I can see health

Chapter 161 Myocardial infarction patient who can't urinate (910 subscribe)
The eighth district of the heart, the doctor's office.

Lu Chen was busy filling up his medical records when a nurse suddenly walked by his side.

"Lu Chen, go and do me a favor."

The little nurse is called Jia Liu, and she has only been working in the eighth district of Xinnei for one year.

"What's wrong?" Lu Chen looked back at Jia Liu suspiciously.

"I have a patient after PCI who can't urinate all the time and needs to insert a urinary catheter..." Jia Liu whispered, "Can you help me get it done?"

"Male patient?"

"Yes, if it's a female patient, why would I want you to go?" Jia Liu patted Lu Chen's shoulder lightly, "Go, do me a favor, don't you usually help Sister Liu Mei?"

"But you usually insert male patients by yourself, why let me go today?"

"Hey, that male patient is very young and a little shy, so he insisted on asking the man to penetrate him." Jia Liu said with a helpless smile, "We are not shy, I really don't know why he is so shy as a big man Woolen cloth."

Lu Chen coughed lightly and smiled: "You guys are well-informed, but the patients may not even have girlfriends."

"Fuck you." Jia Liu cursed with a smile, "Are you going or not?"

"Okay." Lu Chen naturally agreed.

The more things that improve skill proficiency, the better.

"Thank you." Jia Liu smiled, "Next time we work on night shift, please drink milk tea."

"Okay." Lu Chen nodded, and went to the treatment room to get a catheterization kit.

This time, the little class behind him did not follow him.

……

The eighth district ward in the heart.

Yang Song felt that he was too miserable.

He was only 21 years old, and after staying up all night for a week, he suffered from chest pains.

After being sent to Jinghua Second Hospital, he was diagnosed with acute myocardial infarction and three stents were placed.

On the second day after today's operation, he was transferred from the CCU ward to the general ward.

But the embarrassing thing happened again.

A patient with myocardial infarction can't get out of bed during the acute phase, and he can't urinate all the time!

The nurse said to insert a catheter for him.

Yang Song quickly refused, how embarrassing it is!

But lying on the bed, he wanted to urinate, but couldn't urinate.

This taste is even more uncomfortable!
"Why don't you find me a male doctor to intervene." Yang Song couldn't get it right in the end, so he had to compromise.

……

Lu Chen took the catheterization bag and came to bed 36 where catheterization was needed.

"Yang Song, right?" Lu Chen began to check the patient's name.

"Yeah." Yang Song nodded, "Doctor, are you here to insert a catheter for me?"

"Yes." Lu Chen smiled, "During the intubation process, if you feel uncomfortable, you can tell me at any time."

"Is there any discomfort?" Yang Song frowned.

He is most afraid of pain.

"Sure, it will be uncomfortable when the catheter is inserted." Lu Chen said.

"Oh, doctor, take it easy." Yang Song whispered.

Lu Chen nodded.

"Take off your pants."

"Ah? Why, how do you take it off?"

"It's just pulling the pants down to below the knees, and then keeping the legs slightly apart."

"Oh." Yang Song blushed and pulled down his pants.

"Take off your panties, too."

Yang Song glanced to the side, seeing no one else, then slowly took off his underwear.

"I want to disinfect first." Lu Chen said to Yang Song.

"What do you use for disinfection?" Yang Song was taken aback.

"Povidone iodine, which is commonly used in hospitals, don't be too nervous. My operation is very good, and it will be over soon."

Yang Song nodded, then closed his eyes, not daring to look directly.

When disinfecting, the first pass needs to be disinfected from the outside to the inside.

The second pass is for disinfection from the inside out.

After the disinfection is completed, insert the catheter again.

The whole process went very smoothly.

When the catheter entered the urethra for about 20cm, Lu Chen saw urine flow out.

Then insert another 2-3cm.

Inject 20mL of normal saline into the mouth of the air bag, and then fix the catheter and connect it to the catheter bag.

