Chapter 509 The harm of the speed of infusion, the hidden rules cannot be broken

Author: Jiangbianyu Weng

Chapter 509 The harm of the speed of infusion, the hidden rules cannot be broken

This existence is more good for any department.

The doctor is also a person, you need to eat, you need to make money.

When patients who do not have medical insurance or only agricultural insurance, doctors save costs as much as possible for patients. Even if they encounter patients who buy employee medical insurance, they need to control the amount.

Only this kind of god -like old cadres do not need to have any concerns, how to treat the best effect, how can it come?

Zhou Can came to the special care unit and found a thin old man with a slightly somewhat somewhat purple face lying on the bed.

The cost of this ward is very high, with only two beds at most, with independent bathrooms.

There are specialized nurses, doctors manage, and provide patients with the highest quality service as much as possible.

Ordinary people can't afford to live.

"Is it Mr. Bai Dongyang?"

"Yes, he is my lover!"

An old lady who accompanied the bed was a very outstanding temperament. The hair was all white, but the spirit was quite good.

Many old cadres, husband and wife are senior intellectuals.

"What is the situation now? Still feel breathing difficulty?"

"Yes, it is still difficult to breathe, and the chest is dull."

After listening, Zhou Can nodded, and said mild voice, "Let you listen to your chest and lung sound. If you are lying on the side like this, will you feel uncomfortable?"

The patient has just finished the left pulmonary resection surgery. No matter which side of the side is facing, the wound in the body will be affected.

"Uncomfortable lying down ..."

Patients say that they need to use the strength of breastfeeding.

Squeeze out desperately.

The sound is also quite weak, and the qi is obviously insufficient.

At present, he did not give him a ventilator, and only did a unilateral nostril suction thick oxygen treatment.

It must be said that it is a very irresponsible approach to the patients. Especially with a ventilator, it is often used when you need life -saving.

For patients who can breathe autonomously, they have some breathing difficulties, but they do not endanger life. Sometimes they do n’t even need to absorb oxygen.

Doctors will decide the patient's breathing improvement measures according to actual needs.

Before the patient's thoracic and lung sound, Zhou Can made a detail, first covered the auditory of the auditory, so that it was used for the patient.

This is to reduce the stimulus to patients.

The cold metal probe is attached to the weak patient's chest, and the taste must be uncomfortable.

He listened to the patient's chest and lung sound seriously.

There are obvious wet snoring sounds and blisters in the lungs.

All the left lungs have been removed, and now only the right lung work is left.

There is a big problem with this bad noise, which shows that there is a big problem with the right lungs. No wonder the patient will have difficulty breathing, and the chest is dull.

The situation of this person is quite dangerous.

Zhou Can looked at the patient's quantity record after admission. The blood pressure was 162/100mmHg, which is already a hypertension. The systolic blood pressure exceeds 140 and can be identified as hypertension.

But sometimes there are some fake hypertension.

For example, patients are in emotional excitement, or suck some irritating foods. In this case, after a while, blood pressure often returns to normal.

ECG shows that patients have tachycardia.

Now there is a hypertension phenomenon, and cannot lie flat.

Zhou Chan's mind jumped directly into the word "pulmonary edema".

It is not difficult to find out that the patient's cause.

After receiving the consultation, Deputy Director He and another doctor were clinic to the patient, and they all believed that it was pulmonary edema.

But the specific cause of the pathogenic, the pathology is clear, this is the real difficult place.

It is impossible to find out the cause of the pathogenic, so you can't talk about treatment.

If it is only treated as postoperative complications, it is too rough and superficial. It is impossible to solve the problem.

After checking the actual physical condition of the patient, Zhou Can did not leave.

Instead, take the patient's examination information and check the postoperative medication.

One by one.

The operation was successful.

Preoperative examinations are also done very detailed.

Because the proportion of medical insurance reimbursement is close to 100 %, how can it be safe and how to come.

The inspection that should be done has not dropped.

This also provides favorable conditions for Zhou Can to find out the cause of the patient.

The left whole lung resection surgery, he himself will do it, and he also performs too many such operations.

When checking the cause, every diagnosis and treatment step of the patient can give the corresponding judgment accurately.

A number of results checked before surgery show that patients with malignant tumors in the left lungs are normal. There is no other hidden disease.

The operation process is also very careful.

At least from the surgery record, this operation is very successful.

It can also be seen that the surgical strength of the Provincial People's Hospital is very powerful.

Since the preoperative investigation is okay, and the surgery is done smoothly, there is only one possibility. The cause of the patient's pathogenic is after surgery.

The possibility of postoperative complications is very high.

There are some places during the operation that are not in place, or some negligence causes right pulmonary edema.

However, some cases transferred from the Provincial People's Hospital from Zhou Chan to judge that the surgical process specifications of the Provincial People's Hospital are strict, and the responsibilities are implemented to people.

This patient is an old cadre, and it is a special patient.

Treatment of him will only be more attentive.

Surgery negligence or removes the left lungs may be extremely low after surgery.

There is only one possibility, there is a problem with postoperative care.

This situation has more than one example.

Some are caused by the paralysis of medical staff, and some are caused by the professional level of medical staff, or some unexpected errors.

"Does he have a difficulty in breathing appear after anesthesia?"

"No! When my lover returned to the ward after the surgery returned to the ward, the state was not bad. Later, the nurse took the medicine to the lover in infusion. When the infusion was completed until the three hours, my lover felt that the body was not very comfortable.

The nurse who came to withdraw the needle responded. She told us that there was a little adverse reaction after infusion. This is normal. The infusion is to improve my lover's ability to improve the ability to infect, supplement the body's necessary nutrients, and speed up recovery.

I didn't say anything again. "

The patient's wife should always be with her husband.

Otherwise, I won't know so clearly.

Shao Lai couples come to husband and wife.

It can be seen that the relationship between the two elderly people should be very good.

After learning about this important situation from the family's mouth, Zhou Can immediately investigated the patient's postoperative infusion.

There is no problem with the medicinal and salt water.

The infusion volume is as high as 1200ml.

This is really a special care of God God!

Seeing that the proportion of medical insurance reimbursement is 100 %, is it desperately infusion for patients?

At least to Zhou Chan's view, the amount of medication must be exceeded.

However, he didn't understand the actual situation at that time, so it was difficult to judge whether the doctor was over -medical.

"How long has the entire infusion process last?"

He asked.

The patient just mentioned an important detail. The postoperative infusion was lost in more than three hours.
To be continued...