Beep beep, beep beep, the ECG curve on the monitor is fluctuating with the sound.
The patient's blood pressure is a little low. The ECG curve is generally normal, but I don't know if bleeding will cause trouble again.
Luo Yanfen bit her lip and decided to fight to the death. She said to the nurse: "Hurry and prepare a three-lumen and two-capsule tube."
The doctor confirmed the medical order, and the nurse ran to get something.
Turning around, Luo Yanfen picked up her cell phone and spoke to the doctor on duty in the department tonight, informing her of the patient's condition and her handling measures: "Dr. Chen, I'm afraid he will have increased bleeding and low blood pressure."
"Has the blood test report been released?"
"I asked someone to go to the laboratory to get it. He drew blood for testing in the emergency department, but the report didn't come out. The emergency department sent the patient first." Luo Yanfen reported the situation.
Dr. Chen, who was in the operating room, was not very happy. He complained through the mobile phone that the nurse brought for him: "Why are you sending it here in such a hurry? My operation is not over yet."
The surgery Dr. Chen is doing now was urgently transferred from the internal medicine ward when he took over. It is an emergency major surgery.
An emergency operation requires at least two doctors from our hospital, plus one or two interns. This means that in addition to Dr. Chen, there are also doctors from our hospital who perform the surgery in the operating room. If there is an accident during the operation, we need to call him again.
The second and third lines have come back to provide support. Now I heard that the second line has returned to provide support in the operating room.
"You think about it, there is no one available! If it doesn't work, you can directly call the third line, or ask your own teacher to come back!" Dr. Chen shouted from the opposite side.
The front-line duty in the department means: Next, for a long period of time, they should not expect to have front-line people to help guide them.
Luo Yanfen scratched her hair with her hands. Although she had worked in other hospitals before and was a doctoral student who quit her job to study. A practicing doctor can prescribe medical advice on her own, but here it is best to listen to the teacher.
The subdivided field of her work and study was not gastroenterology, but urology. Therefore, during the rotational surgery, no Xie Wanying could seriously say that she could not accept this newcomer. She thought about it later and it was the same reason.
Do you need to call the teacher back? Luo Yanfen turned back, frowning and thinking about the consequences.
Call the teacher. If the teacher comes back and sees that the patient's condition is not serious, don't lose points for her impression. It is best to report to the teacher that the treatment is almost done, so that the teacher can feel at ease. This is the best student. Because she has obtained a practicing license.
A student is a doctor. To be precise, he is not called a clinical rookie.
She had no choice. She turned around and looked at the patient again.
For acute upper gastrointestinal bleeding, the most important thing is to stop bleeding and observe.
As long as the bleeding is not uncontrolled and the patient is not approaching shock, there is no need to be rushed to the operating room.
The key now is how to further stop the bleeding.
In fact, this kind of patient can also be sent to the Department of Gastroenterology, which has the technology to stop bleeding through gastroscopy. I guess there was no bed available in the Department of Gastroenterology, so I sent him to their surgical department.
The patient's fluid rehydration was supplemented with tranzoic acid, which is a commonly used clinical hemostatic agent, commonly known as hemostatic aromatic acid. Just adding hemostatic agents is not enough, and more radical measures must be taken to deal with this kind of massive bleeding.
The nurse came in pushing the treatment cart and prepared the three-lumen and two-catheter intubation items.
If there are no accidents, the nurse can do this operation by herself, and the doctor will be watching just in case.
