
Lin Feng heard,
Suddenly,
No wonder why the patient’s son must ask to go directly to ICU.
It turned out to be so serious, and I often go to icu…I have experience.
Moreover, the lung cancer was in the advanced stage, and I sent my father to ICU, not afraid to spend money.
What a filial son!
After all, that’s icu, starting at 7000+ yuan a day! !
Lin Feng looked at the old man in front of him and felt that the old man was not worrying. It is normal to be hospitalized. Although ICU is a little bit painful (tracheal intubation is usually required, a gastric tube is also inserted, and arteries and veins are also hit. The urinary tube is inserted, and the ICU also has frequent blood tests… It is painful to live in ICU… and it’s expensive!)
Lin Feng establishes a preliminary impression: a filial son, an unconscious old man.
This side,
The nurse started sucking…
With a breath, it suddenly crashed (of promise).
What I sucked out is yellow and white sticky sputum…
And a lot!
After the inhalation, the patient’s breathing improved a bit, but the sputum sound was still very strong.
This means:
There is more sputum in the patient’s bronchus. These sputum cannot be sucked out, and the patient can only rely on the patient to cough.
but!
Lin Feng observed the elderly patients during the last seven or eight minutes, and found that the elderly people’s coughing function was relatively poor.
There is only one reason for this situation: the sequelae of cerebral infarction!
The old man had a cerebral infarction before!
“｀ “Old man, in your case, I want to go to icu…”
Lin Feng leaned in and persuaded the elderly.
“I’m not going to dogs!”
————————————
ps: There will be a reversal in the follow-up of this case… Today’s two chapters, the story is a bit more serious….