I Can See Health: Chapter 214 Speed up the pump!
Chapter 214 Speed up the pump!
Just as Lu Chen was checking the WeChat group news, a hurried shout suddenly came from outside the office.
"Doctor...Doctor, come to the doctor!"
Lu Chen was shocked.
Fan Zhiping and Yin Xinhua, who were sitting next to them, also stood up immediately.
The three of them ran towards the ward in unison.
Lu Chen followed Yin Xinhua. As soon as he walked out of the doctor's office, he heard the nurse on duty shouting.
"The 39-bed patient fainted!"
39 beds?
Isn't this the patient who just wanted to get out of bed to urinate?
Was he disobedient and got out of bed again?
The three of them walked like flying.
Lu Chen pushed the electrocardiograph and ran towards the ward.
…
ran quickly into the ward.
Lu Chen saw the nurse on duty performing CPR on the patient.
On the ECG monitor at the bedside, the ventricular fibrillation waveform is displayed!
Health on the patient's head is 42.
is not urinating, but sudden ventricular fibrillation!
However, without any warning, why did you suddenly have ventricular fibrillation?
The patients and their family members on the two beds next to them were frightened.
Family members and active patients all left the hospital bed, ran out of the corridor, and looked inside from a distance.
The originally quiet ward suddenly became noisy.
In the wards next door, people who didn't sleep and liked to join in the fun all ran out.
…
Lu Chen couldn't figure out the cause, but he couldn't allow him to think too much now.
"I'm going to get the defibrillator!"
Lu Chen ran out, rushed to the treatment room, and found the defibrillator.
Back to the ward.
Fan Zhiping has taken over the position of nurse and performed CPR.
Lu Chen applied conductive paste to the defibrillator.
"Brother Fan, I'm ready to defibrillate!"
Fan Zhiping nodded, then moved away from his position.
When Lu Chen saw this, he immediately stepped forward.
Place the paddles on the patient.
"Get out of the hospital bed!"
Charge!
Discharge!
However, the patient's ECG waveform did not change, still ventricular fibrillation!
Defibrillation cannot be performed continuously.
Lu Chen stopped what he was doing and removed the electrode plate.
Fan Zhiping immediately stepped forward and continued to start CPR.
"Why did ventricular fibrillation suddenly occur?" Yin Xinhua also asked.
The patient was admitted to the hospital with heart failure this time, and the admission examination only had a high BNP, and there was no other abnormality.
Could a sudden myocardial infarction induce ventricular fibrillation?
"Adrenaline 1mg intravenously, continue defibrillation!" Yin Xinhua said solemnly.
Lu Chen applied the conductive paste again and performed a second defibrillation.
Charge!
Discharge!
The whole process was incredibly fast.
He and Fan Zhiping alternated defibrillation and cardiopulmonary resuscitation.
Defibrillated three times in a row and pushed epinephrine twice.
However, the patient's heart rhythm is still ventricular fibrillation!
In Lu Chen's eyes, the patient's health has been declining.
Dropped from 42 to 39 before, and then to 36!
"Mother-in-law, her condition is critical now, we will immediately transfer the patient to the CCU downstairs!"
Yin Xinhua immediately communicated with the patient's family and contacted the patient's son.
Fortunately, he is an old patient, and his family members are more willing to treat him, so he agreed to be transferred to CCU.
In this state of the patient, there is no time to waste.
Lu Chen turned over, climbed onto the bed, knelt beside the bed, and began to perform CPR on the patient.
Fan Zhiping and Yin Xinhua pushed the bed together and pushed out the ward.
…
At this time, Li Qinghua, the chief inpatient of the Cardiology Department, came.
When encountering this kind of rescue, the hospital manager is usually called.
Li Qinghua seemed to know that Lu Chen was in bad condition by lying on the bed for CPR.
Yin Xinhua quickly explained the patient's condition to Li Qinghua.
Next, Li Qinghua took over Yin Xinhua's position of pushing the hospital bed, and worked with Fan Zhiping to push the hospital bed into the elevator.
Yin Xinhua stayed in the ward to take care of other patients in the ward.
The crowd pushed the hospital bed towards him.
Lu Chen lay on the bed and performed cardiopulmonary resuscitation without a break.
He felt that his hands were extremely sore and heavy, but he did not dare to slack off in the movements of his hands!
"Ding!"
The elevator finally reached the fourth floor.
The hospital bed was pushed to the door of the CCU.
At this time, a doctor from CUU greeted me at the door.
Everyone worked together to push the hospital bed into the rescue room of the CCU.
Doctor CUU immediately took over from Lu Chen, "What's the condition of the patient?"
"Sudden ventricular fibrillation, defibrillated three times in the ward without success." Li Qinghua said solemnly, "I heard from the ward doctor that the patient's admission this time is a state of valve disease and heart failure, and there is no other disease or cause. factor."
"Are the electrolytes normal?" said the doctor on duty.
Li Qinghua nodded, "It's normal, it's not yet clear why the patient developed ventricular fibrillation."
"Okay, hard work."
…
When Lu Chen got off the hospital bed, he felt that his hands were almost not his own.
This kind of high-intensity chest compression, although not long, is extremely exhausting.
"It's okay." Fan Zhiping said aside.
He just saw that Lu Chen's rescue speed was not inferior to some of the attending doctors.
But when he thought of Lu Chen's previous performance, he felt that it was normal.
"It's okay." Lu Chen looked back at the patient on the eye bed.
The patient was pushed to the CCU, any of theirs was done.
The next thing to look at is the CCU doctor's ability to treat and the patient's desire to survive.
However, Lu Chen was very curious about the cause of the patient's ventricular fibrillation.
The occurrence of any disease or the change in the condition is based on a reason.
Even if you can't find a definite cause, you can find clues.
But this patient, Lu Chen went to see him half an hour ago.
The patient was in good condition at that time, and there was no arrhythmia on the ECG monitor at the bedside.
"Brother Fan, let's go back to the eighth floor." Lu Chen said.
They couldn't have been waiting in the CCU for rescue.
Night shift tonight, there is a lot to do upstairs.
"it is good."
Fan Zhiping nodded, then pushed the empty hospital bed with Lu Chen and returned to the eighth area of his heart together.
…
Eight districts in the heart.
Lu Chen and Fan Zhiping pushed the empty hospital bed back into the ward.
Set up the hospital bed, and Lu Chen is ready to leave.
He glanced and suddenly saw the IV pump on the bedside table, and stopped immediately.
The nurse is cleaning up the medicine for the rescue, and I haven't had time to get the infusion pump back.
"What's the matter?" Fan Zhiping asked suspiciously when he saw that he hadn't left.
"Brother Fan, look at this infusion pump." Lu Chen stepped forward and pointed to the infusion pump in front of him.
Fan Zhiping looked at the infusion pump, "No problem, what's wrong?"
Lu Chen leaned over to examine the infusion pump carefully, and said solemnly, "The medicine in the infusion pump has run out."
"The medicine has run out, so, what could be wrong with this?" Fan Zhiping just finished saying this, and then he seemed to have thought of something, and his eyes were stunned, "What medicine was used? Nitroglycerin?"
Lu Chen nodded, "Yes, I came to the ward half an hour ago. I remember the patient's intravenous infusion pump at that time, at least half of the fluid was not finished."
Fan Zhiping also realized that something was wrong, and said slowly: "According to the normal pump speed, it will take at least five hours for the rest of the normal medicine to be pumped, but why did he finish the pump in half an hour?"
"The only explanation is that the patient adjusted the speed of the nitroglycerin himself!" Lu Chen frowned.
(end of this chapter)