Chapter 1234: 【1234】Fortunately she is here
Chapter 1234 [1234] Fortunately, she is here
"You need to give him an injection to relieve pain first. 50mg of Duluidin intramuscularly, ask Dr. Xin for a prescription." Xie Wanying said quickly.
Sometimes it is not just blood loss that can cause a patient to go into shock, but also pain. Pain can really kill a person. trauma like this
Patient, if the pain is excessive, the doctor should first consider giving him adequate pain relief first.
Doloretine is a controlled narcotic drug, and special prescription paper is required to be issued separately and kept on file.
After hearing what she said, Sister Xu trotted all the way to find Xin Yanjun.
Soon Xin Yanjun ran over from the observation room: "What's the situation?"
Xie Wanying had inspected the stab wound on the inner thigh of the patient. The wound was quite deep. Fortunately, the tendons and nerves were not cut off. There was a lot of bleeding and needed surgical sutures. So he turned to answer the teacher's question: "We need to debride and suture."
This situation should be dealt with by an emergency surgeon. As for finding a specialist surgeon in the inpatient department, it may not be necessary because it does not hurt the scope of orthopaedic specialist treatment.
"Dr. Li went out with the ambulance and hasn't come back yet. Dr. Yin is busy with catheterization." Of course, Sister Xu contacted the surgeon for the first time and reported the situation to the two of them.
What is catheterization? Need a doctor to do it? Is catheterization generally not something a nurse can do?
"Prostate hyperplasia." Sister Xu said.
Oh, the two physicians understood immediately.
In patients with benign prostatic hyperplasia, the urethral opening is abnormally narrow, which makes it very difficult for nurses to perform catheterization operations, and requires the help of a specialist. Such patients are usually elderly male patients, often accompanied by urinary retention. That is, a large amount of urine accumulated in the bladder cannot be excreted, and the patient will be very, very painful without catheterization. It is a common type of urological patient in the emergency department.
Dr. Yin is a urologist himself. When he receives such a patient in the emergency room, if he is free, he can do some emergency treatment by himself before sending him to the ward.
The doctor can't walk away if the catheter is half inserted.
"You give him Du Lengding." Xin Yanjun said to Sister Xu.
Sister Xu turned around and took the key to open the anesthetic counter.
Two emergency surgeons were unavailable, but luckily there was a surgical intern beside me. Xin Yanjun patted classmate Xie on the shoulder and asked, "Can you sew for him?"
Suturing is a basic skill for surgical students. After going through two surgical departments and trying the main knife on the operating table, Xie Wanying was very familiar with this technique and nodded directly to Teacher Xin.
Sister Xu came in with a needle, beat Du Lengding to the injured, and said to Xin Yanjun, "The old lady's daughter is here again."
While talking, the auntie's voice sounded outside, and she found Xin Yanjun's figure and shouted outside: "Doctor, come here for me. I was talking to you just now, but I didn't finish speaking, why did you run away?"
When encountering such a patient, the family members will always call the doctor a big head, because the old lady happens to be seriously ill, and the doctor has no excuse to walk away. Don't go, I'm afraid that this person has been arguing here, affecting saving people. Xin Yanjun had to go out first.
After playing Du Lengding, Sister Xu helped Xie Wanying prepare surgical debridement and other items, and said to Xie Wanying, "You are busy, if you have something to call, I am outside."
Knowing that Sister Xu was busy outside, Xie Wanying nodded and put on a mask and changed a pair of sterile gloves. She had to apply local anesthesia to the injured before stitching.
(end of this chapter)
