I'm really an intern
Chapter 63 Immediately Now Immediately!
Chapter 63 Immediately Now Immediately!
"Here here!"
The nurse on duty took Zhang Tianyang to the ward with 59 beds.
"what happened?"
59床的病房是双人病房,58床大爷转到8床了之后,新的58床是个50岁的大叔。
But when Zhang Tianyang arrived, the new 58-bed uncle was standing beside his hospital bed helplessly.
And the person lying on bed 58 is the old man in bed 8 who went back to eat his grandson's [-]th birthday wine today.
The uncle's lower body remained in a sitting posture, with slippers half hanging on his feet, drooping beside the hospital bed.
However, his upper body fell headlong into the quilt on 58's bed, and the pained expression could be clearly seen on his half-exposed face.
The uncle on bed 59 looked okay, but he was obviously frightened enough, so he raised his hand at this moment.
"I, I rang the bell, what happened to him..."
"What's the matter, isn't he put in custody, why is he still walking around?!"
Obviously something happened, Zhang Tianyang's nerves were tense, his adrenaline soared, and he unconsciously started talking and shouting.
"Come on, give me a hand and bring him back to custody!"
Zhang Tianyang, the little nurse, and even the new 58-bed uncle all helped together before lifting him up.
"No, stop lifting people, lift machines!"
The old man who had the accident was put back on bed 58. At this time, he stretched out his right hand, wanting to say something, but Zhang Tianyang and the little nurse quickly ran out.
He quickly ran back to bed 8 and brought the monitor over.
Quickly go to monitoring, and then inhale oxygen.
The old man's complexion was much better than before, and he was still pale. At this time, he stretched out his hand to greet the two white coats.
"I just felt dizzy for a while, it's okay..."
"To shut up!"
The unceremonious scolding and the serious expression on his face scared the old man lying on the bed shut.
The 59-bed uncle next to him who wanted to say something was also frightened and lost his voice.
Zhang Tianyang stared at the monitor. The uncle's words just now caused the data to fluctuate. After waiting for about ten seconds, he gradually saw the accurate value.
The blood pressure was also measured at this time, and the value dropped to the edge of the shock standard line.
"Blood pressure 93/56mmHg! Heart rate 95 beats/min!"
Zhang Tianyang's heart tightened, and he yelled at the uncle who had the accident, "I'll ask you to answer!"
"Did you vomit blood?"
"No……"
"Are you feeling dizzy, thirsty or tired?"
"It seems to have……"
"Is there any black stool?"
"This one……"
"Do you have!"
"have it……"
"Doctor, I..."
"To shut up!"
Zhang Tianyang turned his head and explained to the little nurse, "Replenish fluids to ensure smooth venous access! Prepare me with adrenaline and dopamine!"
"Is there a flat bed? Quickly roll it out!"
"Immediately now!"
As soon as the words fell, Zhang Tianyang had disappeared at the door of the ward.
Lower blood pressure and faster heart rate are early signs of shock.
There are many reasons for the shock, but on this old man, the most likely reason is - hemorrhage!
Cirrhosis of the liver leads to varicose veins in the esophagus and stomach. When the pressure is too high, the blood vessels rupture and cause massive bleeding!
If the bleeding cannot be stopped in time, the patient can only lose too much blood and die, and the gods cannot save it!
And this kind of bleeding, the danger is that it "can't see".
It is often not discovered until the patient begins to vomit blood and have obvious symptoms.
But when it comes to vomiting blood, how much blood should there be in the stomach?
Zhang Tianyang quickly ran back to the doctor's office, but Senior Brother He was not there.
"Where is bed 33?!"
Turning around quickly, Zhang Tianyang finally found Brother He in the 33-bed ward.
But senior brother He's affairs are not easier than his.
Except for Senior Brother He who straightened his hands beside the hospital bed to press the patient, almost all the nurses on duty were standing by.
"The patient is in cardiac arrest and is undergoing cardiopulmonary resuscitation."
The nurse next to him briefly introduced Zhang Tianyang's condition, and within a few seconds, a small nurse took over Senior Brother He's compression work.
"What's going on with you?"
"I suspect esophageal and gastric varicose veins. The patient had black stools before, and now the symptoms of blood loss are obvious. The blood pressure drops and the heart rate increases, but he hasn't vomited blood yet."
"I have to deal with it here, I can't make it through."
Brother He looked back at the bed 33 that was being rescued, and the suppressed cries of the family members next to him could be faintly heard.
"Contact the second line, there is also a gastroenteroscopy room, let's check it with an emergency gastroscopy!"
"Ok!"
Zhang Tianyang ran back to the ward with 58.59 beds without stopping.
