I Can See Health

Chapter 240: What qualifications do you have to touch my medical advice?

Seeing that Li Huiyan did not continue to pay attention to him, Lu Chen didn't care either.

Although this cousin has an out-of-touch personality, she is not someone who acts randomly and regardless of the consequences.

Losing weight is a long-term battle, and it is impossible to just take some weight loss pills.

After washing, Lu Chen lay on the bed.

The consciousness enters the virtual space and begins the first phase of training in clinical scientific research.

"Oh no, why did Lu Chen go to bed so early?"

Wang Zihao glanced at Lu Chen who had gone to bed and murmured in his heart.

Everyone usually works in the department and only has time to study when they come back at night.

But Lu Chen goes to bed so early every day, where does he have time to study?

With the ability that Lu Chen has shown so far, he definitely spent a lot of time and effort to achieve it.

However, the reality is exactly the opposite.

As Lu Chen's roommate, Wang Zihao is the one who knows Lu Chen's schedule best.

Every night, I must go to bed before ten o'clock!

Even most of the time, Lu Chen went to bed around nine o'clock.

At this time, everyone else in the dormitory is forming a group to play games!

However, it was precisely because of Lu Chen's presence that they developed a better habit in the dormitory.

Even when playing games, no one makes a lot of noise.

Do not interfere with each other's living habits.

"Is it possible that this is what makes geniuses different from others?" Wang Zihao shook his head helplessly, and then continued to read the documents in his hand.

At this time, Lu Chen was continuously training on clinical research projects in the system virtual space.

The next day.

Lu Chen came to the department early and looked at Senior Brother Dong Hao immediately.

"Senior Brother, the surgery has been arranged and will start at two o'clock this afternoon." Lu Chen looked at Senior Brother Dong Hao who was lying on the bed.

However, Senior Brother Dong Hao's face looked a little pale.

"Brother, did you not sleep well last night?"

Dong Hao nodded and said: "Hey, I got flustered in the middle of the night last night. The night shift doctor did an electrocardiogram on me, and supraventricular tachycardia happened again!"

When Lu Chen heard this, he quickly picked up the stethoscope and auscultated Dong Hao's heart.

"Junior brother, don't be nervous. You have recovered now." Dong Hao smiled reluctantly, "But this attack is not very pleasant. I haven't slept much all night. Will it affect today's surgery?"

"Generally speaking, it shouldn't affect anything." Lu Chen said.

He had just auscultated Brother Dong Hao's heart. The heart rate was about 70 beats/min. The heart rhythm was regular and should be sinus rhythm.

"Okay, then I'm relieved." Dong Hao said, "Now that I think about it, it would be better to do this surgery earlier, because the symptoms occur too frequently. Thank you very much, junior brother, for helping me advance the medical expenses this time. I will definitely return it to you in time."

Lu Chen smiled and shook his head: "Brother, there is no rush to pay back the money. The most important thing now is to cure your disease! Let's talk about the future."

"Yes." Dong Hao nodded, "It's going to be early shift. You go and do your work and don't worry about me."

"OK."

Seeing Lu Chen's leaving figure, Dong Hao felt that the luckiest thing that happened to him during his rotation in the Department of Cardiology was meeting Lu Chen.

Back to the doctor's office.

Except for a few nurses on duty, most of the medical staff have already arrived.

After a simple shift handover by the nurse, the night shift doctor takes over.

The night shift doctors last night were the attending doctor Xia Gang and graduate student He Sirong.

If the class is handed over early, a graduate student will usually hand over the class on your behalf.

He Sirong took a step forward and said, "The night shift doctor takes over..."

"Bed 56 complained of chest tightness and shortness of breath around 2 o'clock in the middle of the night. He was considering a heart failure attack and was given furosemide. The symptoms improved after about 10 minutes..."

"When I took over the shift at 6 o'clock, I suddenly complained of headache, accompanied by blurred vision. My blood pressure was 220/134mmhg. I was considering a hypertensive emergency and was immediately given intravenous pumping of urapidil..."

"At around 10 o'clock last night, the patient in bed 15 complained of palpitation, chest pain, and conscious tachycardia. The electrocardiogram showed paroxysmal ventricular appeal. He was immediately given intravenous amiodarone..."

"..."

There were no problems with He Sirong's previous shifts.

But when he learned about the changes in Senior Brother Dong Hao's condition, Lu Chen felt something was wrong!

"He Sirong actually gave amiodarone to Senior Brother Dong Hao!" Lu Chen was shocked.

It seems that Senior Brother Dong Hao's surgery today is impossible!

Lu Chen glanced at Sun Guoguo beside him and found that she also had a solemn look on her face and her eyes were fixed on He Sirong and Xia Gang.

After He Sirong finished his shift, Sun Guoguo walked straight to Xia Gang.

Sun Guoguo's tone was a little cold.

"Dr. Xia, do you know that 15 patients will undergo radiofrequency ablation surgery today?"

Xia Gang was stunned and shook his head slightly, "I didn't look at the operating wall, so I'm not sure."

But as soon as he finished speaking, his expression suddenly froze, as if he had thought of something, and he immediately turned to He Sirong and said, "Did you use amiodarone for patients in bed 15 last night?"

Seeing Xia Gang's serious expression and surprise, He Sirong nodded immediately: "Yes, he had an episode of paroxysmal supraventricular tachycardia last night. I did an electrocardiogram to confirm the diagnosis, and then used amiodarone."

Xia Gang's expression suddenly became extremely gloomy.

"Classmate He, why didn't you ask my opinion before giving this patient a medical order?"

He Sirong whispered: "Brother Xia Gang, this patient also had a history of similar disease attacks before. I did an electrocardiogram and it must be an attack of supraventricular tachycardia. What are the problems with using amiodarone?"

Amiodarone is one of the most commonly used antiarrhythmic drugs in clinical practice. It has a wide range of treatments for arrhythmias and has a wide range of applications.

"Then do you know that the patient is going to undergo radiofrequency ablation surgery today?" Xia Gang continued.

"I know!" He Sirong nodded.

Xia Gang snorted, "Then you give amiodarone to a patient who is about to undergo radiofrequency ablation surgery? Do you know what the half-life of amiodarone is?"

At this time, He Sirong finally woke up.

Her face turned red, and it took her a long time to hold back one word: "I...I..."

The so-called radiofrequency ablation induces the patient's arrhythmia before surgery, and then uses equipment to detect the place where the arrhythmia occurs. UU Reading www.uukanshu.net Finally burns it with electrodes.

Amiodarone is a good antiarrhythmic drug, but it has a long half-life and is easy to accumulate in the human body.

This will lead to a problem. Arrhythmias cannot be induced in surgical patients on the operating table.

If arrhythmia cannot be induced, then there is no way to determine what is wrong with the cardiac conduction system!

Surgery is not possible!

Therefore, amiodarone is contraindicated in patients undergoing radiofrequency ablation before surgery.

At this time, in the doctor's office in the eighth area of ​​the Department of Cardiology.

Xia Gang stared at He Sirong closely and spoke slowly.

"He Sirong, you are a graduate student, and you have not obtained a medical license and have not asked your superior doctor, what qualifications do you have to touch my medical advice?"

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