"We need to give him an injection to relieve the pain first. 50mg of pethidine intramuscular injection. Ask Dr. Xin to write a prescription." Xie Wanying said quickly.
Sometimes it is not just blood loss that can cause a patient to go into shock, it can also be pain. Pain can really kill a person.
If the patient is in excessive pain, the doctor should first consider giving him adequate pain relief.
Demerol is a controlled narcotic drug and must be issued on special prescription paper for record keeping.
After hearing what she said, Sister Xu trotted off to find Xin Yanjun.
Soon Xin Yanjun ran over from the observation room: "What's going on?"
Xie Wanying examined the knife wound on the inner thigh of the patient. The wound was quite deep. Fortunately, the tendon and nerve were not cut. There was a lot of bleeding and it needed surgical suture. So she turned around and answered the teacher's question: "It needs to be cleaned and sutured."
This situation should be handled by an emergency surgeon. As for finding a specialist surgeon in the inpatient department, it may not be necessary because the injury does not fall within the scope of treatment of orthopedic specialists.
"Doctor Li went out with the ambulance and hasn't come back yet. Doctor Yin is busy catheterizing someone." Of course, Sister Xu found the surgeon first and reported the situation to them.
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What is catheterization? Does it require a doctor to do it? Isn't catheterization something that can usually be done by a nurse?
"Prostate hyperplasia." Sister Xu said.
Oh, the two physicians understood immediately.
Patients with prostatic hyperplasia have abnormally narrow urethral openings, which makes it very difficult for nurses to perform catheterization operations, and they need the help of specialists. Such patients are generally elderly male patients, and they often suffer from urinary retention. That is, a large amount of urine accumulates in the vagina and cannot be discharged. Without catheterization, the patient will be very painful. It is really unbearable and has to go to the hospital emergency department to find a doctor for a solution. It is a common type of urology patient in the emergency department.
Dr. Yin is a urologist himself. When he receives such a patient in the emergency room, if he has time, he can do some emergency treatment himself before sending the patient to the ward.
How could the doctor leave when the catheter was half inserted?
"Give him a dose of Du Lengding." Xin Yanjun said to Sister Xu.
Sister Xu turned around, took the key and went to open the anesthetic counter.
The two emergency surgeons were not available, but fortunately there was a surgical intern with her. Xin Yanjun patted Xie on the shoulder and asked, "Can you sew him up?"
Suturing is a basic skill for surgical students. After working in two surgical departments and trying to be the main surgeon on the operating table, Xie Wanying was very familiar with this technique and nodded directly to Teacher Xin.
Sister Xu drew out the needle and came in to give the injured person a shot of Du Lingding, while saying to Xin Yanjun, "The old lady's daughter is here again."
As they were talking, the aunt's voice was heard outside. She found Xin Yanjun and called out, "Doctor, come here. I was just talking to you, but I hadn't finished talking yet. Why did you run away?"
The family members of this kind of patient always give doctors a headache, because the old lady happened to be seriously ill, and the doctor couldn't make an excuse to leave. If he didn't go, he was afraid that this person would keep making noise here and affect the rescue. Xin Yanjun had to go out first.
After injecting Du Lengding, Sister Xu helped Xie Wanying prepare surgical debridement and other items, and said to Xie Wanying: "You are busy, if you need anything, just call me, I'm outside."
Knowing that Sister Xu had a lot of things to do outside, Xie Wanying nodded, put on a mask and changed into a pair of sterile gloves, and first applied local anesthetic to the injured person and then sutured him.
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