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Seeing Lu Haokun's family leave with so much gratitude, Qin Chuan also sighed. Saving one person's life is equivalent to saving a family, or even two families. Whenever this time, Qin Chuan will realize that
A doctor's sense of accomplishment and pride.
Jiang Lingling came over and asked, "Lu Haokun and his family are gone?"
Qin Chuan nodded: "Well, fortunately, Lu Haokun is very stable. As long as he continues to take medicine, he has a high chance of recovery."
"Do you have a sense of accomplishment?" Jiang Lingling leaned against Qin Chuan.
"Yes. I really enjoy this sense of accomplishment." Qin Chuan smiled.
"I want to be a doctor." Jiang Lingling said.
"Why? Being a nurse can also be of great help to patients! I have always felt that doctors and nurses are an indispensable link in the recovery of patients." Qin Chuan didn't quite understand why Jiang Lingling suddenly had such an idea.
"But, I want to give you the greatest help. If I become a doctor, I can be by your side all the time." Jiang Lingling said.
"If you become a doctor, you can't be in the same medical team as me." Qin Chuan said with a smile.
"Why?" Jiang Lingling asked puzzledly.
"Because of this profession, if two people are in the same medical team, it is easy to bring family matters into the work. It may have a negative impact on the development of the team. Do you understand?" Qin Chuan asked.
"Is that so?" At this moment, Jiang Lingling hesitated.
"Yes. You are doing a good job as a nurse. When I see the patients in the department, they will smile when they see you. Moreover, you also like this job. If you don't like this job at any time, you will be at home from now on.
Be a full-time wife and I will support you." Qin Chuan said with a smile.
"You have a beautiful idea, I will not be a full-time housewife." Jiang Lingling gave Qin Chuan a small wink, but her face turned crimson with embarrassment. There were people coming and going around. Saying this kind of thing will inevitably make women
The child is extremely shy.
"That's troublesome. My parents are still counting on you to have more children!" Qin Chuan said with a smile.
"Liar. We are all in the hospital. Can we give birth to more children? We can only give birth to two at most." Jiang Lingling's voice was very low.
"What did you say? I didn't hear it." Qin Chuan said deliberately. His hearing and vision are beyond ordinary people. At such a close distance, even if Jiang Lingling's voice is quiet, he can still hear it clearly.
"I didn't hear you pull him down." Jiang Lingling stretched out her small hand and pinched someone's waist, and twisted it hard, causing someone to immediately show a painful smile.
The two of them were making love to each other when He Xiaokang hurried over.
"What happened?" Qin Chuan asked quickly.
"The patient in bed 18 has supraventricular tachycardia!" He Xiaokang looked a little nervous.
"What's going on?" Qin Chuan asked.
"This patient's name is Xu Shubiao. He was admitted to the hospital yesterday. When he came in, he complained of chest tightness, shortness of breath, and edema of both lower limbs. According to Xu Shubiao's family, he has been suffering from recurring illnesses for 11 years. He has recently been at home, especially in the past week, and has been unable to lie down on his back.
His family just sent him to the hospital. When he came in, based on the examination results, I made a clinical diagnosis. One was dilated cardiomyopathy, heart failure 3, and the other was type 2 diabetes." He Xiaokang said as he walked.
Qin Chuan also followed, "How did you treat me after that?"
"I give conventional anti-heart failure Western medicine plus Chinese medicine for treatment." He Xiaokang quickly walked to the ward without having time to elaborate.
Qin Chuan followed closely behind He Xiaokang.
After entering the ward, the patient's condition became more serious. His shortness of breath worsened. He sat up all of a sudden and half-lying again. He was obviously very uncomfortable.
Qin Chuan took a look at the ECG monitor, which showed 170-180/min. Blood pressure: 70-80/42-56mmhg.
Qin Chuan didn't say anything, but picked up the patient's medical records and read them.
The examination record on admission was .t36.2p94 times/min.bp100/80mmhg. He was restricted when lying down. Breathing sounds were thick in both lungs and small rales could be heard in the left lower lung. The apical pulse was in the front axillary line between the left fifth intercostal space and the heart boundary.
Significantly enlarged. A galloping sound can be heard. A grade 3/6 systolic murmur can be heard in the mitral and tricuspid valves. Mild digital edema in both lower limbs. Electrocardiogram: sinus rhythm, complete left bundle branch block. In addition, there is a color echocardiogram.
.
After looking at it, Qin Chuan did not express any opinion. He still allowed He Xiaokang to treat the patient. Qin Chuan felt that He Xiaokang's treatment was quite satisfactory and there was no problem.
Fang Ping has established intravenous access.
He Xiaokang was repeatedly given intravenous cardiotonic drugs and antiarrhythmic drugs. However, Xu Shubiao's symptoms were slightly relieved.
He Xiaokang took a long breath.
After Qin Chuan left, Fang Ping asked: "Xiaokang, why are you so nervous today?"
"It's not that I'm afraid of making mistakes in front of Xiaochuan." He Xiaokang said casually.
"Are you so afraid of Xiaochuan now? Xiaochuan seems quite easy-going, right?" Fang Ping was very surprised.
