I Can See Health
Chapter 138 I’m not happy at all
The insertion of a gastric tube is a very stimulating process for the nasopharynx, esophagus, and stomach.
If the patient coughs violently, has difficulty breathing, or looks hairy during the journey, it is very likely that the gastric tube has been inserted into the trachea.
This situation is more dangerous and can easily cause the patient to suffocate.
Gong Nannan heard Lu Chen's reminder and immediately pulled out the gastric tube.
As soon as the gastric tube was pulled out, the patient's dyspnea symptoms were immediately relieved!
At this time, Gong Nannan's little face was already covered with fine sweat.
In my imagination, a very simple operation turned out to be a big problem.
Fortunately, Lu Chen warned her in time. If she continued to penetrate her, the consequences would be disastrous!
She turned her head and looked at Lu Chen, feeling a little bit like she was about to survive a disaster.
"Sister Nan Nan, don't insert it yet. Please take a rest and let the patient take a rest as well."
After Lu Chen finished speaking, he auscultated the patient's lungs.
Make sure that Gong Nannan's operation just now caused adverse consequences such as pneumothorax.
Gong Nannan nodded, her little hands couldn't stop shaking.
Now if she is asked to have a gastric tube inserted, she may have to think about it.
"Sister Nannan, go and rest."
"good."
Gong Nannan put down the gastric tube, took off her gloves, and went to the sink to wash her hands.
She had already retreated in her heart.
It is better to wait for Teacher Zhang Huan to come and let her insert the gastric tube, or to insert it myself under her guidance.
Gong Nannan felt a little depressed.
It's obviously a very easy operation, why can't she do it well?
Every time Teacher Zhang Huan does it, it is obviously very easy to complete!
Emotions of self-blame and regret filled her heart.
After washing her hands, Gong Nannan was ready to return to the patient's bedside.
…
Just when she raised her head, she was stunned.
Lu Chen was holding a stethoscope and auscultating the patient's abdomen.
Hey, what is he auscultating?
The gastric tube has not been put in. Is it possible to auscultate the gastric alveolar area to see if there is any sound of air passing through the water?
What an international joke!
However, when her eyes moved up.
She was stunned.
A gastric tube has been inserted into the patient's nasal cavity.
Then looking at the depth, it should be about 50cm in.
In the blink of an eye, it takes less than 1 minute.
Is the gastric tube inserted?
Also, who did this?
Gong Nannan quickly came to the hospital bed in disbelief.
At this time, Lu Chen put away the stethoscope and muttered to himself: "It should be in the stomach."
"Lu...Lu Chen, you did this?" Gong Nannan stuttered out a few words.
"There should be no one else in this rescue room." Lu Chen shrugged.
For him, gastric tube insertion is an extremely simple operation.
If he hadn't been concerned about his status as just a student and without the authorization of a superior doctor, he would have done it himself.
But now Gong Nannan made a mistake, and the patient really couldn't delay any longer.
No longer looking forward or backward, he could only do it himself.
"But why are you so fast?" Gong Nannan asked, "It's less than a minute, right?"
"Sister Nannan, please don't talk nonsense, I'm not happy at all." Lu Chen said seriously.
He has trained hundreds of times in virtual space.
In fact, there are no special skills in these operations.
Only if you are familiar with it!
And the speed this time was much slower than his speed in the virtual space.
After all, this is a real patient, and Lu Chen has to consider the influence of many practical factors.
Gong Nannan's face turned red.
She glanced at the state of the patient on the bed.
Not bad, the patient doesn’t feel any discomfort at present.
"You are so powerful, why didn't you tell me earlier?" Gong Nannan patted Lu Chen's shoulder gently, "I was so scared that I almost made a mistake just now."
Lu Chen smiled and said nothing.
Little did he know that Gong Nannan would make such a low-level mistake and insert the gastric tube into the trachea.
"Hurry up and have your stomach lavaged," Lu Chen said.
"good."
It has been delayed for a while now, and I still need to perform gastric lavage to remove the toxins.
At the same time, Lu Chen also invited the patient's family back to the rescue room again.
(Note: Doctors and nurses need to avoid the patient’s family members when performing any operations)
"Thank you two doctors and nurses."
Seeing that the gastric tube had been successfully inserted, the patient's family finally breathed a sigh of relief.
Gong Nannan was extremely skilled in the subsequent gastric lavage operation and did not want Lu Chen to continue to take care of it.
"Sister Nannan, I'm going to help the senior brother next door and the others."
