Add Bookmark | Recommend this book | Back to the book page | My bookshelf | Mobile Reading

Free Web Novel,Novel online - All in oicq.net -> Romance -> Medical advancement

Text Chapter 265 Blood Volume

Previous page        Return to Catalog        Next page

    Only then did Gu Jianqiu know that Director Jiang had told the patient and family about the change of treatment plan last night, intentionally or unintentionally. His intention was probably to shirk responsibility for problems with the treatment. Unexpectedly, the patient and family members knew the whole story.  I understand that Chinese medicine plays a key role in this.  =====At the same time, he also knew that Director Jiang was causing trouble and did not let the patient's family members report the condition to him.  Gu Jianqiu did not say anything. He re-examined Director Niu and confirmed that Director Niu's condition had indeed improved initially, especially the edema, which had subsided significantly. It seems that traditional Chinese medicine can treat nephrotic syndrome as long as the dialectical medication is used correctly.  Therapeutic.  Of course, if it was treated by an ordinary Chinese medicine doctor, it would never be possible to get better. Of course, it would benefit from Gu Jianqiu's true energy to enhance the efficacy of the medicine.  Gu Jianqiu is very happy. Now that the effect has been achieved, the prescription will not change. He will continue to take the medicine and decide whether to adjust it according to the situation later.  After Gu Jianqiu¡¯s follow-up consultation, he said goodbye and prepared to return to the Department of Traditional Chinese Medicine.  As soon as he reached the corner, he heard someone shouting from behind: "Teacher Gu!" Gu Jianqiu turned around and saw that it was trainee nurse Feng Wei, and looked at her with a smile: "I heard about your heroic efforts to rescue patients despite your own safety.  You are so brave!" Feng Wei's pretty face was rosy, she lowered her head, shook it slightly, looked up at him again, her eyes sparkling, and said, "I should thank you, teacher, if you hadn't reminded me that there was something wrong with this patient.  , I may not be mentally prepared, and when her husband comes in to beat her, I may be frightened and run out, just like everyone else. It is because you reminded me that I am mentally prepared and can handle it calmly when I see him.  When he wanted to kill his wife, I had the courage to attack him, so after all, I have to thank you. " "What are you thanking me for? This is your bravery in standing up to the mob.  This behavior will be written into your internship report and will give feedback to your school. In the future, it will be of great help to you in finding a job after graduation. Any hospital will be willing to recruit you, of course, including our Kenteman Hospital.  , I believe the hospital leaders will also welcome it.¡± Feng Wei was pleasantly surprised.  His voice was trembling: "If I apply to work here when I graduate, will your hospital really admit me?" "I believe it will. At least I welcome you to come, and I can also recommend it to the hospital leaders.  You." Feng Wei's eyes brightened, and the blush on her face made her look even more petite and cute. "Thank you, Teacher Gu! I feel confident that the female patient is right now.  We became good friends, and she asked me to come to the ward to talk to me when she had nothing to do. She told me about her husband. Her husband did everything he could to eat, drink, and gamble. The most abominable thing was that he often beat her until she fainted and was hospitalized several times.  She couldn't live any longer and wanted to divorce her husband. She and her husband threatened to kill her whole family if she divorced her. She was really angry, so she was ready to kill her if he dared to do so.  Just fight with your husband." Gu Jianqiu nodded: "It is a woman's nature to be gentle, but she will fight to the death. Rabbits will bite people when they are anxious, let alone people." "Yes, her husband has been killed.  The Public Security Bureau arrested him. The police officer said that he was a frequent customer of the police. He often started fights and caused troubles and entered the police station. This time, his behavior constituted the crime of intentional homicide. When he was caught and interrogated by the Public Security Bureau, they also found out that he was selling drugs, etc.  For a bigger crime, the police said that even if he doesn't lose his head this time, he won't be able to get out of prison in this life. This will make it easier for them to divorce, and the court will decide it directly. She has already submitted a divorce petition to the court.  The court has accepted the case, and she is very happy now. She has opened a clothing factory, which is very profitable. She said that if I am willing to change my career, I can help her in her factory, and she wants me to be the vice president or something. I did not agree, and I learned.  After so many years of medicine, I still want to practice my profession, and now that Teacher Gu is willing to help me, I feel more confident." Gu Jianqiu felt relieved, chatted with Lin Ziyan for a few words, and then left.  , Lin Ziyan plucked up the courage and said: "Teacher, I have something to ask you, okay?" Gu Jianqiu nodded and said: "Just tell me if you have anything. I already said it last time, although I  I'm not very familiar with nursing. If we have any questions, we can study it together. " "Teacher, you're too polite. It's like this. There is a patient in our intensive care unit. I think something is wrong with him, but I don't dare to tell the doctor. I'm afraid I will judge him.  I made a bad impression on the teacher. Can you help me make a judgment?" "Tell me about it." "This patient was sent for surgery yesterday. The operation was relatively normal, but towards the end of the operation, his blood pressure dropped sharply.  , the heartbeat also increased sharply, and later the intravenous infusion of vasopressors was enough to maintain the blood pressure. The doctor checked for a long time but could not find the reason. However, the patient's blood pressure quickly dropped as long as he did not use vasopressors.  The blood loss during the entire operation was not much, so the doctor askedNo reason was found, so he had to be sent to the intensive care unit for nursing and observation.  When I was monitoring this patient, I found that the patient's lips were dry and his skin was in poor condition. He looked a bit dehydrated.  