This Doctor is Great

Chapter 35: Read thousands of volumes!

bang bang bang~~~~

As Zhou Mo kept pressing, the ECG of the ECG monitor fluctuated...

soon,

Other doctors also came.

Especially Huang Yiming, he is the doctor in charge of the bed, and his face is flustered. This is the first time he has encountered this, and he is a little helpless.

Three doctors joined the ranks of assisting CPR.

"What happened?"

"Heartbeat stopped..."

"Why is this all of a sudden?"

The daughter cried: "My mother said she was going to poop, I wouldn't let her get up, but she didn't, she had to go to the toilet to poop, I couldn't hold it back, and in the end she sat up and immediately went wrong... woo woo woo ~~~ Doctor, save my mother quickly..."

When Huang Yiming heard this, he immediately exploded with anger.

"I already said don't get up, don't get up... why don't you listen..."

"Your mother has a heart attack, and I have told you to stay in bed, stay in bed..."

Zhou Mo who kept pressing: "......"

The doctors: "…………"

Understood.

My heart is full of helplessness.

Another person who didn't obey the doctor's orders, causing a catastrophe.

Patients with severe myocardial infarction will cause heart failure, the heart pumping power will decrease, and then cardiogenic shock will occur...

Severe cases can cause ventricular fibrillation, or direct cardiac arrest...

Therefore, doctors will try their best to ask patients who are more seriously ill to stay in bed.

Lying in bed is the position with the least load on the heart, because when the human body is upright, the heart needs to overcome the influence of gravity to pump blood.

Once the patient stands up, the pressure on the heart increases.

It will aggravate heart failure and increase the possibility of ventricular fibrillation and cardiac arrest.

and,

Even if the patient successfully stands up, when the patient is about to lie down in bed, it will lead to increased reflux and exacerbated breathing difficulties.

So, lie down! lie! lie! !

This is what the doctor has repeatedly told me to do!

As for the 28 beds in charge of Zhou Mo, the patient named Chen Xue, Zhou Mo repeatedly told him not to get out of bed, even if he was urinating and urinating on the bed.

Senior Brother Chen Bing said rudely at this time: "If this happens next time, just use morphine directly..."

Huang Yiming nodded: "Yes!"

He was so new that he was frightened, and there was a cold sweat on his back.

……

With the injection of the third epinephrine, the patient finally experienced heartbeat fluctuations under Zhou Mo's constant pressure.

"Success!"

"Phew~~~~~~"

Zhou Mo breathed a sigh of relief.

let it go.

The ECG monitor began to show a stable waveform.

Yes, it is sinus rhythm!

Heart rate 110 beats/min...

Blood pressure 140/80mmHg...

The big stone on Huang Yiming's chest fell to the ground.

grinned.

……

the next ward,

What happened in Bed 30, a bunch of doctors ran over, and the movement was not small, which attracted the attention of the sisters in Bed 28.

"Sister... what happened?"

"I don't know, why do you gossip like that?"

"Sister, don't you gossip the same way? I don't believe that you're not curious."

"..."

"I'll go and find out..."

"Hey, you bastard..."

Chen Xue couldn't stop it, so Chen Bing ran out.

Not long after Chen Bing came back, she said to Chen Xue with a surprised expression:

"Sister, I found out that the patient next door, like you, had a heart attack. The doctor asked to lie down and couldn't get out of bed, but the patient didn't listen, so he had to go to the toilet, and then he suddenly had a cardiac arrest as soon as he sat up... It's too thrilling. Fortunately, the handsome doctor arrived and rescued the patient..."

"!!!!!!"

Chen Xue was shocked!

Sitting down and almost dying?

Is it so dangerous?

Chen Xue was so frightened that she quickly dismissed the idea of getting up to go to the toilet.

What's wrong with a beautiful woman pooping on the bed?

It's just like the question of 'beauty's **** is going to shit'!

……

afternoon,

The 28-bed Chen Xue was pushed to the first floor for a coronary CT scan. The result of the final examination was that the myocardial infarction was not serious, and only a small segment of stenosis caused insufficient blood supply, causing myocardial infarction.

Have mild coronary heart disease (also known as coronary atherosclerosis).

And at 16:00 in the afternoon, the blood draw results came out, the patient's troponin was not very high, although it did not reach the peak in time (it can be elevated 3-6 hours after the onset, and 10-6 hours after the onset of the onset) The highest value is reached within 24 hours), but it also proves that myocardial infarction is not very serious.

There are also creatine kinase isoenzymes, creatine kinases, etc., and the growth is not much.

Zhou Mo reported to Senior Brother Chen Bing, and finally felt that the patient's condition was not serious, just need to take some medicine and dilate the blood vessels... There will be no problem tomorrow, and he can be discharged from the hospital. In the future, as long as you always have nitroglycerin, you will be fine.

If coronary atherosclerosis is more serious,

Under the guidance of a doctor, consider the classic drugs for coronary heart disease:

"Aspirin": an anti-platelet aggregation drug that can inhibit the formation of thrombus in the blood vessel and reduce the possibility of coronary artery occlusion by thrombus.

"Atorvastatin": It reduces blood lipids and is also helpful for preventing myocardial infarction.

Then Huang Li, the attending physician, took a look. There was no problem, and he agreed.

Zhou Mo made rounds before leaving get off work and informed the patient Chen Xue of the incident.

"You can be discharged from the hospital so soon?" Chen Xue was surprised.

"What a pity." Chen Bingzui said quickly.

Then, Chen Xue's waist was itchy and twisted, ah~~~ screaming.

Chen Bing said stubbornly, "handsome guy, do you have a girlfriend?"

Zhou Mo: "I'm too busy with work, I don't have time to find a girlfriend..."

Chen Bing: "I am... can I?"

Zhou Mo glanced at Chen Bing's...

never mind,

Not interested in.

Turn around and leave.

Chen Bing: "…………"

"Sister, what does his eyes mean?"

"You have a small chest... No, you don't have any..."

"Ah? Ahhhh~~~~~~"

Chen Bing exploded.

After Zhou Mo checked the room, he returned to the duty room, then changed his medical records and doctor's orders, and then wrote a discharge report, discharge summary...etc...

17:00…

Just as Zhou Mo was about to get off work...

Huang Yiming quickly grabbed Zhou Mo: "Brother...don't go, and there is no "Rescue Record" written..."

Zhou Mo patted his head.

forget!

Several of my own people rescued 30 patients, and they wanted to write a "Rescue Record" for inspection at any time.

Huang Yiming: "Brother, help me write!"

Zhou Mo glared at Huang Yiming: "Didn't you write this? You wrote it~www.readwn.com~ I'll just check it..."

Huang Yiming pressed hard: "But I still have two patients' information that I haven't sorted out yet. I have to get at least seven or eight o'clock... Brother, I beg you..."

Zhou Mo was speechless: "Okay, I'll come..."

Writing this is actually not difficult.

Zhou Mo was "experienced" and quickly wrote down the patient's rescue process, then found the doctors involved in the rescue, paired the time one by one, and sent it to the nurse to check the time...

Finished, 17:54...

Terrible!

Get up, get off work!

He glanced at the duty room and found that the other medical students had already left work.

"Are you preparing for tomorrow?"

Tomorrow is the big rounds on Monday!

And a discussion meeting on pig heart transplantation!

It is a stage where everyone who wants to make progress can display their talents and show their strength.

All medical students can be said to be gearing up.

I, the king of involution!

Humph, crush you!

……