I really don't want to be a doctor
Chapter 150 Ventricular Fibrillation
Chapter 150 Ventricular Fibrillation
"The cost of simple radiography is about 5000 yuan, the domestic stents are about [-] yuan each, and the imported stents are [-] to [-] yuan." Zhu Zhu said.
"How many stents do you usually use?" the young woman asked.
"It depends on the results of the angiography." Zhu Zhu said, "Some patients' thrombus can dissolve automatically, so there is no need for stents; some patients have multiple stenosis in the heart vessels, and may need three to five stents, or even more."
In the previous life, when Jing Xiaoran was rotating in the Department of Cardiology, he encountered a patient with up to twelve stents placed.
"Is there any difference between domestic and imported brackets?" the man asked.
Zhu Zhu said: "The current technology is developing very fast. The actual curative effect of domestic stents and imported stents is not much different. In China, domestic stents have basically replaced imported stents. If your family's economic conditions are not very good, there is no need to implant imported stents. , domestic brackets are enough.”
"Okay, thank you doctor." The man took a pen and signed his name on the surgery informed consent form with two strokes, "We use domestic stents for surgery!"
The young woman frowned, but said nothing.
"The surgeon will communicate with your family about the stent." Zhu Zhu took the informed consent form for the operation and breathed a sigh of relief, "Go and wait outside the catheterization room opposite."
"Thank you doctor." The man looked around, and then took out a stack of envelopes from his jacket pocket, "Dr. Zhu, you have worked hard, this..."
The man put the envelope in his hand directly on the table in the interview room.
Zhu Zhu frowned deeply, and did not touch the envelope, "You don't have to do this, we won't accept it."
"Doctor Zhu, it's just a little thought from us." The man whispered, "There's no one around here, so please keep it. I'll trouble you about my dad's affairs."
As he spoke, the man walked out of the interview room without looking back.
The stack of envelopes was left on the table in the interview room.
"Xiaojing, take this envelope." Zhu Zhu said suddenly.
"what?"
Jing Xiaoran was taken aback for a moment, and glanced at the envelope on the table, but didn't make any moves.
"Xiao Jing, what are you doing standing there?" Zhu Zhu asked puzzled, "Push the patient to the catheterization room later, then take the envelope to the inpatient department on the first floor, and deposit the money into the patient's inpatient account. "
"Oh, okay." Jing Xiaoran nodded, and only then did he understand what Zhu Zhu meant.
"Remember to bring back the payment receipt and give it to this family member." Zhu Zhu instructed again.
……
Jing Xiaoran put the envelope in the pocket of his white coat, and returned to the ward with Zhu Zhu.
"Wen Lin, you and Xiao Jing push the patient to the catheterization room." Zhu Zhu said, "The family members have agreed to the operation."
The interventional catheterization room of the Department of Cardiology is just opposite the intensive care unit, and there is a passage in the ward leading directly to the catheterization room.
It only takes a minute at most to push the bed from the intensive care unit to the cath lab.
"Okay." Senior Sister Li nodded.
Although it is very close from the intensive care unit to the cath lab, the nurses have already prepared monitors and some basic rescue medicines.
"Junior Brother, let's go." Senior Sister Li said, "I will show you the way to the cath lab today."
"En." Jing Xiaoran responded, but he was a little strange, "Won't the bedside nurse go with us?"
"Before you came, I used to push the hospital bed to the catheterization room with the nurse sister." Senior Sister Li smiled, "But now that you are here, there are enough people, and the nurse sister will not come with us. They will take care of it alone. Five beds, usually busy."
"But we don't know how to push medicine, what if something happens halfway..." Jing Xiaoran said, "Then what should we do?"
Senior Sister Li smiled and said: "Junior Brother, you don't know something. If we go to the catheterization room from here, if we go quickly, the hospital bed can be pushed there in a minute, and we walk from the inside of the intensive care unit, which is full of doctors and nurses. There is support."
Jing Xiaoran nodded, and together with Senior Sister Li pushed the hospital bed to the catheterization room.
On the way, I first passed a conference room, which should be the place where the doctors shift early.
Then I passed the dining room, bathroom, and changing room, but now it is the busy time of work, and I didn't meet anyone on the road.
"Junior Brother, go through the door in front, and then walk 20 meters and turn right to the catheterization room." Senior Sister Li pulled the bedside railing in front of the hospital bed, "Our task is completed."
"En." Jing Xiaoran responded.
It was also his first time visiting this place, and everything around him was unfamiliar.
"Um...uh..."
Suddenly, the patient on the hospital bed groaned.
Jing Xiaoran only felt the middle-aged uncle on the hospital bed tremble.