I want to suggest to the doctor that the patient should be replenished with fluids, but I am afraid that I will make a wrong judgment.  Otherwise, can you come with me and take a look?  " Gu Jianqiu smiled and said: "I am a doctor in the Department of Traditional Chinese Medicine. If I interfere too much in the treatment of nephrology, people will criticize me.  Well, if that's what you said, I'll teach you a way. You can check it out and you'll know what to do.  " "Okay, teacher, tell me.  " "You said that the patient's blood pressure has been falling and he needs to rely on vasopressors to maintain it, but you can't find out the reason. And you feel that he seems to be dehydrated, and you suspect that his blood volume is not enough. Is it because the infusion fluid was not infused before the operation?  Enough?  Go and ask the nurse in the ward to check the implementation of his pre-operative medical instructions and see if he has enough infusion volume?  Because if the amount of fluid infused before surgery is not enough, it will also cause the patient's blood volume to decrease, resulting in a decrease in blood pressure.  " Feng Wei's eyes lit up, she nodded quickly and said, "Yes, why didn't I think of that?  Thank you for your advice. I will check it out right away. Thank you very much. Goodbye.  "With that said, Feng Wei bowed and hurriedly turned around and left. Seeing Feng Wei's pretty back, Gu Jianqiu secretly admired, this girl is not simple, she is thoughtful and observant, she is very suitable to be a nurse, and she will definitely be a very good one in the future.  Nursing talents. If such people could come to work in Kentman Hospital, it would be a win-win situation for both the hospital and her. When she returned to the Traditional Chinese Medicine Department, she saw Director Lu Zhicheng standing at the door. When she saw him, a questioning look appeared on her face.  Gu Jianqiu knew that Lu Zhicheng might have been expecting him to go and find out the situation first, but he was worried about it, so he stood at the door and waited. When he saw him coming back with a happy face, a smile appeared on his face, and he quickly came up and asked: "What's the matter?  Sample?  Has it gotten better?  "The edema has been significantly eliminated, and his mind has returned to clarity. He can speak and see clearly. It seems that we are right to adjust the medication."  " Lu Zhicheng couldn't help but be overjoyed. He kept rubbing his hands in circles and said, "This is good, great, how about it? Director Jiang didn't say anything, right?  " Of course Gu Jianqiu would not tell Director Jiang's little tricks. He did not want to provoke a confrontation between the two chief doctors. He just nodded lightly and said: "He is also very happy.  " When he was about to get off work at noon, Gu Jianqiu heard the familiar footsteps again. He found that he didn't even need to turn his head to know that it must be the pretty little nurse Feng Wei. Sure enough, Feng Wei's happy voice came from the door  Voice: "Teacher Gu, Teacher Xia, hello.  " Gu Jianqiu looked back and saw Feng Wei standing at the door and bowing to the two people. Xia Xueting nodded, smiled slightly and said, "Hello, are you here to see Teacher Gu?  " "Yes, I'm here to thank Teacher Gu.  " Xia Xueting was a little surprised: "What big problem did Teacher Gu help you solve again?  You made two trips in a row to thank him.  " "This time it was not only me, but also our director asked me to thank Teacher Gu on his behalf. Director Jiang said that he would like to thank Teacher Gu in person if he has the opportunity.  " Xia Xueting was even more surprised and said, "Oh, what on earth is going on?  Even your director was alarmed.  " "In the morning, Teacher Gu came to the Nephrology Department for a follow-up visit. I told Teacher Gu that I found a patient in the intensive care unit who seemed to be dehydrated and had very low blood pressure. He needed vasopressors to maintain his blood pressure.  However, there was no major blood loss during the operation.  I asked Teacher Gu what to do, and Teacher Gu asked me to check the implementation of the doctor's orders and see if the amount of infusion before the operation was sufficient.  I went to check, and sure enough, at that time, the patient said that the infusion was very painful, so the patient's family took it upon themselves to infuse only half of the fluid and drained out the rest, but told the nurse that the infusion was complete. The nurse really thought that the infusion was complete.  , he was sent to the operating room. The patient's blood pressure dropped because of insufficient blood volume.  " "After finding out this matter, we quickly adopted multiple channels to quickly replenish blood volume. The patient's blood pressure quickly rose. Now everything is normal and he has been transferred to the general ward.  Director Jiang and others praised me and said that I was careful and discovered the problem in time. Otherwise, I don¡¯t know what would happen?  I honestly said that Dr. Gu told me, and Director Jiang asked me to come over to express my gratitude first, and he would find an opportunity to thank you in person.  " Gu Jianqiu smiled and said: "I'm very happy to be able to help. I can't say thank you.  " Feng Wei looked at Gu Jianqiu with eyes full of reverence, bowed, and said: "Teacher Gu, you are busy, I have to go back for dinner. Goodbye.  "After that, she walked away as briskly as a bird. Seeing Gu Jianqiu looking at her back in a daze, Xia Xueting said with a smile: "Hey, be careful of your eyeballs falling off!  " "Look what you said.  "Gu Jianqiu was a little embarrassed. Xia Xueting"She wanted to say something funny, but her cell phone rang. She picked it up and saw that it was her best friend He Meizhi calling. She hurriedly answered the call.  He Meizhi's voice was a little hoarse on the phone: "I'm having an infusion in the outpatient department of your hospital. I haven't had lunch yet. Can you bring me something to eat?" (To be continued, please search Piao Tian Literature, the novel is better and updated faster!  ps: Thank you to book friend Amao574 for voting for 2 monthly votes, thank you to book friend edffsa for your monthly vote, and thank you to book friend Datong Jixiang for the reward.
Didn't finish reading? Add this book to your favoritesI'm a member and bookmarked this chapterCopy the address of this book and recommend it to your friends for pointsChapter error? Click here to report