I Can See Health

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Heart zone eight, doctor's office.

Lu Chen was busy filling in his medical records when a young nurse suddenly walked up to him.

"Lu Chen, go and do me a favor."

The young nurse's name is Jia Liu, and she has only been working in the Eighth District of Xinnei for one year.

"What's wrong?" Lu Chen looked back at Jia Liu in confusion.

"I have a patient after PCI who can't urinate and needs a urinary catheter..." Jia Liu whispered, "Can you help me get it done?"

"Male patient?"

"Yes, if you are a female patient, why should I ask you to go there?" Jia Liu patted Lu Chen's shoulder lightly, "Go ahead and help me. Aren't you always helpful to Sister Liu Mei?"

"But you usually penetrate the male patients yourself, why did you let me go today?"

"Hey, that male patient is very young and a little shy. He has to let a man fuck him." Jia Liu said with a helpless smile, "We are not shy. I don't know how shy he is as a grown man. Woolen cloth."

Lu Chen coughed lightly and smiled: "You are well-informed, but the patients may not have girlfriends."

"Fuck you." Jia Liu scolded with a smile, "Are you going or not?"

"Okay." Lu Chen naturally agreed.

The more things you can do to improve your skill proficiency, the better.

"Thank you." Jia Liu smiled, "Next time we work night shift together, I'll treat you to milk tea."

"Okay." Lu Chen nodded and went to the treatment room to get the catheterization bag.

This time, the small classmate behind him did not follow him.

…

Ward eight in the heart.

Yang Song felt that he was too miserable.

He was only 21 years old this year. After staying up all night for a week, he suddenly suffered from chest pain.

After being sent to Jinghua Second Hospital, he was diagnosed with acute myocardial infarction and three stents were placed.

On the second day after the intraoperative surgery, he was transferred from the CCU ward back to the general ward.

But something embarrassing happened again.

A patient with myocardial infarction cannot get out of bed during the acute stage, and he cannot urinate!

The nurse said to insert a urinary catheter into him.

Yang Song quickly refused, how embarrassing it was!

But while lying on the bed, he felt the urge to urinate but could not urinate.

This taste is even more uncomfortable!

"How about you find me a male doctor to do it." Yang Song finally had no choice but to compromise.

…

Lu Chen took the catheterization bag and went to bed 36 where catheterization was needed.

"Yang Song, right?" Lu Chen began to check the patient's name.

"Yes." Yang Song nodded, "Doctor, are you here to insert a urinary catheter for me?"

"Yes." Lu Chen smiled, "If you feel uncomfortable during the intubation process, you can always tell me."

"Are you still feeling uncomfortable?" Yang Song frowned.

He was most afraid of pain.

"I'm sure you will feel a little uncomfortable when the catheter is inserted." Lu Chen said.

"Oh, doctor, please be gentle." Yang Song whispered.

Lu Chen nodded.

"Take off your pants."

"Ah? What, how do you take it off?"

"Just pull your pants down below your knees, and then spread your legs slightly."

"Oh." Yang Song blushed and pulled down his pants.

"Take off your underwear too."

Yang Song glanced to the side, seeing no one else, and then slowly took off his underwear.

"I need to disinfect first." Lu Chen said to Yang Song.

"What are you using for disinfection?" Yang Song was stunned.

"It's the iodophor commonly used in hospitals. Don't be too nervous. I did it very well and it will be over soon."

Yang Song nodded, then closed his eyes, not daring to look directly.

When disinfecting, the first pass needs to be disinfected from the outside to the inside.

The second pass is to disinfect from the inside out.

After disinfection is completed, the urinary catheter is inserted.

The whole process went very smoothly.

When the catheter entered the urethra about 20cm, Lu Chen saw urine flowing out.

Then insert another 2-3cm.

Inject 20mL of normal saline into the balloon port, and then fix the urinary catheter and connect it to the catheter bag.

"It's done." Lu Chen opened the catheter, "Yang Song, I'm going to give you 400 ml of urine first. Don't put more."

