Chapter 10 This Patient Deserves Not to Die
Today is not Ye Nan's main class, after checking the room and opening a few doctor's orders, there is nothing to do, Ye Nan sat there boredly flipping through the medical records.
At this time, a patient came, in his fifties, and his family said that he was not in good spirits and did not want to eat much in the past few days. Zhang Li, the head shifter, received the consultation, checked it in detail, and found no big problems, so she had to stay in the hospital for observation first, and first hung up some nutritional drugs.
After Zhang Li finished dealing with this patient, she soon came to a critical illness, Zhang Li saw Ye Nan sitting there doing nothing and leisurely, but she was busy and helpless, and sighed helplessly: "It's really the same life, I don't know why my luck is so bad today, I am busy early in the morning." ”
When Ye Nan heard this, he covered his mouth comfortably and yawned, and said with a smile on the side: "We have to be busy, if we have nothing to do, then our bonus this month will be in jeopardy. ”
Before Ye Nan finished speaking, with a "brush", Zhang Li grabbed a book and threw it head-on, smashed it on his little brain, and scolded with a smile: "You little conscienceless, you are still gloating, wait until I'm done, see how to clean you up." ”
Ye Nan flipped through the medical records for half an hour, and was really bored, so he went to the ward to look around and see a few of his patients, and talked to them by the way.
This is Ye Nan's habit, Ye Nan is relatively young, and in this industry, it is always difficult for young doctors to reassure some patients. Therefore, many times, he tries to have more contact with patients and care more about their conditions, which plays a great role in comforting the psychology of patients and their families, and can gain more trust from patients!
Ye Nan walked to his eighteenth bed, this patient is a patient with "slow surname bronchitis", he recovered well, chatted with him for a few words, asked about the situation, and planned to leave, when he turned around, he suddenly found the seventeenth bed next door, it didn't feel very right, it seemed to be a patient who just came in the morning.
Ye Nan walked carefully to take a look, and the patient was sleeping soundly. The family members saw that Ye Nan was coming over and wanted to wake up the patient, so they stopped: "Doctor, my dad hasn't slept well in the past few days, and now he finally falls asleep, you let him rest first!"
Ye Nan nodded, but felt that the patient was like the old lady last time, and the aura in his body began to slowly dissipate, there must be something wrong. Then he asked the family members softly: "Why hasn't the old man slept well in the past few days?
"No, my mom often has insomnia, and my dad has never had this problem. "How is his health usually, and are there any special circumstances these days?" Ye Nan continued to ask.
"No, I'm usually in good health, but I quarreled with my brother the day before yesterday, and I wasn't in a good mood and didn't eat. I was afraid that the elderly would not be able to support it, so I came to the hospital to hang some nutritional injections. "The patient's family was a little unimpressed.
Hearing that the patient had the experience of quarreling with others, Ye Nan's heart jumped, and he hurriedly ran to the office to get a small flashlight, regardless of the family's prevention, opened the patient's eyelids, looked at the patient's pupils, and found that the pupils were narrowed by only about 1.5mm, and the light reflex was dull, and the patient called the patient, but the patient did not respond.
Ye Nan's heart sank again, this is very much like a manifestation of an overdose of Valium drugs!
Ye Nan hurriedly asked the family: "Your mother has insomnia, what medicine do you usually take?" "Valium tablets." ”
"Then you call and ask your mother if she sees her diazepam pills?" The patient's daughter was also anxious when she heard this, took out her mobile phone, and called home anxiously: "Mom, go and see if your diazepam tablet bottle is missing in it." ”
After a while, the other side replied, the patient's daughter was stunned, the mobile phone fell to the ground, and it took a while to react, crying to Ye Nan: "The new bottle of diazepam tablets I bought at home is gone." ”
Ye Nan was startled, and hurriedly ran out to call the nurse: "Twenty-one beds of gastric lavage machine, oxygen delivery preparation, hurry up." ”
The two nurses on duty at the nurse station saw Ye Nan's appearance, quickly dropped what they were doing, ran to the rescue room, pushed the gastric lavage machine and oxygen humidification bottle, and began to oxygenate the patient and intubate the gastric lavage.
Seeing that the oxygen and gastric lavage machines were all up, Ye Nan asked the nurse next to him to quickly push the ambulance over.
Soon the ambulance was also in place. Ye Nan said solemnly to the nurse waiting on the side: "Twenty-one beds of rescue doctor's instructions: prepare the monitor, 5% glucose 20ml plus naloxone 0.8 mg intravenously push immediately, dexamethasone 10 mg intravenously push immediately. With Ye Nan's doctor's instructions, the nurses carried out them in an orderly manner.
Five minutes later, Ye Nan checked his pupils again, and it had improved slightly, the monitor showed that his heartbeat was normal, and his blood pressure was maintained at 100-90/60-50mmHg.
At this point, the gastric lavage nurse reported that the gastric lavage had been completed, and that there was a white paste in the stomach that had not yet completely melted. Ye Nan looked at it, nodded, and said, "Keep the specimen and send it to the laboratory for examination." ”
Ye Nan continued to instruct another nurse: "5% glucose 250ml gannaloxone 1.2 mg intravenous infusion, give the next critical illness, close observation of vital signs changes." And inform the hyperbaric oxygen chamber to prepare, and enter the warehouse in half an hour!"
After explaining all this, Ye Nan called the family to the office, gave the critical illness notice and the prediction of some situations with the approximate prognosis, etc., and after the family signed, he notified the director of the department for consultation, which was relieved.
At this time, Zhang Li had just come out of another critically ill patient's room, and when she heard this, she was startled. Zhang Li patted her chest, her face full of the feeling of the rest of her life: "It's good that you are careful, otherwise you will have to delay it for another ten minutes to find out, this time the matter will be big!"
After a quarter of an hour, Ye Nan went to see it again, and felt that the aura in the patient's body had no signs of dissipating anymore, so he really put his mind at ease. This patient was rescued in a timely manner and should have recovered well after hyperbaric oxygen therapy.
Ye Nan was also frightened by this incident, and thought about the whole thing carefully, thinking that if he had treated this patient by himself, it would probably be difficult to find the real cause of the disease first, and he would have to do ordinary treatment first.
In addition, if you don't have a way to feel the aura of the human body, even if you are very responsible and serious, you will probably think that the patient is asleep, and it is difficult to find the abnormality of the patient in a short time.
In the afternoon, the director of the department held a small meeting of the whole department on this matter, reiterated the important surname of being careful and responsible, and praised Ye Nan, but did not criticize Zhang Li, because Zhang Li's work was really busy in the morning and there was no time to observe the patient's situation at all times, and there may be problems on anyone's head, so he simply reminded his colleagues and asked them!
After the meeting, Zhang Li bought a lot of fruits, and enthusiastically washed an apple and sent it to Ye Nan to express her gratitude. Then he called all his colleagues to share together, claiming to celebrate his immortality and the rest of his life after the catastrophe!
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