I Can See Health

Chapter 112 Arteriovenous puncture

After treating this gout patient, it was already one o'clock at noon.

Lu Chen returned to the duty room, finished the remaining claypot rice, and then prepared to take a nap.

After these few days of accumulation, his gratitude value reached 10 points again.

As usual, let's do 10 consecutive rounds.

"Congratulations on getting arteriovenous puncture (junior)."

Wow, I made a profit!

Lu Chen's face lit up with joy, and the little sleepiness he felt just now disappeared in an instant!

This skill book includes arterial puncture and venipuncture.

Venipuncture, the most common one is our daily "drip infusion", which is peripheral venipuncture.

In addition, there are central venous punctures, such as the jugular vein and femoral vein commonly used for hemodialysis, and subclavian vein puncture commonly used in the emergency room.

Arterial puncture, the most common is radial artery puncture, for blood gas analysis or arterial blood pressure testing.

The most important reason why Lu Chen was so excited was the arterial puncture.

The first step in coronary angiography is arterial puncture, including puncture of the radial artery and femoral artery!

Only after you have mastered arterial puncture can you begin to learn coronary angiography!

Lu Chen couldn't wait to use the "arteriovenous puncture" skill book.

With a "swipe", his consciousness entered the system's virtual training space.

There are many classifications of arteriovenous puncture, and the system space is arranged in order of difficulty.

But when Lu Chen saw the first training skill, he was dumbfounded.

Peripheral venipuncture!

Give...an injection?

Isn't this just giving an injection to the back of the patient's hand?

A virtual console appeared in front of Lu Chen's eyes.

There is a virtual patient on the stage.

Now that we are all here, we have to start training.

Having said that, giving injections is usually the job of nurses.

Lu Chen had never given an injection to a patient.

At first glance, giving an injection is simple.

But there are so many ways to do it.

The first step is to select a suitable vein, tie a tourniquet, and disinfect the skin.

Commonly used ones include the basilic vein, median vein, cephalic vein in the cubital fossa, or superficial veins on the back of the hand, dorsum of the foot, ankle, etc.

The second step is puncture.

Tighten the skin at the lower end of the vein with your left thumb to fix it. Hold the syringe in your right hand, with the needle bevel upward and the needle and skin at a 35-degree angle. Prick into the subcutaneous tissue from above or from the side of the vein, and then sneak along the direction of the vein.

This is not a complex medical skill operation.

However, in real life, it is difficult to say that there are real people who can practice for you non-stop, so the proficiency of the piercing skill progresses very slowly.

But now relying on the system's virtual space, it only took Lu Chen about an hour to basically master peripheral venipuncture.

Skill proficiency is fixed at 80%!

Based on the last pericardiocentesis training, Lu Chen knew that without actual combat, it would be difficult to increase this level of proficiency.

However, in normal departments, nurses would not let a graduate student inject them into patients!

Therefore, it is really difficult to continue to increase the proficiency of peripheral venipuncture.

But the good news is that when the peripheral venipuncture proficiency reached 80%, another virtual console appeared next to Lu Chen.

"Is this a radial artery puncture?!"

A hint of joy flashed across Lu Chen's brows.

This skill book is really valuable!

Radial artery puncture is the most basic and very important operation in coronary angiography!

Compared with the transfemoral approach, the transradial approach significantly reduces vascular complications at the puncture site, and the patient suffers less pain, has a shorter hospital stay, and gets out of bed earlier.

Based on this radial artery puncture alone, Lu Chen felt that all the gratitude he had spent before was not unjust!

However, it is almost time to go to work in the afternoon.

Lu Chen had no time to try radial artery puncture, and his consciousness exited the virtual space.

The afternoon in the endocrinology department is more relaxed than the morning.

Lu Chen wrote about the course of his illness in the office and occasionally read a book, which was quite relaxing and comfortable.

time flies.

In a blink of an eye, it's almost time to get off work.

"Excuse me, is Dr. Min here?"

A middle-aged woman suddenly appeared at the door of the office.

Lu Chen looked familiar to her, but for a moment he couldn't remember where he had seen her.

"Doctor Min is seeing patients in the ward and will be back soon. What can I do for you?"

The middle-aged woman did not reply immediately. Instead, she walked into the office and stared at Lu Chen for a few seconds.

"You, are you Dr. Lu?"

Lu Chen was stunned and looked at the middle-aged woman carefully, but still didn't remember who she was.

"I am, may I ask who you are..."

"Dr. Lu, I am a family member of Feng Xiaorui." The middle-aged woman stepped forward and said with a smile.

"Feng Xiaorui?" Lu Chen was still confused.

"It's also in this department. That night, a little girl with hypokalemia came in..."

As soon as the middle-aged woman told her illness, Lu Chen immediately recalled it.

"Oh, it's her!"

Clinically, we encounter too many patients every day!

You can't remember names simply by remembering them.

But often, most doctors can recall the specific symptoms of the disease.

"Auntie, isn't your daughter already discharged from the hospital?" Lu Chen said with a smile.

"Yes, thanks to you and Dr. Min, we found the cause of my daughter's disease. We stayed with the county doctor for a month and still didn't find out." The middle-aged woman looked at Lu Chen gratefully.

"Then why did you come to the hospital this time..." Lu Chen asked doubtfully.

The middle-aged woman sighed deeply after hearing this, and then spoke slowly after a while.

"The cause of the disease has been found, but it is still difficult to cure it!"

"After she was discharged from the hospital, UUReading www.uukanshu.net she couldn't quit licorice tablets. She kept clamoring to take them every day. If she didn't take them, she would feel uncomfortable, just like someone addicted to drugs. If we didn't give her to take them, she would behave with us. too noisy."

"Then I remembered that you and Dr. Min had said that she could be sent to a detoxification shelter. But the detoxification shelter requires a diagnosis certificate from the hospital, so I came here today to find Dr. Min to issue a real certificate."

The middle-aged woman spoke with slightly red eyes.

Hey, what a pitiful parent in the world, he personally sent his daughter to a gambling rehabilitation center.

Lu Chen felt very uncomfortable for a moment. He still remembered the little girl lying in the corner of the hospital bed.

At an age when I was originally young and lively, I contracted this disease.

From then on, only black and white remained in the colorful life.

"Auntie, don't worry too much. When she comes out of the drug rehabilitation center, she will gradually get better. In the future, she will also understand your good intentions."

Lu Chen didn't know how to comfort him, and his words were sometimes too pale.

"Well, thank you Dr. Lu." The middle-aged woman nodded.

After waiting in the office for five minutes, Min Ling came back.

Min Ling gave the middle-aged woman a diagnosis certificate and she left.

It's exactly half past five, it's time to get off work!

After finishing his shift with the night shift, Lu Chen's task for today was considered completed.

"Xiao Lu, let's add WeChat so that if we meet again at work, we can keep in touch."

"OK, all right."

After adding Min Ling on WeChat, Lu Chen got off work.

After going to the cafeteria for a quick dinner, Lu Chen returned to his dormitory.

He couldn't wait to enter the system virtual space and wanted to try radial artery puncture!

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