I Can See Health

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Increasing the speed of fluid infusion is a skill that many old patients are familiar with.

The speed of drip infusion is easy to adjust, and there is a valve to adjust the speed.

Intravenous pump infusion is not so easy to adjust.

There are many buttons on the intravenous pump and the operation is complicated.

However, for these old patients, they are used to seeing the nurses' operations, and many of them also know how to do it.

"Speed ​​up the pump speed?" Fan Zhiping's face darkened.

Many drugs in cardiology have strict infusion rates.

Certain drugs can cause serious side effects if too much is infused in a short period of time.

Nitroglycerin has the effect of dilating coronary arteries and reducing cardiac pre- and post-load. It is routinely used in various types of angina pectoris, chronic heart failure and other diseases.

When the patient increases the nitroglycerin pump speed by himself, the large dose of nitroglycerin in the body causes the blood vessels to expand significantly, causing the coronary artery contractility to temporarily disappear.

The pressure within the coronary blood flow temporarily decreases, and the microcirculation briefly opens and closes, causing myocardial ischemia and hypoxia, thereby inducing the occurrence of malignant arrhythmia events.

At present, it seems that the most likely reason is that the patient increased the pump speed, thereby inducing the occurrence of ventricular fibrillation.

However, this matter needs to be confirmed by the nurse on duty.

…

Lu Chen came to the nurse station and found the nurse who was processing the emergency medical orders.

"His nitroglycerin pump is off?"

When the nurse heard Lu Chen's words, her face became extremely ugly.

"I remember that the pumping speed is obviously 3ml/h. It will take at least ten hours to run out! He, he finished pumping in such a short time?"

"It's done. Didn't you change the dressing on the way?" Lu Chen said solemnly.

"No, the medicine has never been changed!" the nurse said firmly.

It seems that the fact that the patient privately increased the pump speed is almost confirmed.

"He increased the speed himself," Lu Chen said.

"Ah? This..." The nurse shook her lips, looking like she was hesitating to speak.

"What's wrong?" Lu Chen asked confused.

Could it be that there are other hidden secrets in this?

"Hey, doesn't this patient always want to go to the ground to urinate?" The nurse paused and said, "I asked him to rest for a while, and he can get out of bed when his condition stabilizes. But this uncle insisted on asking for a specific time, I I just said casually, at least wait until the infusion pump is finished..."

The nurse on duty looked helpless.

She means that the patient should not be anxious. Once the infusion pump is finished, he will not be able to get out of bed until at least tomorrow.

"So the patient secretly turned up the infusion pump in order to get to the ground early?" Fan Zhiping whispered.

Lu Chen nodded: "I think this is probably the case, otherwise it would be unexplainable that the medicine was used up so quickly."

The case is really solved!

At this time, a prompt popped up on Lu Chen's system panel.

"Congratulations, the system upgrade completion rate has increased! The current completion rate is 21%!"

After such a long period of hard work, Lu Chen's system completion finally reached one-fifth!

The system prompts also confirmed Lu Chen's guess.

As the saying goes, a long illness will make you a doctor, but don’t think of yourself as a real doctor!

…

Back to the doctor's office.

Lu Chen told Yin Xinhua his guess.

Yin Xinhua was silent for a long while, then he increased the speed of the intravenous pump?

This is too dramatic!

"I called the doctors at the CCU and asked them to ask the patient's family to help confirm." Yin Xinhua immediately called the CCU and told Dr. U at the CCU about Lu Chen's guess.

"The patient adjusted the nitroglycerin pump speed on his own?" the CCU doctor on duty was surprised.

Such patients are still rare!

He quickly called the patient's family members into the CCU.

"Mother-in-law, how fast did you adjust the nitroglycerin in the ward upstairs just now?"

The mother-in-law was also an honest person and nodded: "He thought the medicine was administered too slowly, so he adjusted it a little faster. He also adjusted it when he was hospitalized before. Is there any problem?"

It turned out to be really fast!

The CCU doctor on duty immediately said: "Then do you know how much the speed has been adjusted?"

The mother-in-law paused and frowned, "I don't know about this, but this medicine is administered very quickly and will be over in a while. Do you... think there is a problem with this?"

"Mother-in-law, we are just suspicious for now, not sure yet. I will ask you if I have any questions."

The family member grabbed the ccu doctor's sleeve and asked nervously: "Doctor, is my old man's condition okay now?"

"It's not good, I haven't regained consciousness yet." The CCU doctor shook his head.

"Why……"

…

Eight zones in the heart.

We received feedback from the CCU doctor, which basically confirmed the fact that the patient privately increased the pump speed.

Although in the usual ward, nurses will visit each patient at regular intervals, it is not possible to pay attention to the patient's status all the time.

This patient completely infused most of the vial of nitroglycerin within half an hour.

This is definitely going to go wrong!

On the side, Fan Zhiping couldn't help but sigh in his heart, this big hospital is really different!

Doctors are very fierce, but patients are even more fierce!

…

About half an hour later.

News was sent back from the CCU that the patient's resuscitation failed and he was confirmed to be clinically dead!

"The patient is gone."

Lu Chen and others sighed deeply, but they were not surprised.

When the ventricular fibrillation was not corrected in the ward, Lu Chen realized that the patient might be dying.

Sure enough, even though I went to the CCU for rescue for so long, I still couldn't rescue him.

"Take this as a warning." Yin Xinhua said solemnly, "We need to strengthen the monitoring of patients and do a good job in educating patients!"

Many patients rely on the fact that they are old patients and rely on their own experience to do whatever they want.

This situation is the hardest to handle!

Fan Zhiping said: "Your big hospital is okay, and many patients' families don't dare to make trouble. If this kind of thing happened in our county hospital, the family members would have to bring people to make trouble again."

In fact, patients have much greater trust in doctors in big hospitals than in small hospitals!

This is why some people are unwilling to seek treatment in small local hospitals when they fall ill. UU Reading www.uukｎshu.netｔ want to go to the best tertiary-level hospitals for treatment.

This is also the thinking of most patients, who have a higher sense of trust in large hospitals.

But for small hospitals, they may doubt the quality of doctors.

As long as there is a problem, I think the doctor must be at fault, and I like to make a fuss.

Yin Xinhua frowned and said, "Why should we be afraid of these patients? If there is a problem, take legal action. If you deserve compensation, you will pay. If you don't deserve compensation, don't. Everything will be subject to the court's decision!"

"Hey..." Fan Zhiping shook his head helplessly, "That's not the case in small hospitals. If someone makes trouble, and it's not particularly serious, the hospital will just pay some money to settle the matter. It's the hospital's fault, so just pay more. , it’s not the hospital’s fault, so just pay less. But in clinical practice, it’s very difficult not to make mistakes!”

This is also the current situation in small hospitals. Severely ill patients are afraid to treat them. Even if they have this level of care, they will still try their best to transfer them to higher-level hospitals to avoid potential disputes.