On the way, a phone call woke up the second-line doctor who was sleeping.
"You deal with it first, I'll contact the gastroscope immediately!"
Today's second-line doctor is a deputy chief physician. He bounced off the bed the moment he received the call, and ran downstairs with only one shoe on.
The doctor's lounge is on the top floor, and the gastroenteroscopy room dedicated to infectious medicine is on the next floor of the doctor's lounge.
It was only when the second line arrived that they discovered this point. The gastroscopy room was brightly lit.
"Damn it, it's the third emergency gastroscope! Push it up quickly!"
The order was sent to Zhang Tianyang immediately, he responded and hung up the phone.
This is not the time to worry about whether you can hang up the call of the superior doctor, and every second must not be wasted.
Quickly gave oral doctor's orders, commanded the remaining nurses, contacted family members, quickly informed the condition, and signed the consent form.
"How did this happen, doctor? Old man, he didn't deliberately ignore your guardianship..."
The old man on the 59th bed was anxiously defending beside him, his eyes seemed to be red.
"He really just came out to go to the toilet, and then stopped by to see me, why, why... Are you kidding, are you trying to scare us both?"
But Zhang Tianyang only scolded him, "Shut up!", and didn't explain anything else.
The uncle with bed 58, who was occupied by the hospital bed, was huddled in the chair next to him aggrievedly, watching the medical staff come and go, feeling mixed feelings for a while.
The family of the uncle who had the accident has only one granddaughter who is accompanying the bed. She is still young and looks like she is still in junior high school and high school. She is still wearing school uniform and carrying a schoolbag.
Seeing a few white coats doing this and that for her grandfather nervously, the little girl was so frightened that she almost cried, but she still tried to calm down, with tears rolling in her eyes.
"Brother doctor, I am an adult, I can make a decision, I will sign now! Please help my grandpa!"
The little girl's voice trembled, her hands trembled, and she firmly wrote her name on the consent form.
Zhang Tianyang could tell at a glance that she was not an adult at all, but time was running out, and if she was delayed for a minute, the hope of being rescued would be lessened.
The uncle's face is becoming paler at a speed visible to the naked eye, and the bleeding is gone!
I just hope that there is still time...
The flat car has already been pushed over, and two medical staff, plus the 58-bed uncle and his granddaughter, worked together to transfer the uncle to the flat car.
"Go! Go to the endoscopy room!"
(End of this chapter)
"Here here!"
The nurse on duty took Zhang Tianyang to the ward with 59 beds.
"what happened?"
59床的病房是双人病房,58床大爷转到8床了之后,新的58床是个50岁的大叔。
But when Zhang Tianyang arrived, the new 58-bed uncle was standing beside his hospital bed helplessly.
And the person lying on bed 58 is the old man in bed 8 who went back to eat his grandson's [-]th birthday wine today.
The uncle's lower body remained in a sitting posture, with slippers half hanging on his feet, drooping beside the hospital bed.
However, his upper body fell headlong into the quilt on 58's bed, and the pained expression could be clearly seen on his half-exposed face.
The uncle on bed 59 looked okay, but he was obviously frightened enough, so he raised his hand at this moment.
"I, I rang the bell, what happened to him..."
"What's the matter, isn't he put in custody, why is he still walking around?!"
Obviously something happened, Zhang Tianyang's nerves were tense, his adrenaline soared, and he unconsciously started talking and shouting.
"Come on, give me a hand and bring him back to custody!"
Zhang Tianyang, the little nurse, and even the new 58-bed uncle all helped together before lifting him up.
"No, stop lifting people, lift machines!"
The old man who had the accident was put back on bed 58. At this time, he stretched out his right hand, wanting to say something, but Zhang Tianyang and the little nurse quickly ran out.
He quickly ran back to bed 8 and brought the monitor over.
Quickly go to monitoring, and then inhale oxygen.
The old man's complexion was much better than before, and he was still pale. At this time, he stretched out his hand to greet the two white coats.
"I just felt dizzy for a while, it's okay..."
"To shut up!"
The unceremonious scolding and the serious expression on his face scared the old man lying on the bed shut.
The 59-bed uncle next to him who wanted to say something was also frightened and lost his voice.
Zhang Tianyang stared at the monitor. The uncle's words just now caused the data to fluctuate. After waiting for about ten seconds, he gradually saw the accurate value.
The blood pressure was also measured at this time, and the value dropped to the edge of the shock standard line.
"Blood pressure 93/56mmHg! Heart rate 95 beats/min!"
Zhang Tianyang's heart tightened, and he yelled at the uncle who had the accident, "I'll ask you to answer!"
"Did you vomit blood?"
