I can see health

Chapter 565 Don't Like Doing Multiple Choice Questions

Lu Chen and Xiao Shikang immediately came to the bedside of bed 12.

I saw the old man half lying on the hospital bed, panting all the time, with a very painful expression on his face.

Beside the bed, Fan Jian and the nurse were constantly busy.

"Master has heart failure again?" Lu Chen frowned.

"Probably so." Xiao Shikang nodded slightly, stepped forward immediately, and began to perform a physical examination on the patient.

Standing aside, Lu Chen always felt that something was wrong with this uncle.

Because the life changing trend on his head is still a minus sign!
According to Lu Chen's previous experience, for patients with acute heart failure, the life value change trend is at least two minus signs, or even three minus signs.

Now this patient has only one negative trend!

However, all the manifestations of the patient point to the diagnosis of heart failure.

Lu Chen has not found any abnormalities yet.

At this time, Xiao Shikang had finished the patient's physical examination, and said to Fan Jian: "The patient's blood oxygen saturation is a little lower, only 92% (normal blood oxygen is above 97%), first give the uncle oxygen, and then use some diuretics. With medicine, all the water in the body will be drawn out and drained through urine, with less water, the load on the heart will be reduced, and heart failure will also be relieved.”

"In addition, add some nitroglycerin, if it's not enough, use some cardiotonic drugs."

Fan Jian nodded slightly upon hearing this. .

At present, it is impossible for a patient in such a critical condition to be directly transferred to the Department of Cardiology, because the risk of transfer is very high.

Only wait for the patient's condition to improve slightly before considering transferring to the cardiology ward.

At this time, the nurse had already used all the medicine.

While wiping the old man's sweat, the patient's family members muttered, blaming themselves for failing to take good care of the old man.

"The medicine is on, let's go see someone else." Xiao Shikang said.

Lu Chen glanced at the old man on the hospital bed, and then left with Xiao Shikang.

……

34 beds in corridor.

This is a very young female patient, only about 20 years old.

She was wearing a mask and a hat, and her glasses were piercing.

However, her pale lips indicated that her physical condition was extremely bad at this time.

The health on her head is 54 (--)!
Lu Chen frowned deeply, she was the most serious of the three patients.

As soon as Xiao Shikang approached the hospital bed, the patient's family members immediately stood up, "Doctor, can we move in?"

The family member is about 50 years old and should be the father of the patient.

"We have been waiting in the emergency department for five days!" The family member's voice was choked with sobs, but a big man's eyes were red, "Doctor, please, please take my daughter in!"

The patient on the hospital bed lowered her head silently, as if she had lost all hope.

"Family, don't worry, let's see the patient's condition first." Xiao Shikang said softly, "As for whether we can admit him to the hospital or not, that's not something we can decide."

Lu Chen also sighed slightly in his heart. There are only two beds, and two patients have already been admitted.

Therefore, there is a high probability that this patient cannot be admitted.

There are only so many beds in the hospital, and there is no way to add unlimited beds.

The workload of each doctor and nurse is only so much. If the number of beds continues to increase, the efficiency of doctor management may become lower, and the loss outweighs the gain.

Lu Chen and Xiao Shikang began to check the patient's hospital records together.

The 22-year-old patient was admitted to the hospital with "palpitations and chest tightness for 1 week".

The patient began to experience palpitations and chest tightness 1 week ago, which lasted from several hours to half a day. The attacks were irregular and had nothing to do with labor activities.

There was no special medical history in the past.No family history of similar.

Physical examination upon admission: blood pressure 96/65mmHg, distended jugular vein, heart border expanded to both sides, regular rhythm, grade 4/6 pansystolic murmur could be heard at the lower end of the left sternal border, and no edema in both lower extremities.

Laboratory examination, BNP229.32pg/ml.Blood routine, CRP, myocardial enzymes, liver and kidney function, coagulation items, D-dimer, blood sugar, and blood lipids showed no obvious abnormalities.

The patient's chest CT showed that the huge right heart squeezed the left ventricle to the side, and the left ventricle shrank significantly and transposed clockwise.

After reading the entire medical record of the patient, Xiao Shikang frowned.

Obviously, this is also a disease related to cardiology!

"Ms. Xiao, what should I do with this patient?" Lu Chen asked in a low voice. He also felt that this young female patient had a high probability of cardiovascular disease and needed to be admitted to the hospital for treatment.

However, now their group has no empty beds!
"No way." Xiao Shikang shook his head, "We don't have any beds left, so we can only wait for consultations from other cardiology departments."

Having said that, Lu Chen knows that it is really hard to find a bed in the Cardiology Department of their hospital!
I have to wait for other groups to come for consultation and then be admitted to the hospital. I don't know if I will have to wait until the year of the monkey.

"Doctor, I beg you, I kneel down for you, take us into the hospital!"

Suddenly, the family members of the patient "thumped" and knelt at the feet of Lu Chen and Xiao Shikang.

"We went to all the major hospitals, but they didn't have any good solutions, and they didn't make a diagnosis. Now only your hospital is left, and you are my last hope!"

Xiao Shikang hurried forward, trying to help the patient's family members up.

However, the patient's family members are very bulky and difficult to move.

Xiao Shikang could only helplessly say: "I know how you feel, but there is really nothing we can do here, we can't get out of the bed for the time being."

When the family members of the patient heard this, they seemed to have lost all energy and energy, lying down beside the hospital bed.

Her daughter's condition is very unstable. If the cause is not found as soon as possible, her life will be in danger at any time.

But now he can't leave the Cardiology Department of the First Affiliated Hospital of Jinghua University, because this is his last hope!
"Uncle, stand up first." Lu Chen couldn't bear to look at the family members and patients who seemed to have lost their minds. "There are no beds now, but I can promise you that as long as there are beds, I will arrange you there immediately."

No way, reality is so cruel sometimes.

The 12-bed and 22-bed that Lu Chen and Xiao Shikang saw just now had indications for hospitalization, and their condition was equally critical.

It is impossible for them to abandon either of the first two patients and instead admit this patient to the hospital.

Hearing Lu Chen's words, the patient's family members could only nod dejectedly.

……

34 beds left.

Xiao Shikang's mood is still flat, he may be used to it.

But Lu Chen sighed slightly in his heart.

He doesn't like to do this kind of multiple-choice questions. If possible, he hopes to admit all patients to the hospital.

Come to the bedside of bed 36.

Fortunately, this patient is not a disease of the cardiovascular system!

Lu Chen and Xiao Shikang agreed that bed 36 should be caused by a respiratory disease, so they told Dr. Fan Jian to ask him to consult the respiratory department.

"Old Xiao, you decided to accept 12 beds and 22 beds, right?" Fan Jian reconfirmed.

Xiao Shikang nodded slightly, "That's right."

As soon as the words fell, the nurse from the emergency department suddenly ran over and whispered beside Fan Jian: "Dr. Fan, I have something to tell you. The patient in bed 12 has not urinated since he urinated 300ml in the morning. !"

(End of this chapter)