Chapter 265 Blood Volume
Only then did Gu Jianqiu realize that Director Jiang intentionally or unintentionally told the patients and their families about changing the treatment plan last night. The intention was probably to treat problems and make it easier to shirk responsibility. Unexpectedly, the patients and their families knew the whole story, and they knew that traditional Chinese medicine played a key role in it. At the same time, he also knew that Director Jiang was interfering and did not ask the patient's family to report the condition to him.
Gu Jianqiu did not say anything, and conducted a review for Director Niu and confirmed that Director Niu's condition had indeed improved initially, especially the edema, which was significantly reduced. It seems that as long as the dialectical medication is used correctly, it can achieve the ideal therapeutic effect. Of course, if it is treated by ordinary Chinese medicine doctors, it is absolutely impossible to improve so much, which is of course due to Gu Jianqiu's true qi improving the efficacy of the medicine.
Gu Jianqiu was very happy. Since it had the effect and the effect was not improved, continue to use the medicine and decide whether to adjust according to the situation.
After Gu Jianqiu's follow-up visit, he said goodbye and was about to return to the Chinese medicine department.
As soon as I got to the corner, I heard someone calling behind me: "Teacher Gu!"
Gu Jianqiu looked back and saw that it was Feng Wei, an intern nurse, and then looked at her with a smile: "I heard about your deeds of fighting against the criminals and bravely rescuing patients. You are so brave!"
Feng Wei's pretty face was a little rosy. She lowered her head, shook her gently, looked up at him, her eyes shining brightly, and said, "I should thank you teacher. If you hadn't reminded me that the patient had problems, I might not have been mentally prepared. When her husband came in to beat her, I might have run out in fear. Just like everyone else, it was because you reminded me that I was mentally prepared and could handle it calmly. When I saw him want to kill his wife, I had the courage to pounce on it, so I have to say, thank you."
"What do you thank me for? This is your bravery. In the face of the thugs, I believe that your behavior will be written into your internship report and will give feedback to your school. In the future, it will be of great help to find a job after graduation. Any hospital will be willing to recruit you. Of course, including our Kantman Hospital, I believe that the hospital leaders will also welcome it."
Feng Wei was surprised and her voice was trembling: "If I applied to work here when I graduated, my hospital would really admit me?"
"I believe that will. At least I welcome you very much. I can recommend you to the hospital leaders."
Feng Wei's eyes became brighter, and the blush on her face made her look even more petite and cute, and she said, "Thank you, Teacher Gu! I'm confident when you say that. By the way, the female patient has become good friends with me now. She asked me to talk to the ward and talk to me about her and her husband. Her husband does everything for food, drink, gamble, and the most hateful one often hits her. She faints several times and is hospitalized. She really can't survive and wants to divorce her husband. If she and her husband threaten her divorce, they will kill her whole family, and her husband is serious. She is so angry that she is ready to take a knife. If her husband dares to do it, she will fight her husband to death."
Gu Jianqiu nodded: "Gentleness is a woman's nature, but when she is forced into a Jedi, she will fight to the death. The rabbit will bite people when she is anxious, let alone people."
"Yes, her husband has been arrested by the Public Security Bureau. The Public Security Bureau said that he is a regular visitor of the Public Security Bureau and often fights and provokes trouble. This time his behavior constitutes intentional homicide. He was arrested for the first inquiry of the Public Security Bureau and found that he was dealing with drugs and other crimes such as drug trafficking. The Public Security Bureau said that even if he doesn't lose his head this time, he will not expect to come out of prison in his life. This way, it will be convenient for them to divorce, and the court will make a direct judgment. She has submitted a divorce complaint to the court, which has been accepted. She is very happy now. She opened a clothing factory with good results. She said that if I am willing to change careers, I can go to her factory to help her and make me a deputy general manager. I did not agree. I have been studying for so many years and I still want to do my business. Now that there is Teacher Gu, you are willing to help me, I am even more at ease."
Gu Jianqiu was very relieved. After chatting with Lin Ziyan for a few words, he said goodbye and was about to leave. Lin Ziyan mustered up the courage and said, "Teacher, I have something I want to consult you, okay?"
Gu Jianqiu nodded and said, "If you have anything, just say it. I have already said it last time. Although I am not very familiar with nursing, we can study it together if there are any problems."
"Teacher, you're polite. That's right. There is a patient in our intensive care unit. I think something is wrong with him, but I dare not tell the doctor. I'm afraid that if I make a wrong judgment, I'll give the teacher a bad impression. Can you tell me a little?"
"Tell me."
"This patient was sent to the surgery yesterday. The surgery is quite normal. However, when the operation was almost over, the blood pressure dropped sharply and the heartbeat also rose sharply. Later, IV drip was used to maintain my blood pressure. The doctor looked for a long time but couldn't find out the cause. The patient's blood pressure dropped quickly as long as he didn't use the pressure booster, but the blood loss of the entire operation was not much. The doctor could not find the reason, so he had to send it to the intensive care unit for nursing observation. When I was monitoring the patient, I found that the patient's lips were dry and his skin was poor, which looked a bit dehydrated. I wanted to recommend the doctor to supplement the patient's body fluids, but I was afraid that I would make a mistake. Otherwise, can you go with me to see it?"