"Okay, go ahead."
As soon as he walked out of the ward, Lu Chen received a system prompt.
"Congratulations, I received a +1 thank you from Gong Nannan!"
"Congratulations, I received +1 gratitude from Shi Fang!"
"Congratulations, I received +1 gratitude from Ye Meiyu!"
"Congratulations, gastric lavage skill proficiency +1%!"
Not only did he successfully obtain 3 points of gratitude, but his skill proficiency also increased.
It seems that the emergency department is really a good place!
…
Come to the rescue room next door.
Wang Xiaodong is communicating with Li Qinghua about the patient's condition.
"Combined with the changes in the electrocardiogram and the elevated myocardial enzymes, the patient should have suffered from acute extensive anterior wall myocardial infarction, and just now should have had an Asthenia attack. This situation is quite critical and has a high mortality rate." Li Qinghua frowned.
Wang Xiaodong nodded: "Now after intubation, the patient's vital signs are stable, but the next treatment method is..."
"Transfer to our CCU..."
"Okay, let's transfer directly now."
At this time, Wang Xiaodong saw Lu Chen coming in and asked.
"Junior brother, has the gastric tube been placed in the poisoned patient?"
"Yes, gastric lavage is in progress." Lu Chen nodded.
"That's great." Wang Xiaodong breathed a sigh of relief.
Zhang Huan on the side also showed a look of relief when he heard this.
Nan Nan has grown a lot!
They can all perform gastric lavage independently.
At the same time, Li Qinghua also noticed Lu Chen.
This student looks really familiar.
He seems to be a graduate student in their cardiology department.
"Are you a cardiologist?" Li Qinghua looked at Lu Chen doubtfully.
"Well, Teacher Li, I am a student of Teacher Li Yao from District 8 in my heart." Lu Chen smiled.
"Oh, I remembered." Li Qinghua suddenly realized, "You are the Lu Chen who followed Guo Guo. Guo Guo has mentioned you in front of me several times."
Lu Chen was stunned. Has the senior sister mentioned him in front of other teachers?
"It's not easy. I got full marks in this year's entrance examination." Li Qinghua smiled.
Lu Chen touched the back of his head, smiled, and said nothing.
However, Wang Xiaodong on the side was stunned.
Junior Brother Lu Chen... is actually the one in his heart who got perfect scores on the skills test?
Didn't they just talk about this in the department?
Junior brother Lu Chen is really low-key, hiding so deeply.
"Why do you work night shift in the emergency department?" Li Qinghua continued.
According to the rotation regulations, freshmen will spend the first three months in their own undergraduate room.
Therefore, Lu Chen should be in the eighth district of the heart, not the emergency department.
"A senior brother has something to do, so I'll help him with the night shift. UU Reading www.uukanshu.net" Lu Chen coughed lightly and had to lie again.
After all, it doesn't sound good to talk about buying and selling night shifts.
"Okay, keep working hard." Li Qinghua patted Lu Chen's shoulder, and then said to Wang Xiaodong, "The patient with chest pain just now was transferred to our CCU. He may need emergency interventional surgery. You communicate with the patient's family first, and I will go back to get the ICU catheter Prepare the room."
"Okay, thank you, Teacher Li." Wang Xiaodong said.
…
five minutes later.
The patient with chest pain was transferred to CCU.
The comatose patient underwent emergency DWI, was diagnosed with acute cerebral infarction, and was transferred to the neurology department.
The originally noisy emergency ward immediately became much quieter.
In the rescue room, only the poisoned patient was still undergoing gastric lavage.
"Nannan, you didn't put this tube in your stomach?"
Everyone returned to the rescue room for poisoned patients.
Zhang Huan looked at Gong Nannan with slight disappointment.
Gong Nannan nodded slightly, then looked at Lu Chen.
"Dr. Lu put it in place."
Except for Wang Xiaodong, everyone present was surprised.
Everyone knows that Lu Chen is a freshman in the first year of graduate school, but he can actually put in a gastric tube?
"Junior brother, you can do it." He Qin smiled, "I haven't even let go of the gastric tube. I have a chance to learn from you."
"Yeah." Lu Chen smiled.
Wang Xiaodong, on the other hand, looked calm because he knew that Lu Chen was the one with perfect skills.
Other students can't do this gastric lavage operation, but Lu Chen can definitely do it!
He was originally worried that the students in the night shift were unreliable, but it seemed that he was overly worried.
With Junior Brother Lu Chen here, he should feel much more relaxed.
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