Chapter 265: Blood Volume

Only then did Gu Jianqiu know that Director Jiang had intentionally or unintentionally told the patients and their families about the change of treatment plan last night, and the intention was probably to shirk responsibility if there was a problem in the treatment, but unexpectedly, he let the patients and their families know the truth of the matter, and they also knew that Chinese medicine played a key role in it. ==== At the same time, he also knew that Director Jiang was obstructing him and did not let the patient's family come to report his condition to him.

Gu Jianqiu did not speak, and gave Director Niu a re-examination, confirming that Director Niu's condition had really improved initially, especially the edema, which had subsided more obviously. Of course, if it was an ordinary Chinese medicine doctor to treat it, it would definitely not be so good, of course, thanks to Gu Jianqiu's true qi to improve the medicinal effect.

Gu Jianqiu was very happy, since it had an effect, it was not more effective, so he continued to use the medicine, and then decided whether to adjust it according to the situation.

After Gu Jianqiu's follow-up consultation, he said goodbye and prepared to return to the Chinese medicine department.

As soon as I arrived at the corner, I heard someone behind me shouting: "Teacher Gu!" ”

Gu Jianqiu looked back and saw that it was Feng Wei, a trainee nurse, and looked at her with a smile: "I heard about your deeds of fighting gangsters bravely to save patients, you are so brave!" ”

Feng Weiqiao's face was a little ruddy, she lowered her head, shook it slightly, looked up at him again, her eyes were shining, and said: "I should thank you, teacher, if it weren't for you reminding me that this patient has a problem, I might not be mentally prepared, and when her husband came in to beat her, I might run out in fright, just like everyone else, it was because you reminded me that I was mentally prepared and could deal with it calmly." When I saw that he was going to kill his wife, I had the courage to pounce, so I have to thank you for it. ”

"Thank me for what? This is your valor. In the face of the thugs, I believe that your behavior will be written into your internship report, will give feedback to your school, in the future, it will be of great help to you to find a job after graduation, any hospital will be willing to recruit you, of course, including our Jianteman Hospital, I believe that the hospital leaders will also welcome it. ”

Feng Wei was pleasantly surprised. His voice trembled a little: "If I apply to work here when I graduate, will your hospital really admit me?" ”

"I'm sure you will, at least I'm very welcome to come, and I can recommend you to the hospital leaders."

Feng Wei's eyes brightened, and the flush on her face made her look even more petite and cute, and said, "Thank you, Teacher Gu!" When you say that, I have faith. That's right. The female patient had now become good friends with me, and when it was okay, she asked me to talk to the ward and told me about her and her husband. Her husband eats, drinks, prostitutes, gambles, and everything, and the most hateful often beats her. She was beaten several times and was hospitalized. She really couldn't live anymore, and she wanted to divorce her husband, so she and her husband threatened to kill her whole family if she divorced, and. Her husband is serious. She couldn't get angry, so she was going to get a knife if her husband dared to do it. She worked hard with her husband. ”

Gu Jianqiu nodded: "Gentleness is a woman's nature, but if you are forced to a Jedi, you will fight to the death." Rabbits bite people when they're in a hurry, let alone people. ”

"Yes, her husband has been arrested by the Public Security Bureau, the Public Security Bureau said that he is a frequent visitor to the Public Security, and often fights and provokes trouble into the Public Security Bureau, this time his behavior has constituted the crime of intentional homicide, and he was arrested by the Public Security Bureau for interrogation, and he was also found to be a trafficker. Drugs and other bigger crimes, the police said, even if he doesn't lose his head this time, he can't expect to get out of prison in this life. In this way, it will be convenient for them to divorce, and the court will directly decide. She has filed a divorce petition with the court, which has accepted it, and she is now in a happy mood. She opened a garment factory, the benefits are good, said that if I am willing to change careers, I can go to her factory to help her, to let me be the vice president or something, I did not agree, I have studied medicine for so many years, I still want to do this business, and now there is Mr. Gu You are willing to help me, I have more confidence. ”

Gu Jianqiu was in a great mood, chatted with Lin Ziyan for a few words, and then said goodbye to leave, Lin Ziyan mustered up the courage to say again: "Teacher, I have something I want to consult you, okay?" ”

Gu Jianqiu nodded and said, "Just say something, I already said it last time, although I am not very familiar with nursing, if there is a problem, we can study it together." ”

"The teacher is polite, it's like this, there is a patient in our intensive care unit, I think he is a little wrong, but he doesn't dare to tell the doctor, I'm afraid that I made a mistake and impress the teacher badly, can you help me judge it?"

"Tell me about it."

"This patient was sent for surgery yesterday, and the operation was relatively normal, but when the operation was almost over, the blood pressure dropped very much, and the heartbeat also rose very much, and then the intravenous infusion of vasopressors was enough to maintain blood pressure. The doctor checked for a long time and did not find out the cause. As long as the patient's blood pressure does not use vasopressors, it will drop quickly, but the blood loss during the whole operation is not much, and the doctor cannot find the reason, so he has to be sent to the intensive care unit for nursing observation. When I was monitoring this patient, he had dry lips and poor skin, which looked a bit like dehydration. I wanted to talk to the doctor to replenish the patient's body fluids, but I was afraid that I would make a mistake. Why don't you come with me to have a look? ”

Gu Jianqiu smiled and said, "I am a doctor in the Department of Traditional Chinese Medicine, and if I interfere too much in the treatment of nephrology, people will say about me." Well, if that's what you say, I'll teach you a way, and you can look it up and know what to do. ”

"Okay, teacher, you say."

