I Can See Health

Magic City No. 1.

The fifth ward of the Department of Cardiology.

Today is Yang Fan's first night shift since he managed the bed independently.

As a doctor who just graduated this year, she had spent most of her time in scientific research, so she didn't have much clinical experience.

Before going to the night shift, she specially prayed for peace.

But as soon as she took over the shift in the evening, she felt like crying.

The nurse on duty tonight has also just arrived.

The two people looked at each other with big eyes and small eyes, and they were frightened about tonight's night shift trip.

Although Yang Fan is a senior doctor today and has a graduate student under her, she does not dare to just lie down in the lounge like other doctors with senior qualifications.

Instead, he stayed in the doctor's office with the graduate students, ready to deal with various emergencies.

"Mr. Yang, I feel uncomfortable in bed 12, please go and have a look." The little nurse ran into the doctor's duty room.

"Okay, got it."

Yang Fan nodded, and the graduate student beside him stood up and went to the ward to check.

Yang Fan also clicked on the patient's medical history record and looked at the patient's hospitalization diagnosis.

"Patient two days after acute myocardial infarction..."

…

five minutes later.

The graduate student who accompanied Yang Fan to work came back.

"Teacher, the patient has some chest tightness. I did an electrocardiogram for him." The graduate student handed the electrocardiogram to Yang Fan.

Yang Fan picked it up and took a look.

There is not much difference from the previous electrocardiogram.

"Have you auscultated the lungs?" Yang Fan asked.

"I heard... I didn't hear anything unusual." The graduate student pursed his lips and whispered.

"Yeah." Seeing this, Yang Fan felt a little upset, and decided to go see the patient in person.

Came to bed No. 12.

Yang Fan carefully conducted a physical examination on the patient and found no abnormalities.

So, she comforted the patient a little and returned to the doctor's office.

Just after handling the patient, the little nurse ran in again.

"Mr. Yang, bed 32 complained of chest pain, and bed 46 couldn't urinate, which was very uncomfortable. Bed 57 had trembling hands and no strength..."

"Oh, okay, I'll go take a look."

Yang Fan's buttocks were still hot from sitting, so he stood up again to check on the patient.

After running back and forth so many times, her legs were a little sore.

Fortunately, the patients had minor ailments.

Just give it a little comfort or deal with it, and it'll be fine.

But just when this idea flashed through Yang Fan's mind, the little nurse hurried in.

"Mr. Yang, Bed 12 is breathing heavily. Go and see him quickly!"

I heard the nurse's urgent voice.

Yang Fan was also shocked and quickly called the graduate students next to him to follow him.

…

In the ward.

The patient on bed 12 was sitting on the bed, his face pale and cold sweat on his forehead.

The ECG monitor next to the bed was beeping and beeping.

"Doctor, I have chest tightness, it's too uncomfortable."

Seeing Yang Fan coming in, the patient immediately shouted loudly.

When Yang Fan saw this, his heart sank.

Within a week after a myocardial infarction, the probability of various complications is extremely high.

Such as malignant arrhythmia, acute heart failure, heart rupture, etc.

She immediately ran to the bedside and auscultated the patient's heart and lungs.

Yang Fang was startled as soon as the stethoscope touched the patient's lungs.

All the lungs are filled with crackles!

However, she visited the patient half an hour ago, and the patient's lungs were still very clean at that time!

Yang Fan was stunned for a moment, and the patient's chest tightness became more obvious.

On the bedside ECG monitor, the patient's blood oxygen saturation was only 88%!

"Push a furosemide immediately!"

"Change to mask for oxygen!"

The nurse has already pushed the ambulance away and started dispensing medicine.

"Xiao Fang, take your blood pressure and then review the electrocardiogram." Yang Fang ordered the graduate student on the side.

"Okay, received."

However, as soon as the graduate student took the blood pressure, he whispered: "Teacher, the patient's blood pressure is only 84/54mmhg!"

"The blood pressure is so low?" Yang Fan frowned.

Diuretics can affect blood pressure and make it lower.

At this time, the patient is already in a state of shock. If diuretics are given again, it is very likely to aggravate the condition.

“Are you still pushing furosemide?”

The little nurse had already prepared the medicine and turned to look at Yang Fan, waiting for her decision.

"First... let's not push anymore." Yang Fan paused, "First use dopamine to raise the blood pressure."

However, Yang Fan looked at the ECG monitor and saw that the patient's heart rate was 120 beats/minute.

While dopamine increases blood pressure, it also speeds up the heart rate.

She quickly changed her words, "No need for dopamine, replace it with norepinephrine!"

The little nurse nodded and immediately started dispensing norepinephrine.

But at this moment, the patient's blood oxygen saturation could no longer be maintained.

From the 88% at the beginning, it has been falling.

Even if the oxygen concentration is increased, it can only be maintained at about 83%.

What made Yang Fan even more confused was that premature ventricular contractions frequently appeared on the patient's ECG monitor.

Three consecutive premature ventricular beats together are called ventricular tachycardia!

By the time the graduate student named Xiao Fang finished the electrocardiogram, a series of ventricular tachycardia could already be seen.

…

CCU inpatient general lounge.

Lu Chen was chatting with Fan Zhiping.

After Lu Chen bubbled up in the group just now, Fan Zhiping tentatively sent him a message.

Unexpectedly, Lu Chen replied immediately.

This surprised Fan Zhiping.

"Professor Lu, thank you very much for the patient who had TAVR surgery last time."

Lu Chen looked at the message from Fan Zhiping helplessly, "Brother Fan, just call me professor in the group, and say goodbye in private."

"Hehe, I'm used to it, and I haven't changed it for a while." Fan Zhiping said with a smile, "It will happen sooner or later anyway. I'll scream first to let you get used to it."

Lu Chen couldn't do anything with him.

"By the way, Lu Chen, how are you doing in the Magic City?"

"It's okay. The medical resources here are better than those in Jinghua." Lu Chen said.

"Um... is it easy for the medical graduate students in Shanghai to take the exam?"

Fan Zhiping's sudden words made Lu Chen slightly stunned.

"What's wrong, Brother Fan, your son wants to take the postgraduate entrance examination?" Lu Chen asked confused.

Fan Zhiping blushed, "No, it's me... who wants to take the exam."

"Ah?" Lu Chen was shocked when he heard this.

Comrade Lao Fan is already in his forties, but he still wants to continue his studies. It is really not simple and he refuses to accept his old age!

"Brother Fan, are you taking the postgraduate entrance examination to improve your academic qualifications?" Lu Chen asked doubtfully.

"No, I'm going to quit my job and study full-time." Fan Zhiping didn't have any hesitation like me. He should have thought about it a long time ago.

Lu Chen couldn't help but give Comrade Fan a thumbs up. UU reading www.uukaｎshu.net

It takes a lot of courage to go to full-time graduate school at such an old age!

"Brother Fan, if you want to come to Magic City, I can help you ask." Lu Chen said.

He now has some foundation in Shanghai, and it is relatively easy to help inquire about graduate student admissions.

"That's great." Fan Zhiping looked happy.

Just when Lu Chen was about to continue replying, the hospital chief's cell phone rang again!

"Mr. Lu, rescue the five districts in my heart, please support me!"

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