Chapter 64: The ECG Machine
In the nurse's station, Li Xizi was pulling a nurse with a treatment tray and asked, "Why haven't you seen the electrocardiogram machine in our department?" ”
"I'm in the treatment class today, and I'm only responsible for injections, so if you ask Xiao Zhang, who is in the nursing class, she should know," a nurse replied.
A nurse with a blood pressure monitor in her hand is walking this way.
"Sister Zhang, Sister Zhang, do you know where the ECG machine in our department is placed?" Li Xizi had no choice but to ask for help when his search was fruitless.
"I was borrowed by the doctor of the ENT department, saying that the electrocardiogram machine in their department was broken, and I would return it immediately if I borrowed it." Sister Zhang's answer made Li Xizi's heart cold.
If she is too slow, she will be scolded by Haishan, she feels that she has to run to the ENT department, and she wants the machine back.
"Well, nurses, where is the ECG machine in our department? Hurry up and give it to me! Our department also came to an emergency room. Li Xizi eagerly asked the nurse sisters in the ENT department.
"I know, in bed 41, I'll bring it to you right away!" As soon as the head nurse heard that there was an emergency patient who wanted to use it, she immediately brought the ECG machine over and handed it to Haishan.
Hai Shan thanked her, picked up the machine and ran to her own department.
In the ward, Haishan is holding a stethoscope to do cardiac auscultation, auscultation is a diagnostic method that places the stethoscope chestpiece in the precordial area and listens to the sound of the heart's beating to understand the state of the heart, which occupies an important position in the cardiac examination and is an indispensable and important means for diagnosing heart disease. Cardiac auscultation includes heart rate, heart rhythm, heart sounds, murmurs, and pericardial friction rub.
"Gao Yuning, you take a breath"
Gao Yuning took a long and obedient breath, and the first heart sound was significantly enhanced, the second heart sound was significantly enhanced, and the third and fourth heart sounds were all enhanced.
"Gao Yuning, you exhale"
Gao Yuning took a long and obedient breath, the first heart sound was significantly weakened, the second heart sound was significantly weakened, and the third and fourth heart sounds were weakened.
Hai Shan sighed in her heart, the situation is not good! Gao Yuning's body had already sent out distress signals, and the cardiac auscultation did not hear anything, so she was diagnosed by auscultation, which was an ordinary sinus arrhythmia, but a doctor's intuition told her that this disease would not be so simple.
"Haishan, I've brought the machine," Li Xizi said as he turned on the machine and connected the leads.
"Gao Yuning, let's do an electrocardiogram, don't be nervous!"
"I'll give you the discharge electrodes first, my hands are a little cold!" Li Xizi smiled and connected Gao Yuning to the various channels of the electrocardiogram.
Press the 4th intercostal space at the right sternal border...... Junction V1 (red lead) with 4th intercostal electrode at the left sternal border...... Connection V2 (yellow lead), V3 (green lead) at the midpoint of V2 and V4 connection; The 5th intercostal space of the left midclavicular line is placed with electrodes connected to V4 (brown lead), and the left anterior axillary line is placed at the same level as V4 electrodes are placed with electrodes connected to V5 (black leads).
The results of the first ECG came out in the sound of the ECG machine spitting.
Haishan took the pink printer paper and looked at the curve chart, frowned, sinus P waves appeared three times, as long as the sinus P waves appeared more than three times in a row, it can be diagnosed as sinus rhythm.
Li Xizi followed Haishan's gaze and also looked at the ECG list, she felt that there should be no big problem, sinus arrhythmia, and the normal situation of teenagers will also appear.
"Haishan, there is not much problem with this ECG!" Li Xizi looked at Hai Shan's serious and nervous appearance, and couldn't help but say.
"Do you want to stay in the hospital for observation, can't relax? Why is there loss of consciousness? Why do I foam at the mouth? We need to pay close attention to the signals sent by the patient's body, not just look at the various test sheets," Hassan, whispered her analysis.
"Let's hurry back to the office and make up the medical order execution form, long-term medical order form, temporary medical order form, admission medical record or admission record, disease course record, and disease notice in this medical record, and report that we are seriously ill" Li Xizi and Haishan walked side by side in the corridor of the ward, discussing as they walked.
"Xizi, would you rather write medical records or talk to your family?" Haishan asked Xizi.
"Forget it, I'm willing to write a medical record, this little girl was admitted to the hospital in the early morning and discharged in the morning, Doctor Huang, didn't you say it? Her parents didn't listen to it. Li Xizi found it easier to write medical records.
"Okay, then we will divide and cooperate, you write the medical records, and I will talk" Hai Shan and Xi Zibing split into two ways, one went to the doctor's office, and the other returned to the ward to find Gao Yuning's family.
"Gao Yuning's father comes to the office"
In the office, Li Haishan moved a chair for Gao Yuning's father, "Gao Yuning's father, you sit down first"
"Doctor, my Yuning, said she is much better" Gao Yuning's father asked Gao Yuning, and he felt that the child was no longer much of a problem.
After listening to this, Haishan felt that she still had to organize her own language and follow her parents well.