"No……"
"Are you feeling dizzy, thirsty or tired?"
"It seems to have……"
"Is there any black stool?"
"This one……"
"Do you have!"
"have it……"
"Doctor, I..."
"To shut up!"
Zhang Tianyang turned his head and explained to the little nurse, "Replenish fluids to ensure smooth venous access! Prepare me with adrenaline and dopamine!"
"Is there a flat bed? Quickly roll it out!"
"Immediately now!"
As soon as the words fell, Zhang Tianyang had disappeared at the door of the ward.
Lower blood pressure and faster heart rate are early signs of shock.
There are many reasons for the shock, but on this old man, the most likely reason is - hemorrhage!
Cirrhosis of the liver leads to varicose veins in the esophagus and stomach. When the pressure is too high, the blood vessels rupture and cause massive bleeding!
If the bleeding cannot be stopped in time, the patient can only lose too much blood and die, and the gods cannot save it!
And this kind of bleeding, the danger is that it "can't see".
It is often not discovered until the patient begins to vomit blood and have obvious symptoms.
But when it comes to vomiting blood, how much blood should there be in the stomach?
Zhang Tianyang quickly ran back to the doctor's office, but Senior Brother He was not there.
"Where is bed 33?!"
Turning around quickly, Zhang Tianyang finally found Brother He in the 33-bed ward.
But senior brother He's affairs are not easier than his.
Except for Senior Brother He who straightened his hands beside the hospital bed to press the patient, almost all the nurses on duty were standing by.
"The patient is in cardiac arrest and is undergoing cardiopulmonary resuscitation."
The nurse next to him briefly introduced Zhang Tianyang's condition, and within a few seconds, a small nurse took over Senior Brother He's compression work.
"What's going on with you?"
"I suspect esophageal and gastric varicose veins. The patient had black stools before, and now the symptoms of blood loss are obvious. The blood pressure drops and the heart rate increases, but he hasn't vomited blood yet."
"I have to deal with it here, I can't make it through."
Brother He looked back at the bed 33 that was being rescued, and the suppressed cries of the family members next to him could be faintly heard.
"Contact the second line, there is also a gastroenteroscopy room, let's check it with an emergency gastroscopy!"
"Ok!"
Zhang Tianyang ran back to the ward with 58.59 beds without stopping.
On the way, a phone call woke up the second-line doctor who was sleeping.
"You deal with it first, I'll contact the gastroscope immediately!"
Today's second-line doctor is a deputy chief physician. He bounced off the bed the moment he received the call, and ran downstairs with only one shoe on.
The doctor's lounge is on the top floor, and the gastroenteroscopy room dedicated to infectious medicine is on the next floor of the doctor's lounge.
It was only when the second line arrived that they discovered this point. The gastroscopy room was brightly lit.
"Damn it, it's the third emergency gastroscope! Push it up quickly!"
The order was sent to Zhang Tianyang immediately, he responded and hung up the phone.
This is not the time to worry about whether you can hang up the call of the superior doctor, and every second must not be wasted.
Quickly gave oral doctor's orders, commanded the remaining nurses, contacted family members, quickly informed the condition, and signed the consent form.
"How did this happen, doctor? Old man, he didn't deliberately ignore your guardianship..."
The old man on the 59th bed was anxiously defending beside him, his eyes seemed to be red.
"He really just came out to go to the toilet, and then stopped by to see me, why, why... Are you kidding, are you trying to scare us both?"
But Zhang Tianyang only scolded him, "Shut up!", and didn't explain anything else.
The uncle with bed 58, who was occupied by the hospital bed, was huddled in the chair next to him aggrievedly, watching the medical staff come and go, feeling mixed feelings for a while.
The family of the uncle who had the accident has only one granddaughter who is accompanying the bed. She is still young and looks like she is still in junior high school and high school. She is still wearing school uniform and carrying a schoolbag.
Seeing a few white coats doing this and that for her grandfather nervously, the little girl was so frightened that she almost cried, but she still tried to calm down, with tears rolling in her eyes.
"Brother doctor, I am an adult, I can make a decision, I will sign now! Please help my grandpa!"
The little girl's voice trembled, her hands trembled, and she firmly wrote her name on the consent form.
Zhang Tianyang could tell at a glance that she was not an adult at all, but time was running out, and if she was delayed for a minute, the hope of being rescued would be lessened.
The uncle's face is becoming paler at a speed visible to the naked eye, and the bleeding is gone!
I just hope that there is still time...
The flat car has already been pushed over, and two medical staff, plus the 58-bed uncle and his granddaughter, worked together to transfer the uncle to the flat car.
"Go! Go to the endoscopy room!"
(End of this chapter)
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