I'm really an intern

Chapter 219

"what happened!"

The itinerant nurse was close, and was the first to react, and ran over to the 76 bed that Zhang Tianyang said.

"Drip!"

"Drip!"

It took no more than ten seconds for the sound of the monitor to go from normal to shrill.

The roving nurse managed four or five beds, and was still looking for which bed the patient's monitor was ringing.

When the monitors of half of the patients in the entire ICU ward are beeping rapidly or slowly, if Zhang Tianyang's ear power were not there, it would be really difficult to quickly locate them.

Fortunately, Zhang Tianyang reported the bed number directly.

"Blood oxygen saturation has dropped to 76! It's still dropping!"

Zhang Tianyang roared loudly, and threw himself to the side of the bed.

The string in my heart was tense, and my brain was running fast, quickly judging the old lady's condition.

"What happened!"

In the distance, the attending doctor who was separated by two wards also ran here quickly under the reminder of the surrounding white coat.

Behind him, Director Song also reacted quickly.

Then a circle of white coats followed closely behind.

The white clothes are fluttering, and the clothes are dangling.

Within ten seconds, they crossed two wards and also gathered in front of the bed.

At this moment, Zhang Tianyang has already started to move.

Quickly pulled out one of the piles of suction tubes next to the hospital bed, and unpacked one side of the package with a "tear" sound, exposing the part connected to the suction device.

Unplug the suction device originally connected to the endotracheal tube, poke to the end of the suction tube, and tighten it.

Spread out the film glove attached to the paper in the sputum suction tube, skillfully and quickly use the right glove to go in, shake the hand, and separate the glove from the paper.

Then the thumb and forefinger pinch the sterile suction tube, and the little finger opens a small valve under the endotracheal tube.

The suction tube was sent in along the small valve.

Hang your index finger at the air hole at the end of the suction tube, press and release.

With skillful techniques and skilled operation, the sputum was quickly sucked up along the suction tube.

Zhang Tianyang sucked the phlegm calmly, and the attending doctor stood behind him, approving his operation, and did not stop him.

The eyes of both of them were fixed on the old lady's monitor, paying attention to the value of blood oxygen saturation on it.

Patients in the ICU of the Department of Neurology will more or less experience a transient drop in blood oxygen saturation from time to time.

Because they were intubated or had a tracheotomy.

Not only is it impossible to breathe spontaneously without the assistance of a ventilator, but it is also impossible to expel the secretions in the trachea by itself.

In layman's terms, they can't cough up phlegm by themselves.

If it is not in the hospital, it is taken care of at home, and the family members do not have this awareness.

The patient who was supposed to recover slowly may be suffocated to death by a mouthful of phlegm!

And here is the neurology ICU ward.

Although the nurses will help them suck the sputum after a period of time, the speed of sputum production is different for each patient, and it is impossible for the nurses to ensure that the sputum of each patient is sucked away in time.

Therefore, when the blood oxygen saturation drops, the first action should be suctioning.

But is this patient really just holding back the sputum?

From disassembling the suction tube to now, in 20 seconds, there is indeed sputum, but the suction is almost finished.

Countless eyes were fixed on the light blue number on the monitor, waiting for it to jump.

Zhang Tianyang's heart sank slightly.

He always felt that it was not that simple.

Even if it is suffocated by phlegm, the blood oxygen saturation will not drop so fast.

Don't you see that the monitors of other patients are also beeping, but they are very "Buddhist", but the monitor of this old lady is already "serious".

one second.

two seconds.

Five seconds.

The blood oxygen saturation value on the monitor not only did not recover, but continued to drop to 72%!

"no!"

"It's not phlegm!"

The attending doctor and Zhang Tianyang spoke at the same time.

In fact, Zhang Tianyang's operation has really done a good job.

In 20 seconds, the unskilled man had already finished suctioning before he even put on the gloves.

However, if the patient's sudden drop in blood oxygen saturation was not caused by sputum blocking the airway, no matter how good he did it, it would be useless.

"Get out of the way of irrelevant people!"

The attending doctor rushed forward with three residents.

The white coats outside were driven away by the head nurse and two nurses.

Zhang Tianyang was the first white coat to pounce on him, and he was very skillful and standardized in his manipulation, and several nurses did not chase him away.

But he took two steps away automatically and consciously, giving way to the attending doctor and residents.

There seemed to be anxiety in the air.

The patient was on a ventilator, and there was no problem with the parameters and frequency of the ventilator, and there was no chance of assisted ventilation.

Four doctors rushed to carry out empirical operations.

While a circle of people in white coats watched from a distance, they "turned over", "patted the back", "adjusted the body position" and other operations on the old lady that they could not understand.

And in the large gap between them and the white coats who were driven far away, Zhang Tianyang stood alone, and Director Song Song Changkong squeezed out from the crowd.

The old lady with bed 76 happened to be one of the three patients in Director Song's hands.

Staring at the monitor, Zhang Tianyang's mind raced.

The old lady in bed 76 is an elderly woman, 82 years old, with 14 days of hospitalization.

This is an old patient, so the attending doctor only asked about the latest examination results during the computer rounds, and Zhang Tianyang did not see her medical records.

But judging from the existing evidence, he can also have a rough judgment in his heart.

First of all, the main diagnosis displayed by this patient in the patient information interface is "subarachnoid hemorrhage".

The most common causes of subarachnoid hemorrhage are congenital intracranial aneurysms and cerebrovascular malformations.

Followed by hypertension, cerebral arteriosclerosis, moyamoya disease, intracranial tumors, blood diseases and so on.

Zhang Tianyang did not see the specific medical records, so he was not sure which one it was.

But judging by the age of the old lady, he reckoned that it was probably one of aneurysm, high blood pressure, cerebral arteriosclerosis, and intracranial tumor.

He knew that the old lady had undergone surgery.

But what exactly is the operation, he is not clear.

After all, the type of surgery is related to the disease, for example, clipping of ruptured aneurysms, and angiographic embolization of aneurysms.

But what the naked eye can see now is that a tube extends from the top of the old lady's head, which is connected to a graduated bottle on the head of the bed.

The tube was filled with red bloody liquid, and a small half of the red bloody liquid had already accumulated in the bottle.

This should be drainage of cerebrospinal fluid.

The goal is to prevent and treat hydrocephalus.

Relevant knowledge flashed quickly in his mind, and Zhang Tianyang was stunned for a moment.

and many more!

Prevent and treat hydrocephalus?

hydrocephalus!

As if he had grasped the key point, he turned his head abruptly, walking around subconsciously.

Sure enough, through the gap between the corners of the white coats on the outer circle, he saw the two touches of green behind him that he expected.

The next moment, he ran to the bedside like an arrow from the string, twisted a few times, and passed through the gap between the attending doctor and the three residents.

"It really is because of this!"

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(I'm not feeling well today, it's a bit late)

　Thank you hushengayi, Fei Qinyuan for the rewards of 520, and those little cuties who said they would add meat to me~ (Don’t ask why I thank you so late, I just want to save a few more, it seems that I am very popular)

　　

　

(End of this chapter)