Start with the emergency physician
Chapter 019
“Surgery, 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 persist until now.
The family members of patients, who were ready to hear the words “we have done our best”, were suddenly stunned outside the operating room.
“Cheng… It worked? My husband is okay with him!! ”
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 then 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 complications after surgery.” Now let Dr. Zhou go and rest! ”
Dragged onto the flat bed by Sun Meng and Zhang Ling, looking at the glucose water on his head, Zhou Yuan laughed with satisfaction.
After returning to the lounge, Zhou Yuan took advantage of Sun Meng and Zhang Ling’s lack of attention, and immediately took out the yellow-orange-orange vitality potion from his pocket and drank it all in one go.
“A little 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!
However, the physical weakness is caused by low blood sugar, and this vitality potion can not do anything.
“Zhang Ling.” Zhou Yuan shouted.
It was Sun Meng who pushed the door open.
Sun Meng was a little surprised by Zhou Yuan’s ability to recover – when he came in, he was still a small turtle, and now he is actually as angry as the Teenage Mutant Ninja Turtles?
“Why don’t you call me.” Sun Meng was 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 gap between ward rounds.
Now I actually call the names of other little nurses.
Zhou Yuan was stunned, and smiled helplessly: “You are a resident doctor, I was planning to call Zhang Ling here and trouble her to keep an eye on the patient who had a severed limb replantation operation.” There are common and serious postoperative complications in this major surgery that must always be paid attention to! ”
Sun Meng was not happy: “Can’t the resident doctor be a nurse?” ”
Zhou Yuan was choked.
At this time, Zhang Ling also pushed open the door and came in, and Zhou Yuan quickly changed the topic.
“Please pay attention to the patient’s blood pressure, pulse, and breathing. And urine output. Let the family keep the patient’s morning urine analysis urine specific gravity. By the way, pay special attention to the patient’s consciousness and changes in the color of the skin and mucous membranes. ”
Zhang Ling was happy to be ordered 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, the doctor, to give medical advice.
Also by not being careless, the purpose of measuring urine output and urine specific gravity is to monitor kidney function. Renal failure is an extremely serious complication after amputation and replantation surgery, which can lead to death.
Sun Meng secretly looked at Zhou Yuan, found that the latter’s gaze turned, immediately raised his head to stare at the glucose water on his head, and said weakly: “The glucose water is almost one-third.” ”
“You are really good enough, last night it was you and Director He and Ocean on the night shift, and as a result, I encountered a major operation today, and I tossed until now to rest.” Sun Meng said with admiration.
Zhou Yuan shook his head, feeling that the blood sugar concentration had risen, at least it was impossible to be soft and unconscious in his 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 an order for a resident to treat an intern.
Zhou Yuan held the syringe in his hand and stared at Sun Meng: “You can’t let me plug it back in, right?” ”
Sun Meng: ……
Zhou Yuan smiled, stood up, and said, “I don’t have anything to do anymore, let’s just go to the patient’s side to take a look, and there are some precautions for the patient’s family to pay extra attention to.” ”
Although the nurse may have warned you, verbosity is never a bad thing.
So, Sun Meng held the medical record and walked with Zhou Yuan to the ward of amputated limb replantation surgery.
“The patient’s name is Chen Ping, male, 32 years old, right upper limb cut and squeeze dissection, after amputation and replantation surgery, the current condition is good, blood flow is smooth, the patient is conscious…” Sun Meng reported.
When the two pushed open the door of the ward, they happened to see Zhang Ling ordering 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 main knife, came, and they thanked them again.
“Where’s the point?” 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 supply, and it is not 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 tested 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 temperature difference with the unaffected side is within 2 degrees Celsius, and it should be measured every hour, and each time in the same part, so it is often marked with a ballpoint pen.
———
Either the codeword, or the codeword fainted in front of the computer, there is no second way to choose, continue to codeword and go, ask for all support!
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