Chapter 168 One trick, eat all over the world. Zhou Can can do this(2/2)
Especially some medication contraindications.
For example, patients with asthma should pay attention to what issues they should pay attention to when pumping medicine.
Or for patients with renal failure, how should they operate when taking medication, what data should be closely observed, etc.
…
Zhou Can studied very seriously and even took a lot of notes.
There are just too many things to learn, and it simply cannot be learned in one day.
Now, as the hospital allowed him to train in the Department of Critical Care Medicine for three months, he has a deep understanding of Vice President Ye's far-sightedness.
Not to mention mastery, even if you only acquire basic mastery, three months is still very compact.
Learning medication from Dr. Hu today is like opening a new window for him.
I never knew that there are so many things to pay attention to when using medicine.
Time flies so fast. When I work here, there is no break at noon. Even eating is done quickly in just a few minutes.
The work pressure and intensity of medical care in the intensive care unit are really too great.
It was busy until about 4 o'clock in the afternoon. It was already the shift handover time, but the patient in the 6th bed was in serious danger again.
Even a deputy chief physician in his fifties came over to help with the rescue.
In the end, even the ice blanket was used.
I kept busy until after five o'clock, when the patient's condition finally stabilized again.
"From the patient's symptoms and the fact that the condition was controlled after using the ice blanket, it can be inferred that the patient's intracranial hemorrhage must not have stopped. If there was a danger just now, severe intracranial hemorrhage must have occurred again. Moreover, his intracranial pressure is very high.
Gao, it's really hard to say whether I can survive tonight."
The deputy chief physician looked worried.
"Director Yu, can we increase the input of coagulation factors and platelets to help him stop bleeding?"
Dr. Hu also looked sad.
Yesterday when I was in charge of the bed, I just sent away one person, and today I sent away another one, so I really hit the jackpot.
For the patients here, even though the doctors and nurses tried their best to save them, they still couldn't save them, so they have no responsibility.
But the high mortality rate is definitely detrimental to the doctors who manage the beds.
"Currently, the patient's intracranial blood pressure remains high. Increasing the dose of coagulation factors will not help, and may easily lead to cerebral embolism. Also, the patient must have suffered acute cerebral hemorrhage just now, which is closely related to the sudden increase in blood pressure. His
The systolic blood pressure has exceeded 180 mmHg, and I think we should actively use intravenous antihypertensive drugs to intervene."
The level of deputy chief physician Yu is obviously higher than that of Dr. Hu.
The treatment plan given goes to the core of the problem.
"You seem to have something to say? If you have any suggestions, just say them. Don't worry about low professional titles and shallow qualifications."
Deputy Director Yu caught a glimpse of Zhou Can's hesitant expression and encouraged him to speak boldly.
"I think surgery should be the most radical solution."
Zhou Can had a very bad feeling.
This patient will most likely not make it through tomorrow.
For critically ill patients, the night is more difficult than the day.
Just like many elderly people are afraid of winter. Many elderly people die in winter. Because the cold temperature in winter is more likely to be the straw that breaks the camel's back for the elderly with weakened blood circulation.
"Surgery is indeed the best way. But as you can see, the patient's condition does not meet the surgical specifications at all." Director Yu said helplessly.
"What if we perform cranial endoscopic surgery on the patient?"
Zhou Can already had an idea.
He has successfully completed dozens of difficult major surgeries at Shenwai, including many intracranial surgeries. This also gave him a certain level of judgment experience.
Judging from the patient's current physical signs, intracranial endoscopic surgery is between the red lines.
It's barely possible, but the risk is very high.
"The risk of endoscopic surgery is still extremely high, and few doctors are willing to do it. Because this surgery requires at least a chief physician outside the hospital, they probably won't agree. And if it is done, tonight is of greater significance.
There are only a few chief doctors at Shenwai, so if we arrange a major surgery for them at short notice, they can't arrange it in their schedule."
Deputy Director Yu has no airs at all.
Patiently explaining the difficulties of the surgery to Zhou Can.
He mentioned that the operation tonight was of greater significance, indicating that he had little confidence that the patient would survive the night.
Deputy Director Yu does not have the energy to arrange this matter, but Zhou Can does. He has been training at Shenwai for two months and has a good relationship with the two directors of Shenwai. If he personally takes the lead, it should be possible.
Chapter completed!