Beep, beep, the ECG curve on the monitor fluctuates along with the sound.
The patient's blood pressure is a little low. The ECG curve is generally normal, but I don't know if there will be any more bleeding.
Luo Yanfen gritted her teeth and lips, decided to fight to the death, and said to the nurse: "Hurry up and prepare the three-chamber two-balloon tube."
The doctor confirmed the medical orders and the nurse ran off to get something.
Turning back, Luo Yanfen picked up her phone and called the doctor on duty tonight, informing him of the patient's condition and her own treatment plan: "Doctor Chen, I'm worried that he might bleed more and have low blood pressure."
"Have the blood test results come out yet?"
"I asked someone to go to the laboratory to get it. He had his blood drawn for test in the emergency room, but the report hasn't come out yet, so the emergency room sent the patient up first." Luo Yanfen reported the situation.
Doctor Chen in the operating room was not happy. He complained through the phone that the nurse brought for him: "Why are you in such a hurry to send it up? My operation is not finished yet."
The operation Dr. Chen is currently performing was urgently transferred from the internal medicine ward when he took over. It is a major emergency operation.
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For an emergency operation, at least two doctors from our hospital and one or two interns are needed. In other words, in addition to Dr. Chen, there are doctors from our hospital performing the operation in the operating room. If there is an accident during the operation, the second and third line doctors need to be called back to support. Now I heard that the second line doctors have returned to support the operating room.
"Think about it, there is no manpower left! If it doesn't work, just call the third line, or ask your own teacher to come back!" Doctor Chen shouted from the other side.
The front-line duty in the department means that from now on, for a long time, they can't count on the front line to help guide them.
Luo Yanfen scratched her hair. Although she had worked in other hospitals before and was a doctoral student who quit her job to study, she could prescribe medicine with her licensed physician, but here she had to listen to her teacher.
The sub-specialty area she worked and studied was not gastroenterology, but urology. Therefore, during the rotation period, Xie Wanying was not as serious as the newcomer, and she thought about it later and realized that this was the reason.
Do we need to call the teacher back? Luo Yanfen turned around, frowning as she thought about the consequences.
Call the teacher. If the teacher comes back and sees that the patient's condition is not serious, she should not lose points for her. It is best to report to the teacher that the patient has been treated almost properly, so that the teacher can be assured. This is the best way to be a student. Because she is a student with a practicing license, she is a doctor, and she is not a clinical rookie by definition.
She had no choice but to look at the patient again.
In case of acute upper gastrointestinal bleeding, the most important thing is to stop bleeding and observe.
As long as the bleeding is not uncontrolled and the patient is not in shock, there is no need to be rushed to the operating room.
The key now is how to further stop the bleeding.
In fact, this kind of patient can also be sent to the Department of Gastroenterology, which has gastroscopy hemostasis technology. I guess there is no bed in the Department of Gastroenterology, so they sent him to the Department of Surgery.
The patient was given an IV drip of aminobenzoic acid, a commonly used clinical hemostatic agent, commonly known as hemostatic aromatic acid. Simply giving a hemostatic agent is not enough, and more radical measures must be taken for this kind of heavy bleeding.
The nurse came in pushing a treatment cart, with the supplies for triple-lumen double-balloon catheter intubation ready.
If nothing unexpected happens, the nurse can do the operation herself, and the doctor will watch by the side just in case.
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