I can see health

Chapter 487 The Busy Little Doctor
To be honest, although Zhou Bin had made all the pre-operative preparations, everyone was a little nervous.

If something really happens to this kind of patient without family members, it will be difficult to say.

While writing the patient's course record, Lu Chen was refreshing the interventional surgery record, wanting to understand the real-time developments of the surgery.

At this moment, his mobile phone's WeChat notification tone suddenly rang.

Lu Chen picked it up and saw that it was a message to add friends.

The nickname of the other party is Xiaohan, and the image is a very cute cartoon cat.

The note information was introduced by Aunt Li Xuan.

Lu Chen thought it was some little tea girl who was about to close WeChat, but suddenly thought, isn't "Li Xuan" the name of the CCU head nurse?
Could this Xiaohan really be a blind date?
So, he clicked "pass".

Adding a friend is successful, and the other party immediately sends a WeChat message.

"Hello, I was introduced by Aunt Li."

It was indeed introduced by the head nurse. Lu Chen was thinking of replying, when suddenly there was a cry from the nurse from the emergency room.

"Grab 8, rescue! Rescue!"

Startled, Lu Chen ran out of the office.

The patient who grabbed 8 was the girl on ECMO.

Everyone spent so much energy to save him, but they don't want to see her just disappear.

As soon as the nurse's voice came out, all the idle doctors ran towards the 8th emergency room.

……

Zhou Bin took the lead and ran at the front.

"What happened to the patient?!"

The nurse in the rescue room immediately stepped forward and said hastily, "The blood oxygen has dropped suddenly! It was always at 95% this morning, but it just dropped to 85%."

Zhou Bin frowned, and stepped forward to check the pipeline and parameters of the ECMO machine.

Lu Chen nervously followed Zhou Bin to wait and see.

Because of being on ECMO, the patient required long-term heparinization to prevent clotting of the tubing access.

At this time, it is easy to produce various complications, the most common is bleeding, such as skin and mucous membrane bleeding, intracranial hemorrhage, and visceral hemorrhage.

Skin and mucous membrane bleeding, it is easy to see.

However, the patient was in a sedated state, and there were no external symptoms such as intracranial hemorrhage and visceral hemorrhage.

In addition, the joints and side branches of the pipeline may fall off, leak blood or enter air.

"Check the blood coagulation first!" Zhou Bin said immediately.

By monitoring the activated partial thromboplastin time, the coagulation situation in the patient's body can be known, so as to prevent the occurrence of cerebral hemorrhage.

"In addition, some channels need to be closely monitored! Be careful that the patient's body temperature is not too high or too low, and generally keep the ear temperature at 36-37°C. If the body temperature drops, you can use a heating blanket or a constant temperature water tank."

"Okay, received!" The nurse said immediately.

After giving these doctor's orders, Zhou Bin still frowned.

The problems she thought of didn't seem to be enough to cause the patient's blood oxygen to drop!
At this time, Zhou Bin saw Lu Chen lying in front of the ECMO machine, seemingly hesitant to speak.

"Lu Chen, what's wrong with you?"

Lu Chen pointed to the liquid infused on the tube, "Mr. Zhou, can fat emulsion be given on the extracorporeal circulation tube? I remember that the book reminded me that fat emulsion may affect the oxygenation effect of ECMO patients!"

Zhou Bin looked down.

Indeed, in the pipeline of extracorporeal circulation, it seems that fat emulsion is really infused.

However, will this nutrient solution affect the patient's oxygenation?
There are not many patients who need to use ECMO, and CCU doctors do not have enough experience in this area.

Zhou Bin was also a little uncertain.

"Wait a minute, I'll call Brother Feng and ask him for verification."

Zhou Bin quickly took out his mobile phone and called Ren Feng.

……

Into the operating room.

Ren Feng was performing an interventional operation on his aunt just now, and the assistant outside the catheterization room handed the mobile phone to his ear.

"Zhou Bin, what's the matter?"

"Brother Feng, the patient on ECMO just now had a sudden drop in blood oxygen. I want to ask if fat emulsion can be used for her extracorporeal circulation?"

"Fat milk? Of course this medicine can't be used!" Ren Feng said in a deep voice, "Also, I remember I wasn't allowed to use fat milk, right?"

"This... seems to be Brother Hui's doctor's order." Zhou Bin said, "He may not have paid much attention to this."

"Hurry up and stop, and then observe the patient's blood oxygen status. There should be no major problems." Ren Feng said, "Come over as soon as I finish the intervention."

"Okay." Zhou Bin hung up the phone.

……

CCU ward, No. 8 rescue room.

Zhou Bin immediately told the nurse: "Stop the fat milk immediately!"

By the way, she also glanced at Lu Chen, this kid is also new to ECMO, how did he find so many?
Go back to the doctor's office.

Lu Chen thought of the friend he just added, and it seems that he hasn't replied to her yet!
So he quickly took out his mobile phone and edited the message: "Sorry, I was just rescuing a patient."

Holding the phone, Zhou Xiaohan frowned slightly.

She added this person as a friend, in fact, to complete the task.

Aunt Li is so enthusiastic, she is too embarrassed to brush off other people's face.

It's just that I didn't expect that the other party's exit was to rescue the patient!
According to Aunt Li, the other party is only a graduate student, so he can preside over the rescue work?
Is this pretending to be cold, to get his attention?Or is it a tactful refusal?

"However, this is also good, so as not to embarrass both parties." Zhou Xiaohan thought for a while.

So, she also replied: "Oh, let's get straight to the point, don't be so wordy, just follow the procedure."

……

Lu Chen was startled, follow the procedure?
What does it mean?
He was about to reply when the nurse ran into the doctor's office again.

"Lu Chen, the family member of the patient who underwent the interventional operation just now called. Dr. Zhou is seeing other patients. She asked you to pick it up and communicate with the patient's family."

"Oh, good." Lu Chen put away his phone and came to the nurse's station.

On the other end of the phone is the patient's son.

He was out of town, and after learning about his mother's situation, he immediately handed over work and rushed back.

However, tomorrow morning at the earliest.

Lu Chen explained the patient's situation to the family members in detail.

"The patient is undergoing surgery. When the surgery is over, we will communicate with you as soon as possible!"

"Trouble doctor, I will come back as soon as possible, please contact us in time if you have anything to do!"

……

Lu Chen also understood the mood of the patient's family, so he explained it many times.

After more than ten minutes, he returned to the doctor's office.

"I don't seem to have replied to her again?"

Lu Chen thought for a while, he was at work, so let's talk about it after get off work.

So, he replied directly: "I'm very busy now, what procedure are you talking about, let's talk about it after I get off work."

At this moment, Zhou Xiaohan on the phone was a little speechless.

"Why is this little doctor busier than other company bosses?"

(End of this chapter)