"It's over." Lu Chen opened the catheter, "Yang Song, I'll give you [-]ml of urine first, you can't put more."

The first catheterization should not be too much.

Otherwise, it is easy to cause the rapid shrinkage of the bladder volume and cause bladder bleeding.

"Thank you, doctor." Yang Song opened his eyes, as expected, he was still a little uncomfortable.

After Lu Chen cleaned up the catheterization equipment, he heard the prompt from the system.

"Congratulations, the thank you value from Yang Song is +1!"

"Congratulations, the catheterization proficiency has reached 81%!"

not bad.

One operation gains gratitude and can also train skills.

"Doctor, wait." Yang Song suddenly stopped Lu Chen.

Lu Chen stopped and looked back.

"Anything uncomfortable?"

"I feel like I still can't pee." Yang Song frowned.

Lu Chen was taken aback for a moment, and looked over.

Indeed, no urine came out of the catheter.

There is only about 20ml of urine in the catheter bag.

There is definitely no problem with the operation of this catheter.

The system has increased his proficiency.

But why is there no urine drainage?
"How long has it been since you peed?" Lu Chen frowned.

"It's almost a day." Yang Song thought for a while and said.

"One day?" Lu Chen's face was solemn, "Did you eat normally this day? Did you drink a lot of water?"

"Didn't your doctor tell me to drink more water?" Yang Song wondered, "I drank a lot of water."

"Do you feel chest tightness?" Lu Chen continued.

Yang Song nodded quickly.

"I felt chest tightness last night. I told the doctor on duty, and he said I had an acute myocardial infarction. Although I had a stent placed, I would definitely not fully recover."

"Before the stent was placed, what were your symptoms? Did you have chest tightness?"

"It's just a chest pain, and there is no feeling of chest tightness."

Drank a lot of water and didn't pee all day.

There are more symptoms of chest tightness.

Lu Chen felt that something was wrong with this patient's condition.

This is not simply a problem of not being able to urinate.

There is almost no urine throughout the day, which can completely diagnose acute renal failure!
In the human body, metabolism is carried out all the time.

Most of the waste produced by metabolism is excreted through the kidneys.

If there is no urine, it means that the kidneys have been damaged.

Persistent anuria, metabolic waste accumulates in the body, which is likely to cause damage to various organs.

If there is no urine for a long time, it is what we often call "uremia".

"Yang Song, you should rest in bed first." Lu Chen said, "I'll let your doctor in charge come to see you later."

"Okay, thank you doctor." Yang Song nodded.

……

Dispose of the catheter waste first and return to the doctor's office.

Lu Chen immediately opened the 36-bed Yang Song's test sheet.

"Creatinine before surgery was normal."

Afterwards, Lu Chen turned to Yang Song's postoperative renal function indicators.

"Creatinine 141umol/L!"

Lu Chen's eyes froze.

In the first review after surgery, the creatinine increased, which means that the renal function has been destroyed.

Open the order system.

Lu Chen saw that in the doctor's order system, there was no doctor's order to check the kidney function again.

This patient is not a patient in their group, but a patient in Chief Physician Shao Jun's group.

Lu Chen has no right to dispose of it.

"Fatty, who is in charge of the 36 beds?" Lu Chen came to the students of Director Shao Jun's group.

Cheng Peng is Director Shao Jun's graduate student, and Lu Chen is a freshman in the first year of research.

Because of his fat body, everyone called him Fatty.

"Yang Song in bed 36..." Cheng Peng turned on the computer, "I am in charge of the patient who was just transferred from the CCU yesterday, what's wrong?"

Lu Chen said in a deep voice: "This patient hasn't urinated all day. His diet is normal. I heard from him that you also made him drink a lot of water, but he still hasn't urinated."

"Haven't been urinating? Could it be acute renal failure?"

Cheng Peng's complexion changed, and the fat on his face trembled.

　But wait, there are a few more chapters tonight.

　　
　
(End of this chapter)