MTL - I Can See Health-Chapter 36 Welcome to the eight districts of the heart

  Chapter 36 Welcome to the eight districts of the heart

   This patient was diagnosed and treated by Sun Guoguo.

  Lu Chen was just assisting him, taking blood pressure and doing an electrocardiogram. He didn't expect to receive a thank you point, and the system completion rate also increased by 10%.

   It seems that there are still many magical features of the system, which need to be further explored by Lu Chen.

   stayed in the ward for a few more minutes.

  The condition of the old man has stabilized, his breathing has become stable, his hands no longer shake randomly, and his pale face has a hint of blood.

   However, Lu Chen noticed that the color on the old man's head was still red, which meant that he was not out of danger.

  Lu Chen re-measured the patient's blood pressure, and the blood pressure had dropped to 173/95mmHg.

   "Next, maintain the sodium nitroprusside pump, adjust the pump speed according to the blood pressure, and do not drop the blood pressure too much."

  Sun Guoguo instructed the nurse beside him.

   Blood pressure drops too much, cerebrovascular volume decreases rapidly, blood supply is insufficient, cerebral cell ischemia and hypoxia, which may lead to cerebral infarction.

   "Thank you, Dr. Sun, and thank you for this little doctor."

  The old woman shook Sun Guoguo's hand, and then grabbed Lu Chen's arm, her face full of gratitude.

  Lu Chen smiled.

   "Mother-in-law, this is what we should do."

  The patient's condition has stabilized, and Lu Chen and Sun Guoguo also returned to the doctor's office.

   "Junior brother, this patient in bed number 10 is quite special." Sun Guoguo said, "His son works outside the country all year round, and the two old people depend on each other. The old man is an old patient in our department, and he comes to the department several times a year."

   "Every time we talk to the old man about his condition, they don't know much, and his son has never been to the hospital."

  Heart failure is one of the deadliest diseases in the world.

   cannot be cured completely, but can only delay the further development of heart failure, reduce the number of hospitalizations and the disability rate.

   "Junior Brother, I'll fill in the doctor's order for the rescue just now, and you will write the record of the course of the rescue."

   Back at the doctor's office, Sun Guoguo told Lu Chen the job number and password of his medical record system, and gave instructions at the same time.

   "You try to write down the rescue record first, and I'll revise it for you later."

   For interns who have just entered clinical practice.

   Writing medical records is the most basic thing, but it is also a big problem.

   The surgical system focuses on surgery and does not care much about medical records.

   But for the internal medicine system, the medical record shows the doctor's clinical thinking, the patient's onset process, and the diagnosis and treatment process.

   Therefore, medical records occupy an extremely important part of the entire medical practice.

  Once there is a dispute in the medical practice, when the court goes to court, the medical document will be an important material to protect the doctor.

   "Okay, Senior Sister, I'll try it."

  Lu Chen sat next to Sun Guoguo, turned on the computer, and logged into the Jiahe electronic medical record system.

  The writing of daily medical records should be concise, refined and professional, and can accurately describe the patient's disease and treatment process.

   And the writing of rescue records is more difficult than the daily course of disease.

  Lu Chen recalled the onset process of the No. 10 hospital bed and started his first medical record writing in the Cardiology Department of Jinghua Second Hospital.

  …

   about five minutes later.

  Sun Guoguo finished all the emergency medical orders, she glanced at Lu Chen from the corner of her eye.

   So far, she is extremely satisfied with her new apprentice and brother.

   He has solid clinical skills and basic knowledge, looks good, treats people politely and is kind.

  However, such an excellent junior and junior, why did you choose Li Yao as mentor?

   is not to say that Li Yao's mentor is not good, but from the current public opinion, Li Yao is not the best choice.

   And not just Lu Chen.

   This year, Li Yao's tutor's students seem to be very good, such as that Junior Sister Jiang.

   is really weird!

After thinking about it, she looked at Lu Chen's computer and found that the rescue record was almost finished.

   "Sister, I'm done."

  Lu Chen finished the last period and checked it again.

   "Well written, but there are some flaws."

   After reading the medical records written by Lu Chen, Sun Guoguo felt a little more balanced, as his junior and junior brother also had some shortcomings.

"The writing of the rescue record is extremely important for the time of onset." Sun Guoguo said in a very soft tone, "We need to use the time point as the boundary to write the patient's onset time and specific symptoms. For example, this patient, the first sentence It should be that the patient suddenly had difficulty breathing at 7:12 this morning, and immediately saw the patient at the bedside. The patient was sitting upright, sweating profusely and short of breath, and then began to write about the physical examination and the treatment at a certain point in time... "

  Lu Chen nodded.

   During his internship, he seldom wrote rescue records himself, at most he wrote about the daily course of illness.

   For work with stricter requirements such as rescue records, it is generally handed over to doctors and graduate students.

   Writing medical records is indeed one of Lu Chen's weaknesses.

   "Let's talk about it here today, and I'll talk to you later when I have time. There will be a long time in the future."

  Sun Guoguo revised the medical record written by Lu Chen, and then clicked the signature button, and the entire medical record was completed.

   "Thank you, Sister."

  Although Sun Guoguo didn't talk much, he focused on the key points, helping Lu Chen to sort out the idea of ​​writing medical records from the beginning.

   "Ouch, Guoguo, when did you lecture so patiently to the intern?"

   Suddenly, a mocking female voice came from behind.

  Lu Chen looked back and saw a female nurse leaning against the door of the doctor's office with her right hand on her waist.

   She is about twenty-seven or eighteen years old, with Liu Ye eyebrows, Danfeng eyes, and a pair of beautiful eyes with waves.

  Although he was dressed in white, he still couldn't hide the graceful curves of his figure.

   "Liu Mei, he is not an intern."

  Sun Guoguo turned her head and smiled.

   "He is a graduate student of Mr. Li Yao this year, my brother-in-law, who just entered the department today."

   "Oh, it turned out to be Director Li's graduate student. No wonder you are so concerned."

  Liu Mei raised her eyebrows and walked into the office with a smile.

  Sun Guoguo pretended to be serious and said, "Liu Mei, you can bully others, but don't bully my junior brother from now on."

   "Oh, Guoguo, what are you talking about, how could I have the heart to bully such a handsome guy. What's the name of the handsome guy?"

  Liu Mei walked to Lu Chen's side with a smile.

   A faint fragrance hit the nostrils.

   "Hello Sister Liu, my name is Lu Chen."

   In all departments, except for interns and nurses who have just entered the department, the lowest status is the graduate students, graduate students and the like.

  In the top three hospitals, some senior nurses can even slap the nose and face of some attending physicians or deputy chief physicians.

   Not to mention some small residents, nurses can call them around.

   In short, a little doctor in the department is the lowest level of existence.

   "Okay, Dr. Lu, welcome to the eight areas of the heart." Liu Mei smiled.

   (end of this chapter)