"Dududu...dududu..."
Immediately afterwards, a series of alarms sounded from the bedside monitor.
Jing Xiaoran looked towards the middle-aged uncle, only to see his eyes rolled up, revealing the whites of his eyes, and he kept foaming from his mouth.
And the ECG monitoring of the monitor shows "sine wave"!
Sine wave, as the name suggests, the waveform on the ECG is like a sinusoidal curve.
The sine wave represents the occurrence of ventricular fibrillation!
Senior Sister Li also noticed the abnormality of the patient, she was a little flustered for a while, "Junior brother, let's push the hospital bed to the catheterization room as soon as possible, there is a teacher there!"
Jing Xiaoran did not continue to push the bed, but quickly climbed onto the bed.
"Ventricular fibrillation!"
"It's too late to push the hospital bed!"
"Go to the catheterization room quickly and call the teacher!"
With that said, Jing Xiaoran was already kneeling on the hospital bed, and began to perform chest compressions on the patient.
Senior Sister Li didn't have time to think about anything, so she ran towards the catheterization room!
It may only take ten seconds to run from here to the cath lab!
But pushing the hospital bed may take 30 seconds or more!
And these 30 seconds, for a patient with ventricular fibrillation, are enough golden time to change his life and death!
With no time to think about it, Jing Xiaoran could only press his chest vigorously.
Generally speaking, cardiopulmonary resuscitation is only required when the heart stops (you must not see someone fainted and start chest compressions).
Although ventricular fibrillation is not cardiac arrest, for the condition of ventricular fibrillation, chest compressions can prolong the time for the development of ventricular fibrillation to ventricular arrest.
The best way now is to use electrical defibrillation, which can directly terminate ventricular fibrillation!
20 seconds, whether it is long or not!
But for Jing Xiaoran, it was like going through a test of life and death.
There was a sound of rapid footsteps.
Jing Xiaoran knew that the doctor in the cath lab had already rushed over!
"Ventricular fibrillation!"
"Quick! Charge the defibrillator!"
Jing Xiaoran didn't raise his head, and continued to press his chest.
Chest compressions cannot be stopped for a moment without defibrillation!
"Student, we are ready to defibrillate!"
"You can let go!"
Jing Xiaoran suddenly withdrew from the hospital bed!
"Everyone stay away from the hospital bed!"
(End of this chapter)
"The cost of simple radiography is about 5000 yuan, the domestic stents are about [-] yuan each, and the imported stents are [-] to [-] yuan." Zhu Zhu said.
"How many stents do you usually use?" the young woman asked.
"It depends on the results of the angiography." Zhu Zhu said, "Some patients' thrombus can dissolve automatically, so there is no need for stents; some patients have multiple stenosis in the heart vessels, and may need three to five stents, or even more."
In the previous life, when Jing Xiaoran was rotating in the Department of Cardiology, he encountered a patient with up to twelve stents placed.
"Is there any difference between domestic and imported brackets?" the man asked.
Zhu Zhu said: "The current technology is developing very fast. The actual curative effect of domestic stents and imported stents is not much different. In China, domestic stents have basically replaced imported stents. If your family's economic conditions are not very good, there is no need to implant imported stents. , domestic brackets are enough.”
"Okay, thank you doctor." The man took a pen and signed his name on the surgery informed consent form with two strokes, "We use domestic stents for surgery!"
The young woman frowned, but said nothing.
"The surgeon will communicate with your family about the stent." Zhu Zhu took the informed consent form for the operation and breathed a sigh of relief, "Go and wait outside the catheterization room opposite."
"Thank you doctor." The man looked around, and then took out a stack of envelopes from his jacket pocket, "Dr. Zhu, you have worked hard, this..."
The man put the envelope in his hand directly on the table in the interview room.
Zhu Zhu frowned deeply, and did not touch the envelope, "You don't have to do this, we won't accept it."
"Doctor Zhu, it's just a little thought from us." The man whispered, "There's no one around here, so please keep it. I'll trouble you about my dad's affairs."
As he spoke, the man walked out of the interview room without looking back.
The stack of envelopes was left on the table in the interview room.
"Xiaojing, take this envelope." Zhu Zhu said suddenly.
"what?"
Jing Xiaoran was taken aback for a moment, and glanced at the envelope on the table, but didn't make any moves.
"Xiao Jing, what are you doing standing there?" Zhu Zhu asked puzzled, "Push the patient to the catheterization room later, then take the envelope to the inpatient department on the first floor, and deposit the money into the patient's inpatient account. "
"Oh, okay." Jing Xiaoran nodded, and only then did he understand what Zhu Zhu meant.