Gu Jianqiu smiled and said, "I am a doctor in traditional Chinese medicine. If I interfere with the treatment of nephrology, people will say mine. Well, if you said this, I will teach you a way. You can check it and you will know what to do."
"Okay, teacher, you said."
"You said that the patient's blood pressure has been reduced by phthalmitis, but the reason cannot be found. And you think he seems to be dehydrated and suspect that his blood volume is not enough. Is the fluid infusion not enough before the operation? You ask the nurse in the ward to check his pre-operative instructions to see if he has enough infusion? Because if the infusion volume before the operation is insufficient, it will also cause the patient's blood volume to drop, resulting in a decrease in blood pressure."
Feng Wei's eyes lit up, and he nodded quickly and said, "Yes, why didn't I expect it? Thank you for your advice. I'll go and ask immediately. Thank you, goodbye." As he said that, Feng Wei bowed and turned around and left in a hurry.
Seeing Feng Wei's pretty back, Gu Jianqiu secretly praised her. This girl is not simple, meticulous and careful in observation. She is very suitable for being a nurse. She will definitely be a very excellent nursing talent in the future. If such a person can work at Kantman Hospital, it will be a win-win result for the hospital and her.
When I returned to the Department of Traditional Chinese Medicine, I saw Director Lu Zhicheng standing at the door. When I saw him, my face suddenly showed a look of inquisitiveness.
Gu Jianqiu knew that Lu Zhicheng might have been hoping that he would understand the situation first, and he was worried about it, so he stood at the door and waited. Seeing himself coming back with a spring breeze on his face, he smiled and hurried up to ask, "How is it? Has it improved?"
"The edema has been significantly eliminated, and the mind has been awake, and I can speak and see things clearly. It seems that we are right to adjust the medication."
Lu Zhicheng couldn't help but feel overjoyed, rubbing his hands and turning around, and said, "It's great, how about it? Director Jiang didn't say anything, right?"
Of course, Gu Jianqiu would not say Director Jiang's little moves. He didn't want to provoke an opposition between the two chief physicians. He just nodded lightly and said, "He is very happy too."
When he was about to get off work at noon, Gu Jianqiu heard familiar footsteps again. He didn't even need to turn his head to know that it must be the pretty young nurse Feng Wei. Sure enough, Feng Wei's happy voice came from the door: "Teacher Gu, Teacher Xia, hello."
Gu Jianqiu looked back and Feng Wei stood at the door and bowed to the two of them. Xia Xueting nodded, smiled and said, "Hello, are you here to find Teacher Gu?"
"Yes, I'll thank Teacher Gu."
Xia Xueting was a little surprised: "What big problem has Teacher Gu helped you solve? You have run two times in a row to thank him."
"This time it was not only me, but also our director who asked me to thank Teacher Gu for him. Director Jiang said that he would have to thank Teacher Gu in person if he had the chance."
Xia Xueting was even more surprised and said, "Oh, what's going on? Even your director was alarmed."
"In the morning, Teacher Gu went to the Department of Nephrology for a follow-up visit. I told Teacher Gu that in the intensive care unit, I found a patient seemed to be dehydrated and his blood pressure was very low, and he had to rely on pressure boosters to maintain his blood pressure. However, there was no major blood loss during the operation. I asked Teacher Gu what to do. Teacher Gu asked me to check the doctor's instructions to see if the infusion was enough before the operation. I went to check. Sure enough, at that time, the patient said that the hand was very painful, so the patient's family made his own decision to only half of the infusion and let go of the remaining liquid, but told the nurse that he had already been injected. The nurse really thought that he had finished the infusion, so he sent it to the operating room. The patient's blood pressure dropped because of insufficient blood volume."
"After finding out this, I quickly took multiple channels to quickly replenish my blood volume. The patient's blood pressure quickly rose. Now everything is normal and I have been transferred to the general ward. Director Jiang and others praised me for my carefulness and discovered the problem in time. Otherwise, I didn't know what would happen? I honestly said that it was Dr. Gu who told me that he told me to come and express his gratitude first, and he would find an opportunity to thank you in person."
Gu Jianqiu smiled and said, "I'm very happy to be able to help, I can't say thank you."
Feng Wei looked at Gu Jianqiu with a respectful look, bowed, and said, "Teacher Gu, you are busy, I have to go back for dinner, goodbye." After that, he left briskly like a bird.
Seeing Gu Jianqiu looking at her back, Xia Xueting smiled and said, "Hey, be careful that your eyes are falling off!"
"Look at what you said." Gu Jianqiu felt a little embarrassed.
Xia Xueting wanted to joke a few times, but her cell phone rang. She picked it up and saw that it was her best friend He Meizhi who called it and hurriedly answered it.
He Meizhi's voice was a little hoarse on the phone: "I'm in the outpatient clinic of your hospital. I haven't had lunch yet. Can you give me some food?" (To be continued, please search for astronomy, the novel is better, updated and faster!
Chapter completed!