medical simulator

Chapter 84 Do something!Do something! (Please subscribe!)
Yan Haihan and Cai Dongfan went to the director's office, and Dong Qiansheng, the deputy director of Yan Haihan's team, led a round of the ward. Currently, there are only three doctors in charge of the bed: Min Chaoshuo, Xu Yanlin and Pang Dingkun.

Yang Yifeng was not assigned the task of managing the bed, Yang Yifeng just looked around in the department like a horse on a horse, very free.

What he said is that he came here to learn this saying, and he has never been close at all...

Zhou Cheng was naturally led by Luo Yun to make ward rounds, because most of the patients in the group have already been treated. Zhou Cheng himself has four postoperative patients, and one 28-bed femur fracture patient is waiting for surgery, so there is no need to deliberately deal with it. .

As long as you routinely wait for the swelling in the thigh area to go away, you can schedule surgery.

For the patients who underwent surgery last week, the re-examination of the inflammatory indicators has returned to normal, and the pain caused by the surgery has also been greatly reduced, and the intravenous medication can be stopped one after another.

After starting to strengthen functional exercises such as getting out of bed and walking, you can also switch to oral anticoagulant therapy, and you can be discharged from the hospital at an optional date.

A patient whose fracture was reset by manipulative manipulation yesterday can start contracting the quadriceps and ankle pump function exercises from today, so as to train the muscle strength of the muscles of the lower limbs so as not to atrophy, and to fully prepare for getting out of bed later. preparation.

Of course, in addition to strengthening functional exercises, bone-promoting drugs and preventive anticoagulation drugs must continue to be used.

Otherwise, a major problem with conservative treatment is the decrease in activity, the arterial flow rate of the lower extremities will become slow, and the swelling and extrusion will cause the vascular cavity to narrow to a certain extent.

After the flow rate is slowed down, the complication that needs to be paid attention to is the formation of venous thrombosis in the lower extremities.

In fact, thrombosis is not terrible, it will only lead to local edema, just afraid of the thrombus falling off!

The thrombus flows back through the veins, and it will be blocked wherever it goes, which is terrible.

Rather than targeted anticoagulant therapy after thrombosis, it is naturally best to prevent thrombus from forming.

Preventive treatment is actually preventive treatment.

At the same time, review the X-ray results, which are the imaging results objectively recorded in the hospital system. You can re-evaluate the situation of the manipulation reduction, and at the same time leave a retreat for yourself. .

Although the chance of this is very small, Yan Haihan's words are not wrong, the most important clinical quality is stability.

In other words, it is necessary to be cautious.

Patients with intertrochanteric fractures undergoing PTFN (intramedullary nail fixation) also need to review X-rays after surgery to evaluate whether the intramedullary nail is in place and whether it is firm...

After the house inspection, Luo Yun led Zhou Cheng and others to determine the diagnosis plan.

It is Zhou Cheng and other bed doctors to complete the addition or deletion of part of the doctor's order, change the dosage of the medicine, change the medicine, and write the case.

"Brother Zhou Cheng, I'll go to the dressing room first to grab a dressing cart. You can reserve a computer for me!" The moment the room inspection was over, Zhang Zhengquan immediately put away his pen and ran away.

In the surgical ward, in addition to grabbing computers, it is a daily routine!

Every morning, you must be active in rushing to change the medicine car, otherwise, your entire group will fall behind.

There were only two dressing vans in the department, and Zhang Zhengquan snatched them, which meant that Zhou Cheng and Du Yanjun could change the dressings and other operations immediately after Zhang Zhengquan finished changing the dressings.

The real thing is that one person can move quickly and benefit one group.

Zhang Zhengquan is also becoming more and more dedicated, although his original intention may also be to get off work early——

Twenty seconds later, Zhang Zhengquan triumphantly pushed a dressing trolley out of the dressing changing room, and asked Zhou Cheng and Du Yanjun with a red face.

"Brother Zhou Cheng, Brother Yan Jun, how many patients do you have that need dressing changes? I'll go and get all the dressing change kits!" Zhang Zhengquan asked rather embarrassingly.

