Chapter 141

She gave him a massage, and he asked her to push furosemide.

This Xiao Chenguang is really a blockhead.

The nurse had no choice but to reluctantly move her hand away from Xiao Chenguang's shoulder.

She glanced at the patient on the bed and found that his heart rate was just over 90 beats per minute.

Is this considered a fast heart rate?

Wang Jia was puzzled: "Why do you want to push furosemide? I think his heart rate is okay."

"The patient lost too much blood and the circulating blood volume was insufficient. The heart was forced to speed up the number of ejections to compensate for the circulation."

"Then you should replenish fluids, why do you need diuretics?"

Xiao Chenguang's opposite approach made Wang Jia even more confused.

"This involves the heart's front and back loads, that is, the pressure load and volume load."

The content is very profound, involving pathophysiology and the activation principle of the RASS system. With Wang Jia's level, she was confused.

But in the end, she understood one thing. For patients at risk of heart failure after surgery, cardiotonic diuresis and vasodilation are the gold standard.

"Director Xiao, when you are free in the future, you should come to the ICU more often so that you can give us more lectures."

The short lecture benefited Wang Jia a lot. No wonder Xiao Chenguang is the director of the department at such a young age.

This amount of knowledge is really incomparable to ordinary people.

Xiao Chenguang is still holding the medical record folder at this moment, and the record sheet has changed several pages.

It is densely packed with various indicators of the patient, no matter how big or small.

No matter what medicine the patient takes after surgery, he must be very careful. Not only should he observe well, but he should also know the concentration, dosage, usage, effect and contraindications of the drug.

For doctors, especially surgeons, it is equally important to be able to perform surgery and observe after surgery.

There are basically two types of patients with and without monitoring.

Facing the patient with dense wires all over his body, Xiao Chenguang is particularly strict with the indicators.

If the heart rate and blood pressure fluctuate by more than 20%, there should be corresponding treatment measures.

After a while, the patient began to urinate, and Xiao Chenguang asked the nurse to push half a bottle of digoxin and increase the dosage of the painkiller.

The use of postoperative analgesic sedatives is also a science.

Anyway, patients who need special care have a lot of things to do and a lot to consider and deal with.

From the time it got dark in the evening, Xiao Chenguang was busy sitting by the patient's bed, and he was still by the patient's side until dawn.

During this period, blood was checked and sputum was suctioned twice for the patient.

Hemoglobin did not drop significantly, and the coagulation index was higher, but it was still acceptable.

Facing the patient who was snoring loudly at this moment, Xiao Chenguang looked at the drainage tube again. The amount of closed drainage of the splenic fossa, pelvic cavity, and thoracic cavity was all right.

Time was passing by, and the patient's vital signs were becoming more and more stable, and Xiao Chenguang finally felt relieved.

He exhaled a breath of turbid air, like a hermit who had been in seclusion for a long time and finally came out.

Xiao Chenguang stood up from the bench, pounded his sore and swollen back, and told the nurse who had finished her work to inform him in time when the patient woke up.

He looked at the time, it was just past five o'clock.

Xiao Chenguang did not leave, but went to the duty room here to take a short rest.

After taking off his white coat, Xiao Chenguang just fell on the bed, and the next second, he fell into a daze.

He was really tired that day.

Starting from the corpus luteum rupture repair surgery the night before, and then rescuing a patient with myocardial infarction after the night shift.

After that, Lin Gaoyang and Gong Liang were arranged to have special training until noon, and they encountered a gas explosion in the next door compound.

Not only did they use the cricothyroid membrane puncture technique to treat severely burned patients on the spot, but they also performed surgery on a patient who fell from a high place and had a partial spleen removed.

Until now, Xiao Chenguang still finds it incredible.

Was he possessed by Conan or something else? Since he became the deputy director of the department, things have never stopped.

Gradually, Xiao Chenguang felt that he fell asleep.

Because in front of him, a table of delicious food appeared. Xiao Chenguang ignored his rumbling stomach and started to eat with chicken legs.

But just as he was full of joy and eating non-stop, a burst of hurried footsteps came from the corridor.

"Director Xiao... Director Xiao?"

After knocking on the door and seeing no response from inside, Gong Liang, who also had two panda eyes, walked into the duty room.

Feeling someone coming in, Xiao Chenguang woke up from his dream reluctantly.

Dizziness and nausea in the stomach made Xiao Chenguang almost vomit.

"What's wrong?"

Xiao Chenguang's tone was a little cold.

It's not that he deliberately frowned, but his body was indeed a little uncomfortable, so he couldn't control his emotions.

Seeing this, Gong Liang was a little scared, but more of a guilty conscience.

He had clearly promised Xiao Chenguang that he would take good care of the burn patients who came to the hospital, but now, he was somewhat overwhelmed.

"Director Xiao, the severely burned patient is very irritable and his body temperature has not come down."

Although he had been treated with medication according to Xiao Chenguang's instructions, the patient's heart rate was frighteningly fast and his body temperature was ridiculously high.

Every time the dressing was changed, the pig-like howling echoed in the clinic, which was unbearable.

"I know, where is the patient now?"

After hearing Gong Liang's report, Xiao Chenguang regained consciousness and his emotions were restrained.

"He is still in the emergency room. Because he is too serious, other departments dare not admit him, and I dare not move him easily."

Gong Liang answered truthfully.

The patient's epidermis is almost completely destroyed due to severe burns, and a large amount of exudate has caused no intact skin on his body.

Even Gong Liang, who was used to seeing seriously ill patients, felt that this patient was too miserable.

"Transfer him to the ICU. I'll take care of him these days."

Xiao Chenguang thought for a moment and decided to send the patient to the ICU.

The ordinary departments dare not admit him, nor can they treat him. Now in the whole hospital, except Xiao Chenguang, there is probably no one else who is capable of treating such a seriously burned patient.

Although the treatment cycle is long, Xiao Chenguang is confident that he can cure him as long as scientific and effective methods are used.

As for the problems of irritability during dressing changes, unstable vital signs, and persistent high fever, Xiao Chenguang already has a solution in mind.

When Gong Liang heard that Xiao Chenguang took over, he was obviously relieved.

It is completely different to have someone to take care of him and to try to treat him by yourself.

He quickly sent the patient to the ICU.

The moment Wang Jia, the nurse on duty, saw the patient, her heart was pounding.

This patient is too serious. More serious than anyone she has ever met before.

Not only that, as the patient was being pushed in, his wails of agony had begun to echo in the ICU.

"Director Xiao, how do we take care of this patient?"

Seeing the patient wrapped in gauze and bandages like a dumpling, Wang Jia felt helpless.

"Go get propofol and morphine, give him analgesia and sedation first, and then operate after the patient falls asleep."

"Call the anesthesia department and borrow a set of deep vein puncture kits. He still has insufficient fluid and needs a lot of fluid replacement."

"By the way, his family should be here, tell them to buy a large electric fan for the patient first, and let's cool him down physically to eliminate the risk of high fever."