Do not catheterize too much for the first time.

Otherwise, it is easy to cause the bladder volume to shrink rapidly, leading to bladder bleeding.

"Thank you, doctor." Yang Song opened his eyes, and sure enough, he still felt a little uncomfortable.

After Lu Chen cleaned the catheterization equipment, he heard the system prompt.

"Congratulations, I received Yang Song's gratitude value +1!"

"Congratulations, your catheterization proficiency reached 81%!"

not bad.

You can gain gratitude points from one operation and you can also train your skills.

"Doctor, wait." Yang Song suddenly stopped Lu Chen.

Lu Chen stopped and looked back.

"Is there something uncomfortable?"

"I feel like I still can't pee." Yang Song frowned.

Lu Chen was stunned and looked over.

There was indeed no urine print in the catheter.

There is only about 20ml of urine in the catheter bag.

There must be no problem with the operation of this catheter.

The system has increased his proficiency.

But why is no urine drained out?

"How long has it been since you urinated?" Lu Chen frowned.

"It's been almost a day." Yang Song thought for a while and said.

"One day?" Lu Chen looked solemn, "On this day, did you eat normally? Did you drink a lot of water?"

"Didn't your doctor tell me to drink more water?" Yang Song asked doubtfully, "I drank a lot of water."

"Do you feel chest tightness?" Lu Chen continued.

Yang Song nodded quickly.

"I felt chest tightness last night. I told the doctor on duty, and he said I had an acute myocardial infarction. Although a stent was placed, I will definitely not fully recover."

"What were your symptoms before the stent was placed? Did you have chest tightness?"

"It's just chest pain, no chest tightness."

I drank a lot of water and didn't pee all day.

There are also symptoms of chest tightness.

Lu Chen felt something was wrong with this patient's condition.

This is not a simple problem of not being able to urinate.

Almost no urine for a whole day, this can completely diagnose acute renal failure!

In the human body, metabolism is going on all the time.

Most of the waste products produced by metabolism are excreted through the kidneys.

If there is no urine, that means the kidneys are damaged.

Persistent anuria, metabolic waste accumulation in the body, is likely to cause damage to various organs.

If there is no urine for a long time, it is what we often call "uremia".

"Yang Song, please rest well in bed first." Lu Chen said, "I will ask your doctor in charge to see you later."

"Okay, thank you doctor." Yang Song nodded.

…

Dispose of the waste from the catheterization first and return to the doctor's office.

Lu Chen immediately opened the test sheets for 36 beds of Yang Song.

"Preoperative creatinine was normal."

Later, Lu Chen turned to Yang Song's renal function indicators for review after surgery.

"Creatinine 141umolL!"

Lu Chen's eyes narrowed.

During the first postoperative review, creatinine increased, which means that kidney function has been destroyed.

Open the physician order system.

Lu Chen saw that in the doctor's order system, there was no order to review kidney function again.

This patient was not a patient in their group, but a patient in Chief Physician Shao Jun's group.

Lu Chen didn't have the right to deal with it. UU reading www.uukanshu.net

"Fat man, who of you is in charge of this 36-bed bed?" Lu Chen came to the students in Director Shao Jun's group.

Cheng Peng is a graduate student of Director Shao Jun, and he and Lu Chen are both first-year graduate students.

Because of his obesity, everyone called him Fatty.

"Bed 36 Yang Song..." Cheng Peng turned on the computer, "The patient who was just transferred from the CCU yesterday is in my care. What happened?"

Lu Chen said in a deep voice: "This patient hasn't urinated all day. His diet is normal. I heard from him that you also made him drink a lot of water, but he still hasn't urinated."

"You haven't urinated all this time? Could you be suffering from acute renal failure?"

Cheng Peng's expression changed, and the fat on his face shook.

For the convenience of reading next time, you can click "Collect" below to record the reading record of this time (Chapter 161 Myocardial Infarction Patient Who Can't Urinate (9/10 Please Subscribe)), and you can see it next time you open the bookshelf!

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