"Yu Ning's father, Gao Yuning, this situation has to be kept in the hospital for observation, at present, we have done some simple examinations, from the current examination results, the electrocardiogram suggests sinus arrhythmia"
"Does that matter?" Yu Ning's father asked.
"Sinus arrhythmia, which occurs more often in adolescents, as for what you say it doesn't matter? Do you still have to observe in the hospital and do further examinations to know what kind of disease Gao Yuning is? Hai Shan answered Yu Ning's father's question.
"That's not good, you better discharge my child, my child is in high school this year! Learning is the most important thing, I feel that the child is too stressed to faint."
Li Xizi thought to himself, and still didn't listen to the doctor.
"Is the score important, or is the child's life important? I'm not trying to scare you, you really can't be discharged. ”
Haishan really doesn't like such people, she doesn't listen to the doctor at all, and she is self-satisfied.
Gao Yuning's father felt that the doctor was too serious, what could he do with a small fainting? It's a big deal to let the child go home for a day off, and that's it.
"I don't think it's a big deal, I want to be discharged" Gao Yuning's father asked to be discharged from the hospital very strongly.
Haishan's inner world is still very angry, why is there such a stubborn person? Don't trust the doctor, trust your own so-called judgment. Haishan still wanted to persuade him.
"When you actually come to the hospital, you should trust the doctor, this situation must not be discharged, and you still have to be observed in the hospital."
Gao Yunning's father snorted coldly and slapped the table, "You people, it's excessive medical treatment, you want to dig a pit when a patient comes, you want to make more money on the patient, don't think I don't know"
Li Xizi didn't like to listen to these words, she stood up and said to Gao Yuning's father: "Don't you let people put hats on them at every turn?" What to dig a pit? Who wants your money too"
Gao Yuning's father felt that these two doctors were simply unreasonable, so he went up and pushed Li Xizi in the face.
"I'm going to be discharged from the hospital today, what's wrong? I gave birth to this child, I raised it, and I am responsible for what happens."
"Okay, you sign!" Li Xizi's heart was full of grievances.
Li Haishan has never seen an unreasonable family member.
Haishan didn't know how to continue to communicate, she could only take out the disease notice, serious illness notice, and disease course records, which clearly stated that the patient fainted for unknown reasons, and the family members did not cooperate with the treatment, and strongly requested to be discharged, and the consequences were borne by themselves.
Gao Yuning's father thought to himself that doctors are all routines, pretending to be mysterious, pretending to be profound, scaring patients, and signing when he says he will sign, who is afraid of whom? He took the pen and signed his name with a brush.
"Dr. Li, go see the new patient, Gao Yuning, she has convulsions and foams at the mouth," a nurse said as she ran to the doctor's office.
Two doctors and a nurse ran desperately to the ward. It is the doctor's duty to save people. Although the family only pushed Li Xizi with a palm, at this time, the doctors and nurses only had two words in their hearts, that is, to save people.
In the ward, Gao Yuning's whole body twitched slightly, his eyes stared upward, and he foamed at the mouth.
Gao Yuning...... Gao Yuning" Li Xizi shouted her name loudly, Gao Yuning was unconscious at the moment and could not hear the doctor's call.
Gao Yuning's father pounced, "Child, what's wrong with you?" ”
"Dad Yuning, can you go out first?" Hayson picked him up and pushed him out of the room.
As soon as Li Xizi saw that the oxygen saturation in her blood had become 84%, she immediately adjusted the oxygen to the third flow rate......
Haishan immediately turned on the ECG machine, and the results made at this onset time should be closer to the most real condition.
The ECG machine came out with the sound of printing again, and a pink list was printed out of the machine.
Hysan looked intently at the ECG bands, atrioventricular block, V1-V6 ST segment significantly elevated, heart rate 38 beats per minute! The situation is very dangerous.
Rapid nausea and vomiting, fainting within 24 hours, loss of consciousness, two convulsions.
Significant changes in ECG bands, atrioventricular block, significant ST elevation, slow heart rate, and changes in oxygen saturation at the onset of the disease are fulminant myocarditis.
Gao Yuning's father was standing outside the door of the ward, he looked through the small gap in the door and saw that the doctor who was pushed by him was pushing medicine to Gao Yuning, two doctors and a nurse were so serious and serious in rescuing his child, at this moment he felt very remorseful in his heart, why did he make a fool of himself and push other doctors, if he was really discharged from the hospital, the child really had an accident, could he still live? A tear of remorse flowed from his eyes.
A few minutes later, Gao Yuning woke up again, and she couldn't remember what had just happened.
"Doctor, I have a headache, my dad?" Gao Yuning looked at the doctors and nurses blankly, her memory was not very clear, she only remembered that she was discharged from the hospital and was admitted to the hospital again, and she didn't remember anything else.
Hai Shan and Xizi couldn't help but breathe a sigh of relief when they saw Gao Yuning wake up, fortunately they were still in the hospital, and Gao Yuning was just one step away from death. Fortunately, there was an argument with the family in the office, and time was gained, and if the little girl was successfully discharged from the hospital, the consequences were unimaginable.