Start as an Emergency Physician
Chapter 19
"The operation was a complete success!" Zhou Yuan's words revealed weakness, making people feel like they would lose their breath in the next second.
In fact, it is not easy for Zhou Yuan to hold on until now.
The family members of the patients, who were ready to hear the words "we have done our best", were stunned outside the operating room.
"Cheng... My husband is fine!!".
The patient's wife held Zhou Yuan's hand tightly: "Thank you! Doctor! Thank you!"
A smile hung on Zhou Yuan's pale face: "It's okay, this is what our doctors should do." "
Sun Meng was a little unbearable, and said: "The patient's operation has been completed, and after that, we should pay attention to postoperative maintenance, amputated limb replantation is not a minor operation, and we need to pay special attention to a series of postoperative complications." Now let Dr. Zhou go and rest!".
was dragged onto the flat bed by Sun Meng and Zhang Ling, looking at the glucose water on his head, Zhou Yuan smiled with satisfaction.
After returning to the lounge, Zhou Yuan took advantage of Sun Meng and Zhang Ling's inattention, and immediately took out the vitality elixir of Huang Cheng Cheng from his pocket and drank it all in one go.
"A bit of orange juice. Zhou Yuan smacked his mouth twice and tasted back.
The next moment, the tiredness in Zhou Yuan's body was swept away, and his energy returned to its peak state again!
It's just that the weakness in the body is caused by low blood sugar, and this vitality medicine can't do anything about it.
"Zhang Ling. Zhou Yuan shouted.
It was Sun Meng who pushed the door open.
Sun Meng was a little surprised by Zhou Yuan's recovery ability - he was still a little turtle when he came in, but now he is as angry as the Teenage Mutant Ninja Turtles
"Why don't you call me. "Sun Meng is so aggrieved.
She is the one who cares about Zhou Yuan the most, and she is also the one who helps Zhou Yuan hang glucose water, and she is also the one who comes to the lounge to see Zhou Yuan during the ward rounds.
Now I actually call the names of other little nurses.
Zhou Yuan was stunned for a moment, and smiled helplessly: "You are a resident doctor, I am planning to call Zhang Ling and trouble her to keep an eye on the patient who has amputated his limb replantation surgery." There are common and serious postoperative complications associated with this major surgery, which must be paid attention to at all times!".
Sun Meng was unhappy: "Resident doctors can't be nurses?"
Zhou Yuan choked.
At this time, Zhang Ling also pushed the door open and came in, and Zhou Yuan hurriedly changed the topic.
"Please pay attention to the patient's blood pressure, pulse, and breathing. There is also urine output. Have the family stay in the patient's morning urine to analyze the urine specific gravity. By the way, it is necessary to pay special attention to the changes in the patient's mental status and skin and mucosal color. "
Zhang Ling was happy to be instructed by Zhou Yuan, and immediately ran to work happily.
In fact, these are common sense, nurses generally know how to do it, but it is the responsibility of Zhou Yuan, a doctor, to give medical orders.
It is also not prudent for Zhou Yuan to measure urine output and urine specific gravity for the purpose of monitoring kidney function. Renal failure is an extremely serious complication after amputated limb replantation surgery, which can lead to death.
Sun Meng secretly looked at Zhou Yuan, and found that the latter's eyes had turned around, and he immediately looked up at the glucose water on his head, and said weakly: "The glucose water is almost a third of it." "
"You are really hard enough, last night it was you, Director He, and Haiyang who were on night duty, but today they also encountered a major operation, and they have not rested until now. Sun Meng said admiringly.
Zhou Yuan shook his head, feeling that the blood sugar concentration had risen, at least it was impossible for him to be in a coma with weak legs, so he pulled out the needle.
"Eh, why did you pull it out!" Sun Meng was shocked.
"You continue to cultivate!" Sun Meng said for the first time in the tone of command of a resident doctor to an intern.
Zhou Yuan held a bubbling needle in his hand and stared at Sun Meng: "You can't let me insert it back, right?"
Sun Meng: ....
Zhou Yuan smiled, stood up, and said, "I'm fine, let's just go to the patient's side to have a look, and there are some precautions for the patient's family to pay extra attention to." "
Although the nurse may have warned you, verbose is never a bad thing.
So, Sun Meng walked with Zhou Yuan to the ward for amputated limb replantation surgery with the medical records.
"The patient's name is Chen Ping, male, 32 years old, right upper limb cutting and crushing severation, after amputation replantation surgery, the current condition is good, the blood flow is smooth, and the patient is conscious...," Sun Meng reported.
When the two pushed open the door of the ward, they happened to see Zhang Ling instructing precautions.
"Doctor Zhou!" Zhang Ling was a little surprised.
"I'll do it. Zhou Yuan walked up.
Chen Ping's family members saw that Zhou Yuan, who was the chief knife, was here, and they were grateful again.
"Where did you go?" Zhou Yuan asked.
Zhang Ling said: "I have asked them to pay attention to elevating the affected limb so that the position of the replanted limb is higher than the heart. "
Zhou Yuan nodded and reminded again: "The position should not be too high, too high will affect blood circulation, and it will not be good for the recovery of the affected limb." "
Zhou Yuan took a closer look at the affected limb and found that there was a place marked with a ballpoint pen on it, so he asked, "Have you measured the local skin?"
This is a necessary step after surgery, the temperature of the affected limb in good condition should be kept at 33~35 degrees Celsius, and the difference temperature from the unaffected side should be within 2 degrees Celsius, and it should be measured every hour, and it should be in the same part every time, so it is often marked with a ballpoint pen.
———
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