The reason why one person who grabs the medicine changing cart can benefit the bed doctor in a treatment group is that if the medicine changing kits on the medicine changing cart are not used up, other people will assume that you will continue to use them.

Zhang Zhengquan took all the dressing change kits of all the patients in the group who needed to change their dressings at once. If you push the dressing cart away, he can go directly to the nurse's station and say that his dressing change kits have been stolen...

Although a bit ruthless and cautious, this is already the default unspoken rule. Everyone silently abides by it, but they will not do it.

"Awesome!" Both Zhou Cheng and Du Yanjun gave Zhang Zhengquan a thumbs up.

"Two of me." Zhou Cheng replied.

Du Yanjun said, "There are three of me."

Then continue to say: "Brother Quan, please tell me about the medical order that your team needs to deal with. I will help you finish the medical order and write the medical records yourself."

Reciprocate, otherwise, after he completes the doctor's order and medical records, he will have to wait for the medicine changing cart, and even find a place for the medicine changing cart in the department, so as not to be caught first, which will greatly affect the non-surgical day. off-duty time...

Zhang Zhengquan also unceremoniously handed over to Du Yanjun the doctor's order notes of the patients to be treated in his group.

Everyone supports each other so that we can leave work earlier.

……

Fifteen minutes later, Zhang Zhengquan punctually pushed the medicine changing cart and appeared at the door of the office.

He had sent a message to Du Yanjun in advance, so when Zhang Zhengquan was walking inside, Du Yanjun got up and left the computer seat knowingly, making Ben to turn his body to look at it.

Pang Dingkun and Min Chaoshuo, who thought they saw the vacant medicine changing cart, quickly retracted their bodies——

The dressing cart has an owner.

After Du Yanjun entered the office, he scanned around and found that Yang Yifeng was looking at his phone idly, looking very calm.

Min Chaoshuo, Xu Yanlin, and Pang Dingkun were tapping on the keyboard very diligently.

Du Yanjun found an empty seat and sat down, and then refreshed his patient's doctor's order.

Said to Zhou Cheng in a low voice: "Brother Zhou Cheng, I can get off work after writing the medical records later."

"Want to play games together?"

"Resetting the fracture by manipulation will still save a lot of things?"

The sound spread throughout the office where there was no noise other than the noise of the keyboard, and immediately made Min Chaoshuo and Pang Dingkun raise their eyebrows.

Can you take care of your patient?
Yesterday, there were five surgical patients, but all of them were treated conservatively. There was no need to change the dressing, and there was no need to check blood for inflammation indicators.

The written medical records can be very casual, so what can happen?

Scroll down the time in the lower right corner——

It was just before nine o'clock.

Be yourself, Zhang Zhengquan!

Are you the director of the connotation ward or something?

What about attracting hate here?

But no one spoke.

In the morning, Yan Hanhan was frustrated by this matter, how could they dare to make irresponsible remarks.

They themselves are members of Yan Haihan's group, so naturally they dare not disobey Yan Haihan's prohibition.

But I dare not say that Yan Haihan's ban is right.

"It's time to write the medical records, don't force me." Zhou Cheng tapped Zhang Zhengquan on the shoulder and said in a low voice.

The techniques in the department were reset, and Zhou Cheng was the one in charge. Although Cai Dongfan took up the responsibility, Zhou Cheng didn't want to gain the reputation of being against the director of the ward.

It doesn't do him any good.

Zhang Zhengquan said that, in a disguised form, he would bring a lot of hatred to him.

"Don't you think this is boring? Just make a joke." Zhang Zhengquan muttered, his voice not quite low.

These words immediately made Yang Yifeng, who was sitting idly, slightly tilt his body.

After looking up at Zhang Zhengquan, he happened to meet Zhang Zhengquan and learned a playful look from him, then put away the phone.

Walking towards Zhang Zhengquan...

This Zhang Zhengquan is a bit talkative, he seems to be very good at making things happen?

(End of this chapter)