"Remember to bring back the payment receipt and give it to this family member." Zhu Zhu instructed again.
……
Jing Xiaoran put the envelope in the pocket of his white coat, and returned to the ward with Zhu Zhu.
"Wen Lin, you and Xiao Jing push the patient to the catheterization room." Zhu Zhu said, "The family members have agreed to the operation."
The interventional catheterization room of the Department of Cardiology is just opposite the intensive care unit, and there is a passage in the ward leading directly to the catheterization room.
It only takes a minute at most to push the bed from the intensive care unit to the cath lab.
"Okay." Senior Sister Li nodded.
Although it is very close from the intensive care unit to the cath lab, the nurses have already prepared monitors and some basic rescue medicines.
"Junior Brother, let's go." Senior Sister Li said, "I will show you the way to the cath lab today."
"En." Jing Xiaoran responded, but he was a little strange, "Won't the bedside nurse go with us?"
"Before you came, I used to push the hospital bed to the catheterization room with the nurse sister." Senior Sister Li smiled, "But now that you are here, there are enough people, and the nurse sister will not come with us. They will take care of it alone. Five beds, usually busy."
"But we don't know how to push medicine, what if something happens halfway..." Jing Xiaoran said, "Then what should we do?"
Senior Sister Li smiled and said: "Junior Brother, you don't know something. If we go to the catheterization room from here, if we go quickly, the hospital bed can be pushed there in a minute, and we walk from the inside of the intensive care unit, which is full of doctors and nurses. There is support."
Jing Xiaoran nodded, and together with Senior Sister Li pushed the hospital bed to the catheterization room.
On the way, I first passed a conference room, which should be the place where the doctors shift early.
Then I passed the dining room, bathroom, and changing room, but now it is the busy time of work, and I didn't meet anyone on the road.
"Junior Brother, go through the door in front, and then walk 20 meters and turn right to the catheterization room." Senior Sister Li pulled the bedside railing in front of the hospital bed, "Our task is completed."
"En." Jing Xiaoran responded.
It was also his first time visiting this place, and everything around him was unfamiliar.
"Um...uh..."
Suddenly, the patient on the hospital bed groaned.
Jing Xiaoran only felt the middle-aged uncle on the hospital bed tremble.
"Dududu...dududu..."
Immediately afterwards, a series of alarms sounded from the bedside monitor.
Jing Xiaoran looked towards the middle-aged uncle, only to see his eyes rolled up, revealing the whites of his eyes, and he kept foaming from his mouth.
And the ECG monitoring of the monitor shows "sine wave"!
Sine wave, as the name suggests, the waveform on the ECG is like a sinusoidal curve.
The sine wave represents the occurrence of ventricular fibrillation!
Senior Sister Li also noticed the abnormality of the patient, she was a little flustered for a while, "Junior brother, let's push the hospital bed to the catheterization room as soon as possible, there is a teacher there!"
Jing Xiaoran did not continue to push the bed, but quickly climbed onto the bed.
"Ventricular fibrillation!"
"It's too late to push the hospital bed!"
"Go to the catheterization room quickly and call the teacher!"
With that said, Jing Xiaoran was already kneeling on the hospital bed, and began to perform chest compressions on the patient.
Senior Sister Li didn't have time to think about anything, so she ran towards the catheterization room!
It may only take ten seconds to run from here to the cath lab!
But pushing the hospital bed may take 30 seconds or more!
And these 30 seconds, for a patient with ventricular fibrillation, are enough golden time to change his life and death!
With no time to think about it, Jing Xiaoran could only press his chest vigorously.
Generally speaking, cardiopulmonary resuscitation is only required when the heart stops (you must not see someone fainted and start chest compressions).
Although ventricular fibrillation is not cardiac arrest, for the condition of ventricular fibrillation, chest compressions can prolong the time for the development of ventricular fibrillation to ventricular arrest.
The best way now is to use electrical defibrillation, which can directly terminate ventricular fibrillation!
20 seconds, whether it is long or not!
But for Jing Xiaoran, it was like going through a test of life and death.
There was a sound of rapid footsteps.
Jing Xiaoran knew that the doctor in the cath lab had already rushed over!
"Ventricular fibrillation!"
"Quick! Charge the defibrillator!"
Jing Xiaoran didn't raise his head, and continued to press his chest.
Chest compressions cannot be stopped for a moment without defibrillation!
"Student, we are ready to defibrillate!"
"You can let go!"
Jing Xiaoran suddenly withdrew from the hospital bed!
"Everyone stay away from the hospital bed!"
(End of this chapter)
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