Beep beep, beep beep, the ECG curve on the monitor is fluctuating with the sound.
The patient's blood pressure is somewhat low. The ECG curve is generally normal, but I don’t know if bleeding will cause trouble again.
Luo Yanfen bit her lip and decided to fight to the death. She said to the nurse: "Hurry and prepare a three-lumen and two-capsule tube."
The doctor confirmed the medical order, and the nurse ran to get something.
Turning around, Luo Yanfen picked up her cell phone and spoke to the doctor on duty in the department tonight, informing her of the patient's condition and her handling measures: "Dr. Chen, I'm afraid he will have increased bleeding and low blood pressure."
"Has the blood test report been released?"
"I asked someone to go to the laboratory to get it. He drew blood for testing in the emergency department, but the report didn't come out. The emergency department sent the patient first." Luo Yanfen reported the situation.
Dr. Chen, who was in the operating room, was not very happy. He complained through the mobile phone that the nurse brought for him: "Why are you sending it here in such a hurry? My operation is not over yet."
The surgery Dr. Chen is doing now was urgently transferred from the internal medicine ward when he took over. It is an emergency major surgery.
An emergency operation requires at least two doctors from the hospital, plus one or two interns and advanced students. It means that in addition to Dr. Chen, there are also doctors from our hospital performing operations in the operating room. If there is an accident during the operation, the second and third lines need to be called back for support. Now I heard that the second line has returned to support in the operating room.
"You think about it, there is no one left! If it doesn't work, you can directly call the third line, or ask your own teacher to come back!" Dr. Chen shouted from the opposite side.
The front-line duty in the department means: Next, for a long period of time, they should not expect to have front-line people to help guide them.
Luo Yanfen ruffled her hair. Although she had worked in other hospitals before and was a doctoral student who quit her job and could prescribe medical advice after being taken by a practicing physician, however, it is best to listen to the teacher here.
The specialized field of her work and study is not gastroenterology, but urology. Therefore, during the paddling in Lunke, Xie Wanying did not seriously say that she could not fault this newcomer. She thought about it later and it was the same reason.
Do I need to call the teacher back? Luo Yanfen turned around and frowned, thinking about the consequences.
Call the teacher. If the teacher comes back and sees that the patient's condition is not serious, his impression of her should not be reduced any further. It is best to report to the teacher when the situation is almost solved, so that the teacher can feel at ease. This is the best student. Because she is a student who has obtained a practicing license and is a doctor. The precise definition is not called a clinical rookie.
With no choice, she turned around and looked at the patient again.
For acute upper gastrointestinal bleeding, the most important thing is to stop bleeding and observe.
As long as the bleeding is not uncontrolled and the patient is not approaching shock, there is no need to be rushed to the operating room.
The key now is how to further stop the bleeding.
In fact, patients like this can also be sent to the Department of Gastroenterology, which has the technology to stop bleeding through gastroscopy. I guess the gastroenterology department ran out of beds, so I sent him to their surgery department.
The patient's fluid rehydration was supplemented with aminotribenzoic acid, which is a commonly used clinical hemostatic agent and is commonly known as hemostatic aromatic acid. Just applying hemostatic agents is not enough. More radical measures must be taken to deal with such heavy bleeding.
The nurse came in pushing the treatment cart and prepared the three-lumen and two-catheter intubation items.
If there are no accidents, the nurse can do this operation by herself, and the doctor is watching just in case.
