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Chapter 23: Patients with Uremia(1/2)

This night, Zhou Yewu slept in the duty room of the respiratory department for the first time due to night shift.

On weekdays, doctors’ duty room is a place for doctors in the department to rest for lunch and night shifts.

During lunch break, Zhou Yewu usually goes directly to the suite not far from his rent to rest.

This is the first time I’ve been here!

The doctor's duty room is very simple, and the small room only accommodates four beds.

Most of the people who rest here at noon were Tu Gou and others.

Xu Lu and Zhou Ling don’t like to stay in the doctor’s duty room because they are both male compatriots, which is so embarrassing!

When I was really tired, I slept in the nurse's duty room.

So the whole room has the smell of men's smelly socks!

I won’t let my aunt clean up too much!

This smell is about Tu Gou!

Zhou Yewu was already scolding Tu Gou in his heart.

"Go to bed early. If you have something to do at night, you can get up and deal with it." Chen Riyuan said lying on the bed diagonally opposite Zhou Yewu.

When Zhou Yewu heard this, he felt up and down.

I'll handle it?

This is a bit false!

What to do if something happens!

But he nodded submissively, "Okay, Director, please leave it to me."

Chen Riyuan clearly had the intention to cultivate Zhou Yewu.

You must not let him down!

And even if you can't pretend...

No! If you can’t handle the patient, just contact Chen Riyuan!

What's there to panic!

Zhou Yewu thought so in his heart, and gradually he was not afraid at all.

Chen Riyuan did not turn off the lights.

This is his habit of on duty, because once the light is on, he can easily fall asleep.

If you really get up in the middle of the night to rescue the patient, you will be in a daze.

"If you can't handle it, just call me, I will get up. Don't be afraid, let it go." Chen Riyuan was not worried at all and gave all the power to Zhou Yewu.

In this way, Chen Riyuan was lying in bed and ready to fall asleep.

It's 23:00 now!

I hope you will be safe tonight!

Don't let me do anything to rescue me!

Zhou Yewu prayed in his heart.

He sat on the bed and browsed his Weibo for a while, feeling a little tired, and his body slid onto the bed and was ready to fall asleep.

After only 2 minutes of closing my eyes, a loud thud of a phone call suddenly rang out!

Zhou Yewu woke up!

What a phone call!

While he was still anxious to find the source of the sound...

I actually found a phone call next to my pillow!

Damn it!

What is the operation!

It turns out that the nurses on duty all use this internal landline to wake up the doctor on duty!

No wonder Chen Riyuan asked him to sleep in this bed!

It turns out that there were arrangements!

Zhou Yewu turned his head and looked at Chen Riyuan. The director closed his eyes and was still resting without being disturbed.

"Hey, hello, doctor's duty room." Zhou Yewu answered the phone.

The other end of the phone was A Chang Zhao Xiaoli's voice, "The blood pressure of the patient in bed 53 is 70/50mmhg, which is complaining of chest tightness and palpitations. Please come and see."

I really want to come whatever I want!

Low blood pressure!

Just don't go into shock!

If your blood pressure is less than 90/60mmhg, that means hypotension!

Hear this highly dangerous signal.

Zhou Yewu quickly got up, ran to bed 53 on the white coat.

Shock is the biggest danger for a patient! It means to be dead.

Shock is a syndrome of severe decrease in effective circulating blood volume, extensive and continuous and significant reduction in tissue blood flow perfusion, leading to poor microcirculation function throughout the body and severe disorders of vital organs in life.

In short, shock is the body's response to reduced effective circulating blood volume, and is a pathological process of metabolism and cell damage caused by insufficient tissue perfusion.

If you have hypotension like bed 53, you should be careful, because blood pressure drop is a very critical factor in shock!

Among the several diagnostic criteria for shock, systolic blood pressure is lower than 80 mmHg or pulse pressure is less than 20 mmHg, or the systolic blood pressure in patients with original hypertension is reduced by more than 30%.

When Zhou Yewu arrived in front of bed 53, Chang was already standing there to continue measuring his blood pressure!

A Chang means head nurse, which is what doctors usually call head nurses.

When Zhao Xiaoli saw Zhou Yewulai, she frowned and seemed a little dissatisfied, "Where is Lao Chen, why didn't you come? Are you the only one?"

Isn't this trusting my level?

"The director is sleeping, he asks me to deal with it first." Zhou Yewu said calmly.

Zhao Xiaoli remained silent for a while.

Originally, Zhou Yewu thought Zhao Xiaoli would say something, but she didn't expect that she just nodded.

"Okay, the patient's blood pressure has been measured three times and has been around 70/50mmhg. The life monitor has been launched. Next, Xiao Zhou, see if there is anything to deal with." She reported the blood pressure value in detail.

this……

It's so kind all of a sudden? Xiao Zhou?

Zhou Yewu was wondering.

Zhao Xiaoli said, "The director praised you only when he was in the morning shift."

I see!

Zhou Yewu smiled slightly, "Well, I feel like I'm looking at the patient's specific situation."

It seems that Chen Riyuan praised Zhou Yewu's timely rescue when handing over the shift, and even Chang remembered his name.

After all, there are only one student under Chen Riyuan!

Is this not easy to identify?

Zhou Yewu really doesn’t know what the patient is like.

He had a tablet for doctors to check in his white coat.

After taking it out, I quickly looked through the report and medical records of the patient in bed 53, and found that this was actually a uremia patient!

My day... Why don’t you go to the Nephrology Department for Uremia?

Zhou Yewu looked at the 70-year-old patient and had lung cancer in the second diagnosis. It seemed that he was just a mess and was taken in to fill in the ward!

Don't get a clear water patient.

When I looked at the attending physician again, I saw two big words on it.

Tu Gou.

...

Zhou Yewu couldn't help but complain: "I really feel sorry for me every day."

As the head nurse, Zhao Xiaoli naturally understands the situation of each patient. "Tu Gou is indeed becoming less and less arrogant. She collects all patients in the department, so she doesn't know how many performance money she can get."

She spoke very directly.

Because the patient in bed 53 was drowsy and half-sleeping, he was like he was over and was not afraid of anything he said.
To be continued...
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