"I don't know. Anyway, I feel a lot of pressure in front of Xiaochuan. I'm afraid that he will say that I did something wrong. This guy is so evil. He has become so powerful in such a short time after arriving at the hospital." He Xiaokang said.
"He didn't seem to say anything just now. He didn't say what you did wrong. Why are you so nervous?" Fang Ping asked next.
"However, he did not confirm my approach! It means that he still has some different views on my handling method. He just thinks that my handling is not wrong, so he said nothing. He has very high requirements for our medical team.
Gao. So every time we encounter something, we always let us solve it ourselves to avoid over-reliance on him. But looking at his appearance just now, it seems that I didn't do it very well." He Xiaokang was a little distressed. He was like that just now.
Given the situation, it seems that I have done what I can.
He Xiaokang returned to the emergency department and wanted to ask Qin Chuan about Xu Shubiao's treatment.
Qin Chuan thought for a while and said: "There is nothing wrong with your treatment for the time being. Then treat it according to your treatment method. But the patient's disease has been recurring for 11 years. The complexity of the disease requires you to take precautions.
.So, patients in bed 18 must pay close attention. Is it your night shift at night?"
"Yes." He Xiaokang nodded.
"Pay special attention to the patient in bed 18 at night. I always feel that his condition is not simple. You don't need to be nervous, and there is no big problem with your handling. It's just that the patient's condition is too complicated. I won't go back at night. I will just look at it in the department.
Some information. You can also check the information to see if you can find similar cases." After Qin Chuan finished speaking, he walked out.
Qin Chuan is not like Yue Zu. After all, Qin Chuan cannot do everything in a medical team. As a team, only when everyone in the team does their best and plays their due role can the team be successful.
The power is fully unleashed.
"What, Xiaokang, is there something wrong with your patient?" Gao Zhanting walked in and asked while cleaning things. It was already time to get off work, and Gao Zhanting was ready to go home from get off work.
"Hmm. Heart failure patients, treatment has not improved. Something feels wrong." He Xiaokang said.
"What did Xiaochuan say?" Gao Zhanting stopped what he was doing and asked.
"I didn't say anything. However, Xiaochuan asked me to focus on this patient." He Xiaokang said.
"Then you should be careful. I think Xiaochuan is deliberately testing you. You should pay attention. Others say that the academic level of our team is too low, and they are generally not optimistic about our prospects. Xiaochuan is now working hard to give everyone a chance to practice.
Xiaokang, don't rely on your old age to keep up with the pace of the team. Even if Xiaochuan doesn't clean you up, will you have the nerve to hold the team back?" Gao Zhanting said.
He Xiaokang nodded. Now Qin Chuan has become the undisputed leader of the team. Qin Chuan also began to adapt to this role and began to help the entire team improve.
After get off work, Qin Chuan sent Jiang Lingling home. After having dinner at Jiang's house, he returned to the hospital. Now the emergency department is divided into two teams, each of which is responsible for its own patients. The emergency department is equivalent to being divided into two. Since the team had just been formed, Qin Chuan was a little worried. He often worked overtime in the hospital. Qin Chuan stayed on this day because he was worried about the patients in the 18th bed. He Xiaokang's treatment was quite satisfactory, but Xu Shubiao's condition was Too complicated.
Sure enough, Qin Chuan's worry was not unnecessary. In the evening, Xu Shubiao's condition relapsed again.
He Xiaokang hurriedly gave Xu Shubiao 0.8mg of cedilan, 1650mg of codalone, and 140mg of adenosine triphosphate intravenously. However, Xu Shubiao's blood pressure further dropped to 70/50mmhg, and his heart failure further worsened.
He Xiaokang didn't know what to do at this time. While hesitating, Xu Shubiao fell into coma and suffered from ventricular fibrillation.
"No! Xiaokang, the patient has ventricular fibrillation! Find a way to rescue him quickly!" Fang Ping urged nervously.
"Prepare for defibrillation!" He Xiaokang is an emergency doctor after all, and he often encounters this situation.
Fang Ping quickly untied Xu Shubiao's clothes, while He Xiaokang quickly prepared the defibrillator. After charging it, he accurately targeted the area and delivered the first shock. Xu Shubiao shook suddenly under the shock.
But this click had no effect, and Xu Shubiao's ventricular fibrillation was still not relieved. The situation was still critical.
"Come again!" He Xiaokang recharged the battery and aimed the electric shock at Xu Shubiao's chest again. This time, it finally worked.
"Lidoca 100mg intravenously." He Xiaokang continued.
Fang Ping quickly found the medicine, prepared it, and injected it into the patient's body. However, the patient's tachycardia still did not ease.
"Continue to inject, and be careful to control the total dose not to exceed 300mg within thirty minutes." He Xiaokang thought for a while and said.
The patient's condition has eased slightly, and He Xiaokang's whole body has been drenched in sweat.
Qin Chuan walked in: "Xiaokang, how is the patient's condition?"
"Ventricular fibrillation just occurred. It's so scary!" He Xiaokang sighed.
"Maybe we should change our way of thinking." Qin Chuan said. (To be continued, please search Piaotian Literature, the novel is better and updated faster!