"You said that the patient's blood pressure has been decreasing and can only be maintained by vasopressors, but you can't find out the reason, and you think that he seems to be dehydrated, and suspect that his blood volume is not enough, is it because the infusion of fluids before the operation is not enough? You go and ask the nurse in the ward to check the implementation of his pre-operative doctor's orders to see if he has enough infusions? Because if the amount of infusion before surgery is insufficient, it will also cause the patient's blood volume to decrease, which will lead to a decrease in blood pressure. ”

Feng Wei's eyes lit up, and she quickly nodded and said, "Yes, why didn't I think of it?" Thank you teacher for your advice, I'll check it out right away, thank you, goodbye. With that, Feng Wei bowed, then hurriedly turned around and left.

Seeing Feng Wei's pretty back, Gu Jianqiu secretly admired herself, this girl is not simple, thoughtful, carefully observed, very suitable for being a nurse, and will definitely be a very good nursing talent in the future. If such a person can come to work at Jianteman Hospital, it will be a win-win outcome for the hospital and her.

When I returned to the Department of Traditional Chinese Medicine, I saw Director Lui Chi-shing standing at the door, and when I saw him, I immediately showed an inquiring look on my face.

Gu Jianqiu knew that Lu Zhicheng might have been looking forward to understanding the situation first, and he was worried about it, so he stood at the door and waited, and when he saw himself coming back with a spring breeze on his face, a smile appeared on his face, and he hurriedly came up and asked, "How is it?" Is it getting better? ”

"The edema has been significantly eliminated, my mind has also regained my consciousness, I can speak and see things clearly, it seems that we are right to adjust the medication."

Lu Zhicheng couldn't help but be overjoyed, kept rubbing his hands and turning in circles, and said, "It's okay, it's great, how about it, Director Jiang, he didn't say anything, right?" ”

Of course, Gu Jianqiu would not say Director Jiang's small actions, he didn't want to provoke confrontation between the two chief physicians. just nodded lightly and said, "He's quite happy too." ”

When he was about to get off work at noon, Gu Jianqiu heard the familiar footsteps coming again, and he didn't even need to turn his head to know that it must be that pretty little nurse Feng Wei who was here. Sure enough, Feng Wei's happy voice came from the door: "Teacher Gu, Teacher Xia, hello." ”

Gu Jianqiu looked back, Feng Wei was standing at the door and bowed to the two of them, Xia Xueting nodded, smiled slightly and said, "Hello, are you here to find Teacher Gu?" ”

"Yes, I'm here to thank Mr. Gu."

Xia Xueting was a little surprised: "What big problem did Teacher Gu help you solve again?" You've made two trips in a row to thank him. ”

"This time, not only me, but also our director asked me to thank Mr. Gu on his behalf, Director Jiang said that he would like to thank Mr. Gu in person if he has the opportunity."

Xia Xueting was even more surprised and said, "Oh, what the hell is going on? Even your director was alarmed. ”

"In the morning, Mr. Gu came to the nephrology department for a follow-up visit, and I told Mr. Gu that I had a patient in the intensive care unit who seemed to be dehydrated and had very low blood pressure, and he had to rely on vasopressors to maintain his blood pressure. However, there was no major blood loss during the operation. I asked Mr. Gu what to do, and Mr. Gu asked me to check the implementation of the doctor's instructions to see if the infusion amount before the operation was enough. I went to check, and sure enough, at that time, the patient said that the infusion hand was very painful, so the patient's family took it upon themselves to only lose half of the infusion, and put the rest of the liquid away, but told the nurse that the infusion had been completed, and the nurse really thought that the infusion was over, so he was sent to the operating room, causing the patient's blood pressure to drop because of insufficient blood volume. ”

After finding out about this matter, I quickly took multiple channels to quickly replenish blood volume, and the patient's blood pressure quickly rose, and now it is normal and has been transferred to the general ward. Director Jiang, they praised me for being careful and solving problems in a timely manner, otherwise, I don't know what would have happened. I honestly said that it was Dr. Gu who sued me, and Director Jiang said that I should come over to express my gratitude first, and he would find an opportunity to thank you in person. ”

Gu Jianqiu smiled and said, "I'm very happy to be able to help, I can't say thank you." ”

Feng Wei looked at Gu Jianqiu with reverent eyes, bowed, and said, "Then Teacher Gu, you are busy, I have to go back to eat, goodbye." With that, the bird walked briskly.

Seeing Gu Jianqiu looking at her back a little distracted, Xia Xueting smiled and said, "Hey, beware of the eyeballs falling off!" ”

"Look at what you said." Gu Jianqiu was a little embarrassed.

Xia Xueting still wanted to say a few words, but the phone rang, and when she picked it up, she saw that it was her best friend He Meizhi calling, and she was busy connecting.

He Meizhi's voice was a little hoarse on the phone: "I'm in your hospital outpatient infusion, I haven't eaten lunch yet, can you bring me something to eat?" (To be continued!)

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