Without hesitation, Xia Yi did not accept the task decisively after confirming that the task had no side effects.

Hidden Quest Pennant Honor Mission: Collect the pennant to the power of ten to reveal the brilliance of the corresponding number of stars.

A star shines brightly, potentially illuminating a 01-kilometer radius, an area equivalent to the town of Qingtian Town.

It can attract patients with diseases in the illuminated area to the host medical registration hospital first, which is equivalent to drainage.

This task is valid for life.

It wasn't Xia Yiwei who was not on duty at night, but he was not at ease, and Zeng Feng was also afraid, after all, it was the first time that Qingtian Health Center was admitted to treat acute pancreatitis, so Xia Yiwei stayed in the duty room.

The patient in the hospital at night rested quietly and did not complain of special discomfort. Xia Yiwei was not idle, and did not enter the simulated operating room to continue training.

Practice makes perfect, he doesn't want to leak the bottom, insert a gastric tube and make the patient scream.

After training to the extreme of gastric tube placement, he practiced arteriovenous puncture, after all, all the doctors in the nurses' association must be able to do it.

At 08 o'clock, the shift was handed over on time, and after the nurse finished speaking, Xia Yi said in an orderly manner: "..... Newly admitted seriously ill patient, bed 01, Chen Erhammer, currently diagnosed with acute pancreatitis, this morning to check that the patient has vague pain in the middle and upper abdomen, which is still tolerable, and the gastric tube drainage is smooth...... The remaining patients rested quietly at night, and after the shift was completed, the ward rounds were completed. ”

This is the handover? Detailed and focused, Zeng Feng remembered. He felt the atmosphere change, serious and compact. In the past, they were not on time, either sitting or eating breakfast, and there was no discipline at all.

Seeing that Zeng Feng took the initiative to take the brand, Xia Yiwei was not hypocritical, and walked in front after handing it to him.

The corners of his mouth unconsciously curled slightly, and he sighed in his heart that this feeling was so good. However, the burden on his shoulders is also heavy, and as the doctor in charge of the patient, he has to be responsible for the patient.

Coming to bed 01, Chen Erhammer's daughter-in-law was eating meat buns and soy milk, Xia Yiwei shook his head, looking at Mei to quench her thirst, watching others eat will also stimulate gastric juice to secrete gastric acid.

"Erhammer daughter-in-law, you can eat with a little Erhammer on your back in the future, you see that he can't stop swallowing saliva, of course, this is only for him during his hospitalization. "Internal medicine treatment pays attention to details, and Xia Yi did not walk to the right side of the bed.

Without waiting for Xia Yi to ask, the second hammer asked: "Doctor Xia, when can I eat, and when can I get these things that adjust the crystal?"

"No hurry!" Xia Yiwei replied simply, looked at Zeng Feng opposite, and asked, "Ah Feng, when will you be able to take custody and remove the gastric tube from the second hammer?"

"Uh......" Zeng Feng was a little caught off guard, he didn't have so much to do with Gao Xiaohong before, and said with a red face: "If the condition is stable, you can take custody, as for removing the gastric tube...... Mr. Xia, I went back yesterday and borrowed an internal medicine book, and I didn't say anything about it!"

"Well, the book doesn't say it," Xia Yiwei nodded, the book will not be so detailed, these are mostly clinical experiences, and they are not intended to embarrass him, but they just want him to pay attention.

"It's right to be in a stable condition, but what does it mean to be in a stable condition? Does a stable vital sign mean a stable condition? No, you have to combine the patient's symptoms and the results of the reexamination......

"Hmm!" Zeng Feng recorded.

"As for the removal of the gastric tube, you have to understand why you want to remove the gastric tube, and what are the indications and contraindications for the gastric tube? Xia Yiwei looked at the negative pressure drainage tube, "There is still pale yellow liquid in it, and the patient still has abdominal pain and bloating..... No hurry!"

"Hmm!" Zeng Feng nodded.

"As for eating, acute pancreatitis advocates resuming enteral nutrition as soon as possible," Xia Yiwei looked at the second hammer that was staring at him and said:

"Symptoms, signs, auxiliary examinations, many things are the same, the second hammer has a feeling of hunger, but still has abdominal pain, blood urine amylase don't think about it and know that it has not dropped to a normal level, and then wait, the speed is not reached. ”

"Then, Doctor Xia," Erhammer's daughter-in-law wiped her mouth and said, "I can still live without eating for a day, but if I don't eat for a few days and nights, I'm afraid that Erhammer won't be able to stand it." ”

"You can rest assured, his daily physical needs will be replenished by him, but he will lose a little weight when he is discharged from the hospital. Xia Yi didn't explain.

"It's better to be thinner, it's better to be thinner. The second hammer said this, and he felt sorry for his own flesh in his heart.

"Second hammer daughter-in-law, this illness is urgent, and you also need someone to accompany you 24 hours, you have to find someone to change your shift, I wrote the precautions for changing shifts on this piece of paper, remember to say it when the time comes. ”

As he spoke, Xia Yi did not take out a piece of paper from the medical record sign and handed it to her, "It includes the precautions for the second hammer to draw blood every day, urine output, fasting, gastric tube observation, etc." ”

"Thank you, doctor, I have never seen a doctor as attentive as you. Erhammer looked at the full precautions and was very moved, and his eyes were filled with tears, "I don't know what to say, thank you!"

"It's okay, when the second hammer is discharged from the hospital, you really want to thank you for sending a pennant like a little beautiful father. Xia Yiwei looked at the stunned expressions of Erhammer's daughter-in-law and Zeng Feng and hurriedly said: "Just kidding, what kind of pennant do you want? These are all things we should do, ring the bell if you have something, or call the nurse and the doctor." ”

"Okay! Doctor Xia walks slowly!" The words are unintentional, but the listening is intentional, the second hammer daughter-in-law knows that the current doctor does not accept gifts, and she has nothing to give, but the pennant is okay.

Walking out of the ward, Zeng Feng followed behind Xia Yiwei and asked: "Teacher Xia, that, under what circumstances can we accept patients with acute pancreatitis, and which conditions need to be transferred to a higher-level hospital for treatment, I am afraid that I will encounter it myself in the future, and you are not there, I will not be able to make up my mind?"

"What do you mean, I'm not here?" Xia Yiwei was taken aback, secretly thinking that someone was going to deal with him.

"I want to use your abilities, or it won't be long before someone poachs you, so I want to learn more while you're there. Zeng Feng explained.

"That's it?" Xia Yiwei smiled, "Ah Feng, you forgot that I am a directional student, and the country trained us so that we can take root in the township and see a doctor for the grassroots people, and I will not leave."

However, what you just asked is not unreasonable, and you will have to stand alone in the future, there are three common causes of acute pancreatitis, biliary, alcoholic and hyperlipidemic types, such as the second hammer is the hyperlipidemic type.

Mild acute pancreatitis is generally treated conservatively, as long as you are confident and the patient is easy to communicate, you will stay, but if the patient or family members are not good at communication, you will be transferred directly. ”

Xia Yiwei did not tell Zeng Feng according to the internal and surgical indications, but from the level of communication and his own grasp of his own strength, after all, not everyone is called Xia Yiwei, not everyone has a system.

Seriously, if he didn't have a system, he would have been able to diagnose acute pancreatitis at most, and he wouldn't dare admit him to the hospital even if the dean had the ability to give him a dose of drugs like somatostatin.

"Hmm!" Zeng Feng nodded, the main responsibility of the township doctor is to triage, judge that the condition is critical, and transfer to the higher level, and generally treat some common and frequent mild symptoms.