Chapter 3302 【3302】It's the doctor who has to go back
"We need to give him an injection of 50mg pethidine for pain relief first, and ask Dr. Xin for a prescription." Xie Wanying said quickly.
Sometimes what can cause a patient to go into shock is not just blood loss, but also pain. Pain can really kill someone. Trauma like this
If the patient's pain is excessive, the doctor must first consider giving him adequate pain relief.
Pethidine is a controlled narcotic drug and requires a special prescription paper to be issued separately and kept on file.
After hearing what she said, Sister Xu ran all the way to find Xin Yanjun.
Soon Xin Yanjun ran over from the observation room: "What's going on?"
After examining the patient's inner thigh, Xie Wanying found a knife wound. The wound was quite deep. Fortunately, the tendons and nerves were not severed. The bleeding was quite large and required surgical suturing. So she turned around and answered the teacher's question: "Debridement and suturing are required."
This situation needs to be handled by an emergency surgeon. As for finding a specialist surgeon in the inpatient department, it may not be necessary because it does not involve the scope of orthopedic specialist treatment.
"Dr. Li went out with the ambulance and hasn't come back yet. Dr. Yin is busy catheterizing people." Of course, Sister Xu went to the surgeon immediately and reported the situation to them both.
What is catheterization? Does it need to be done by a doctor? Isn’t catheterization generally something that nurses can do?
"Prostatic hyperplasia." Sister Xu said.
Oh, the two physicians understood immediately.
In patients with prostatic hyperplasia, the urethral opening is abnormally narrow, making it very difficult for nurses to conduct urinary catheterization and requiring the help of specialists. Such patients are generally elderly male patients and are often accompanied by urinary retention. That is, a large amount of urine accumulates in the bladder.
If the urine does not come out, the urine is not catheterized and the urine is not discharged, the patient will be in very, very painful pain. He cannot bear it anymore and has to go to the hospital emergency room to find a doctor to solve the problem. It is considered a common urology patient in the emergency room.
Dr. Yin himself is a urological surgeon. When he receives such patients in the emergency department, when he has time, he can do some emergency treatment himself before sending them to the ward.
How can the doctor walk away if the urinary catheter is halfway inserted?
"Give him Demerol." Xin Yanjun said to Sister Xu.
Sister Xu turned around and took the key to open the anesthetic counter.
The two emergency surgeons were unavailable, but luckily there was a surgical intern beside her. Xin Yanjun patted Xie on the shoulder and asked, "Can you sew it up for him?"
Suturing is a basic skill for surgical students. After rotating through two surgical departments and trying the surgeon on the operating table, Xie Wanying was very familiar with this technique and nodded directly to Teacher Xin.
Sister Xu came in with an injection and gave the injured person Demerol. She said to Xin Yanjun: "The old lady's daughter is here again."
While talking, the aunt's voice sounded outside, and Xin Yanjun was found shouting outside: "Doctor, come here. I was talking to you just now and I didn't finish my words. Why did you run away?"
The family members of this kind of patient always call the doctor a big deal, because the old lady happens to be in an acute and serious condition, so the doctor has no excuse to leave. But if he goes there, he is afraid that this person will keep making noises here and affect the rescue of people. Xin Yanjun has to go out first.
After the Du Leng Ding injection, Sister Xu helped Xie Wanying prepare surgical debridement and other items, and said to Xie Wanying: "You are busy. If you need anything, just call me. I'll be outside."
Knowing that Sister Xu had a lot of things to do outside, Xie Wanying nodded, put on a mask and changed into a pair of sterile gloves. She needed to give local anesthesia to the injured first and then suture it.