Chapter 290: 【290】Plus 2
Chapter 290 [290] Plus 2
Why does the nurse trust the judgment of his intern classmates? Li Qi'an's head exploded a little, he couldn't understand it.
"Did the doctor come down??"
"Did you remind me?"
"Speaking down—"
"Hurry up, I called several times!! Urged them as if they were dying—"
"Where's Doctor Kim?!"
"Someone said Dr. Kim was over there, I ran to find her—"
Beep beep, beep beep, a continuous alarm sounded on the ECG monitor.
Mother Atao, who was holding Luo Yanfen's hand, raised her head: "What happened, what's the sound? Yanfen?!"
Luo Yanfen looked at the red alarm on the ECG monitor, anxious to death: "Let me go, Auntie!"
"I won't let you go, you save your uncle, please save him—"
"No, if you don't let me go, how can I save people!!"
"My husband, you save him—" Could this woman have been scared crazy, and hugged her leg desperately! Luo Yanfen couldn't get rid of it. Looking at the curve on the monitor was getting more and more wrong, her face turned blue, and then she went white: Is it over now? !
I didn't know what was wrong. The nurse and Li Qi'an who were standing beside the patient's bed looked back at the monitor: "What's going on? Has the patient's heart stopped?"
"Has your heart stopped?"
"Do cardiac compressions—"
"Bring the defibrillator-"
Xie Wanying's hand quickly touched the patient's pulse: "No, it's an odd pulse—"
"Yingying, what do you mean?" Li Qi'an, who heard her voice, looked back at her, and the nurses around went to pull the defibrillator.
"No, no, what I have to do now is puncture!" Xie Wanying shouted, "It's too late--"
The defibrillator pulled by the nurse was pushed aside by her. She rushed to the treatment car on the other side, pulled open the drawer under the treatment car, snapped out a 5ml disposable syringe, tore the outer packaging, and pulled out the needle.
On the treatment tray on the car were the pericardiocentesis supplies that the nurse had just prepared to listen to her talk, and there were disposable puncture needles with outer packaging. Tear off the outer packaging, take out the puncture needle, put on the syringe without the needle, pull the lever of the syringe, and then use the end of the little finger and the ring finger to clamp a sterile cotton ball.
The people next to watched her rapid movements like a hurricane in astonishment.
Hi, her hand pulled away the clothes of the injured person's upper body, and her fingers quickly touched the xiphoid process, about 2 cm below the junction of the left costal arch, and wiped the area with a sterile cotton ball quickly.
What medical paper flashed in my mind, the patient is in a state of unconsciousness and cannot sit and semi-sitting and can only lie down. In this case, the needle must be inserted at a very small angle, which is smaller than the 30-degree angle in the textbook. to half.
To clarify her thoughts, Xie Wanying looked at the patient's chest, and the patient's heart was beating very fast in her mind, and she was almost suffocated by the liquid in the pericardium. The patient's situation is consistent with the principle of rapid suffocation in the last pneumothorax patient. The organs of breathing and heartbeat are compressed by liquid gas, and their physiological activities are about to stop.
If this compression is not released quickly, the patient's organs will be compressed to death.
It's too late, the heart rate on the monitor is shaking.
Zha! Introduce the needle slowly. Don’t be in a hurry at this time. It must be accurate. The needle is inserted at an angle of 15 to 20 degrees to the abdominal wall. Generally, the depth of the needle is 3 to 5 cm for thin patients, but it all depends on the feeling of the needle tip after entering.
(end of this chapter)
