Chapter 32 Strange COPD
"It's getting late, so I'll have a trip early and get off work early."
Zhou Yewu stretched out and sat in the office chair for a long time, and felt a little sore in his back.
This office chair is so insane!
It's so sore!
Hard and sturdy.
You should have a U-shaped pillow and cushion!
While complaining, Zhou Yewu printed out the consultation form and left outside the ward.
The geriatric ward is the first stop.
After all, just send a ventilator, you can do it if you are a person. Isn’t it just a courier?
Zhou Ye ran to the nurse's desk in the respiratory department with a happy mood, shouting "sister" one by one, begging grandpa to sue his grandma, and the busy nurse on duty helped him push out the long-clogged ventilator from the warehouse!
This ventilator has been useless for almost a month and is a backup because it is breathing a lot in the respiratory ward, so it is hard to say that it will be in short supply.
"Thank you sister." Zhou Yewu didn't forget to flatter the nurse when he pushed the ventilator away.
This kind of thing goes back and forth... If you still borrow this thing next time, you still need the help of a nurse.
After all, this kind of thing is not their job. The warehouse is so big that no nurse who is familiar with it can find it, so it is really difficult to find this thing.
Zhou Yewu quickly pushed the only spare useless ventilator in the department to go to the elderly ward.
The geriatric ward is on the 18th floor, just at their hospitalization department, and it is almost overhead.
Zhou Yewu had just walked to the elevator door, and a middle-aged doctor with thick eyebrows and big eyes was already waiting for him.
He seemed a little anxious. When he saw Zhou Yewu pushing the ventilator, he asked, "Doctor on duty in the respiratory department?"
Zhou Yewu felt a little guilty.
Is this true or not?
He nodded slightly.
Just as Zhou Yewu was thinking about how to answer, he was hesitating and the elevator came just in time. The middle-aged doctor took him into the elevator without saying a word.
The middle-aged doctor's work card reads, 1702, resident, Ma Xianyi, geriatric discipline.
This surprised Zhou Yewu!
According to this face, it looks like I am at least in my 40s!
No matter how bad you are, you won’t be hospitalized. It should be the main guarantee!
Zhou Yewu's eyes were always staring at Ma Xianyi's work card, and Ma Xianyi felt a little embarrassed.
He smiled honestly and said, "Something happened in the past few years, which led to delaying the promotion of his professional title. Later, he really didn't want to read books, so he is still a resident."
Zhou Yewu was rude to his impoliteness, so he quickly withdrew his eyes and did not dare to speak.
Out of friendship, Ma Xianyi suddenly started chatting.
"Doctor Zhou is right?" He seemed to know Zhou Yewu's name.
Zhou Yewu was a little surprised!
What?
How does this person know what my name is?
It felt like it was about to be exposed and exposed, and Zhou Yewu suddenly felt a little embarrassed.
Seeing this, Ma Xianyi continued, "Don't be nervous, it was Xu Lu who told me that the patient in the department was in a hurry just now, so I called Lao Wang who was on duty. Lao Wang told me that Xu Lu was on duty today, and I called her again. She said she was also rushing for consultation outside... and said that she had arranged her elite junior to help take a look."
Lao Wang is Xu Lu's superior.
But what the hell is this elite?
Zhou Yewu always felt that Xu Lu was digging a hole for him.
He smiled embarrassedly and said, "Well, Sister Lu is busy today. I'll help her with a trip. If you have any questions, I will contact her."
Ma Xianyi didn't wear a mask, and the stubble on his face looked abrupt.
He shook his hand and said, "It's okay, I believe you. After many twists and turns, I finally found a person on duty. I can't let you go."
Zhou Yewu smiled helplessly.
This respiratory department is really "the upper beam is not straight and the lower beam is crooked". It is so difficult to find doctors in a department!
Although it's a special moment now, everyone in the department is busy.
But no matter how busy you are, you shouldn’t let a regular student come for consultation!
Still a rule!
Zhou Yewu didn't dare to tell Ma Xianyi about this fact, because he was so scared that he stopped the elevator.
Ma Xianyi suddenly started chatting, "This patient called consultation is a type II ventilator. Our ventilator has malfunctioned. The geriatric ward has just been established. The resources in the ganglionic department of the gang are limited, so we can only do not let the "borrow" it."
Zhou Yewu nodded.
Respiratory failure refers to the patient's pulmonary ventilation and ventilation dysfunction caused by various reasons, so that the patient cannot perform effective gas exchange, resulting in hypoxia, or accompanied by carbon dioxide retention, which leads to a series of clinical syndromes such as physiological and metabolic disorders.
Zhou Yewu quickly recalled this simple disease!
Its diagnostic criteria mainly look at the oxygen partial pressure and carbon dioxide partial pressure of arterial blood gas.
If the arterial blood oxygen partial pressure is less than 60 mmHg, or the carbon dioxide partial pressure is more than 50 mmHg, we will diagnose it as respiratory failure.
Respiratory failure is also divided into two categories, while type ii respiratory failure refers to respiratory failure with oxygen partial pressure below 60 mmHg and carbon dioxide partial pressure above 50 mmHg.
It’s no wonder I had to borrow a non-invasive ventilator. It seems that the drug treatment is not effective!
If respiratory failure is not processed in time, it can easily lead to multiple organ failure and patients die quickly.
Ma Xianyi sighed and couldn't help but feel a headache when he thought of the patient in the department.
Originally, the outpatient clinic said that the condition was stable, so it was received by the elderly ward to deal with it slowly. As a result, such a thing happened in just a few days!
Ma Xianyi continued to chat: "The patient is a 75-year-old elderly man. He was admitted to the hospital for more than a year due to chest tightness and shortness of breath. He has no history of smoking. He usually uses all kinds of medicines at home, and there is no good effect. However, the symptoms can be relieved when using a non-invasive ventilator, so he bought a ventilator."
Zhou Yewu sounded very seriously, but just said "Yeah" softly.
I thought to myself that the ventilator in the elderly ward was actually brought by the patient!
What a poor department...
"I'm not recently, this ventilator has been malfunctioning. He often disables the ventilator. A week ago, the patient came to the emergency room due to obvious chest tightness. The emergency room also dealt with it blindly. After a little evaluation, he transferred it to our elderly ward. The ward was empty, so I could only take it away with my face." Ma Xianyi shook his head, looking reluctant.
This is the case in the hospital. As long as the major departments have more free time in the wards, they will easily be forced into the emergency department!
The ward in the department is equivalent to the doctor's waist. Only when the bed is filled can the waist be hard enough and you have the confidence to refuse the forced arrangements of the emergency department!
When Zhou Yewu heard that the patient's breathing was always malfunctioning, he guessed the probable cause of the disease.
"Unfortunately, his breathing malfunctioned again tonight, right?" Zhou Yewu couldn't help but laughed softly.
A hint of embarrassment suddenly appeared on Ma Xianyi's face, which was really embarrassing!
Zhou Yewu has already had some experience with this patient with chronic obstructive pulmonary disease after learning about and checking in the ward for the past few days...
The patient in the elderly ward is not very similar to most COPD patients in the respiratory department!
How could I not smoke? The effect of the medicine is still poor?
Such copds are not common!
So he felt that the patient seemed a little interesting and asked, "How is this patient's past history?"
Chapter completed!