This Doctor is Great

Chapter 35 Breaking Ten Thousand Volumes of Reading!

bang bang bang~~~~

As Zhou Mo continued to press, the ECG of the ECG monitor fluctuated...

soon,

Other doctors also came.

Especially Huang Yiming, who is the doctor in charge of the bed, has a flustered face. This is the first time he has encountered this, and he is a little at a loss.

Three doctors joined the ranks to assist in CPR.

"What happened?"

"Heart arrest..."

"Why is it like this all of a sudden?"

The daughter cried loudly: "My mother said she wanted to poop, but I didn't let her get up. She didn't want to go to the toilet to poop. I couldn't help it. When she finally sat up, something went wrong... woo woo woo ~~~Doctor, please save my mother..."

When Huang Yiming heard this, he exploded in anger.

"I told you not to get up, don't get up...why didn't you listen..."

"Your mother has a heart attack, I have already told you thousands of times, you must stay in bed, stay in bed..."

Zhou Mo who kept pressing: "..."

All the doctors: "..."

Understood.

My heart is full of helplessness.

Another person who disobeyed the doctor's orders and caused a catastrophe.

Patients with more serious myocardial infarction will cause heart failure, the pumping power of the heart will drop, and then cardiogenic shock will occur...

If it is more serious, it will cause ventricular fibrillation, or direct cardiac arrest...

Therefore, doctors will try their best to ask patients with serious conditions to lie in bed.

Lying in bed is the position with the least load on the heart, because the heart pumps blood when the human body is upright and needs to overcome the influence of gravity.

Once the patient stands up, the pressure on the heart increases.

It will aggravate heart failure and increase the possibility of ventricular fibrillation and cardiac arrest.

and,

Even if the patient stands up successfully, when the patient is about to lie down on the bed, it will cause increased reflux and exacerbate dyspnea.

So lie down! lie! lie! !

This is what the doctor repeatedly ordered!

As for the 28th bed under Zhou Mo's management, the patient named Chen Xue, Zhou Mo also repeatedly told him not to get up, even if he urinates and defecates on the bed.

At this moment, Senior Brother Chen Bing said very bluntly: "Next time if it still happens like this, just use morphine..."

Huang Yiming nodded: "Yes!"

As a newcomer, he was frightened, and his back was covered in cold sweat.

...

Following the injection of the third epinephrine, the patient finally experienced heartbeat fluctuations under Zhou Mo's continuous efforts to press.

"Successful!"

"Huh~~~~~~"

Zhou Mo breathed a sigh of relief.

let it go.

The ECG monitor began to show a stable waveform.

That's right, it's sinus rhythm!

Heart rate 110 beats/min...

Blood pressure 140/80mmHg...

The big stone on Huang Yiming's chest fell to the ground.

grinned.

...

next door ward,

What happened in bed 30, a bunch of doctors ran over, and there was a lot of movement, which attracted the attention of the sisters in bed 28.

"Sister... what happened?"

"I don't know, why are you gossiping like that?"

"Sister, don't you also gossip? I don't believe you are not curious."

"..."

"I'm going to inquire about..."

"Hey, you motherfucker..."

Chen Xue couldn't stop her, so Chen Bing ran out.

Not long after, Chen Bing came back, and said to Chen Xue with a look of surprise:

"Sister, I found out. It turns out that the patient next door is suffering from myocardial infarction just like you. The doctor asked him to lie in bed, but the patient refused to listen. He had to go to the bathroom, and then suddenly suffered a cardiac arrest when he sat up... It was too thrilling. Fortunately, the handsome doctor arrived and rescued the patient..."

"!!!!!!"

Chen Xue was shocked!

Almost killed by just sitting down?

Is it so dangerous?

Chen Xue was so frightened that she quickly gave up the idea of getting up to go to the toilet, so the potty should be the potty.

What's wrong with beautiful women shitting in bed?

It's the same as the question of 'beauty's ass wants to poop'!

...

afternoon,

The 28-bed Chen Xue was pushed to the first floor for a coronary CT scan. The result of the final examination was that the myocardial infarction was not serious, and only a small segment of stenosis caused insufficient blood supply, which caused myocardial infarction.

Have mild coronary heart disease (that is, coronary atherosclerosis).

And at 16:00 in the afternoon, when the blood test results came out, the patient's troponin was not very high, although it did not reach the peak in terms of time (it can rise 3-6 hours after the onset, and it can rise after 10-10 hours after the onset). reached the highest value within 24 hours), but it also proved that myocardial infarction is not very serious.

There are also creatine kinase isoenzymes, creatine kinase, etc. The increase is not much.

Zhou Mo reported to Senior Brother Chen Bing, and finally felt that the patient's condition is not serious, he just needs to take some medicine and dilate the blood vessels... Tomorrow there is no problem, and he can be discharged from the hospital. In the future, you only need to keep nitroglycerin in your life.

If coronary atherosclerosis is more serious,

Under the guidance of a doctor, classic drugs for coronary heart disease can be considered:

"Aspirin": anti-platelet aggregation drug, which can inhibit the formation of blood clots in blood vessels and reduce the possibility of coronary artery being blocked by thrombus.

"Atorvastatin": It lowers blood lipids and is also helpful in preventing myocardial infarction.

Then Huang Li, the attending physician, took a look and felt that the side effects of aspirin might be a little more serious, so he changed it to clopidogrel for a trial, and if there is no problem, he can continue to use clopidogrel.

Zhou Mo checked the ward before leaving get off work and informed the patient Chen Xue about it.

"Can you leave the hospital so soon?" Chen Xue was surprised.

"It's a pity." Chen Bingzui said quickly.

Then Chen Xue twisted her waist itchyly, ah~~~ screamed.

Chen Bing said stiffly: "Handsome guy, do you have a girlfriend?"

Zhou Mo: "I'm too busy at work, I don't have time to find a girlfriend..."

Chen Bing: "Me, me... can I?"

Zhou Mo glanced at Chen Bing's...

never mind,

Not interested in.

Turn around and leave.

Chen Bing: "..."

"Sister, what does his look mean?"

"Your chest is small... No, you don't have any..."

"Ah? Ahhhh~~~~~~"

Chen Bing was furious.

Zhou Mo finished the room check, returned to the duty room, then changed the medical records and doctor's orders, then wrote the discharge report, discharge summary...etc...

17:00...

Just when Zhou Mo was about to leave work...

Huang Yiming hurriedly grabbed Zhou Mo at this time: "Brother... don't go, and there is no "Rescue Record" written..."

Zhou Mo slapped his head.

forget!

A few of my own rescued 30 patients, and I wanted to write the "Rescue Record" for inspection at any time.

Huang Yiming: "Brother, help me write!"

Zhou Mo glared at Huang Yiming: "Didn't you write this? You wrote it, and I'll just check it..."

Huang Yiming forced: "But I still haven't sorted out the information of two patients. I need to get it at least seven or eight o'clock...Brother, please..."

Zhou Mo was speechless: "Okay, I'll do it..."

Writing this thing is actually not difficult.

Zhou Mo has "rich experience", and quickly wrote out the patient's rescue process, then found the doctors who participated in the rescue, checked the time one by one, and then sent it to the nurse to check the time...

Finished, 17:54...

Tragic!

Get up and get off work!

He glanced at the duty room and found that the other medical students had already left work.

"Is it to prepare for tomorrow?"

Tomorrow is Monday's big rounds!

And a seminar on pig heart transplantation!

It is a stage where everyone who wants to make progress can display their talents and show their strength.

Every medical student can be said to be gearing up.

I, the king of introversion!

Heh heh, I'll kill you all!

...