I Spent Those Years In the Operating Room Fighting Monsters - Chapter 482 How did you come up with it?

Hypercalcemia is defined as an abnormally elevated serum ionized calcium concentration.

Hypercalcemia is one of the most dangerous electrolyte disturbances in clinical practice, which can cause increased blood pressure and various arrhythmias. The electrocardiogram shows shortened Q-T interval, ST-T changes, atrioventricular block, and hypokalemic U waves, which can cause fatal arrhythmias if not treated in time.

If VI is not simply attached to the lungs, but attached to the bone under the influence of antibiotics, etc...

Really TM is the same as a hidden killer, and this executioner, who targets more than just ordinary patients.

Regardless of surgery or internal medicine, patients in the hospital will regularly check electrolytes in almost all departments, so that they can be found in time and dealt with accordingly.

But no one found?

This is absolutely lethal, and it doesn't only cover medical staff in the clinic, asymptomatic VI can also be at risk.

Lu Cheng's scalp suddenly felt numb.

The main thing is that I can't think of it, I'm so careless!

However, the progress and growth of medicine is like this. When you encounter something, it will make you think carefully and systematically explore a problem.

In fact, in essence, all current textbooks describe the outcomes of certain diseases inaccurately.

Because as long as you have seen a patient, it is impossible for you not to deal with him, and then quietly wait for it to develop naturally. This is unreasonable.

The current textbook descriptions are based on the symptoms of different populations at different nodes in the onset time as their outcome factors.

However, in such a situation, in fact, many times it has been interfered with, and it is not the outcome of natural factors.

This is a very tangled thing, and no one can go and do it, just ignore a patient, just to study the natural process of a disease.

Precisely because of such limitations in reality, Lu Cheng naturally did not expect to watch the true natural development of the disease in the scene simulation skills.

But in fact, this is the best way to understand a disease at its best.

It's still not enough to dig out the scene skills.

Lu Cheng patted his head in annoyance.

It's just that although various possible and potential complications have been recorded, and there are two sets of data on P City and Shashi, how to throw these things out and attract everyone's attention is a more critical and urgent need. solved problem.

In the end, Lu Cheng decided.

No matter what, I'm going to be transferred to the intensive care unit.

Let yourself be in contact with these patients first, and then you can let go of some of them. If you really can't turn around, then go to discuss with your "daughter-in-law" and use her as a tool person.

Lu Cheng now hates the point of being justified, but in fact, this is the charm and foundation of clinical practice.

It would be impossible if Lu Cheng himself had crossed over this thing and made some conclusions from metaphysics to convince others.

If others were really convinced, Lu Cheng would doubt whether his profession was clinical medicine or modern medicine.

Of course, the issues to think about at this level are a bit too esoteric.

Not suitable for doing it right away.

However, Lu Cheng planned to ask Fang Nixin in a side-by-side manner.

"Fang Nixin, do you know if Teacher Nie has done an autopsy?"

? ?

Fang Nixin sent two question marks.

"Why are you asking this? Of course there isn't. Who would assassinate Teacher Nie at this time? Don't think of the teachers in our hospital like that? Okay?"

After reading Fang Nixin's reply, Lu Cheng knew that she had misunderstood.

But obviously.

There is no answer in this regard.

"Of course I didn't mean that, I just asked casually."

"By the way, have the electrolytes been checked in any of the patients you manage? Are there any special disorders found?"

Fang Nixin replied: "There must be electrolyte disturbances. The respiratory function is limited, and every system in the body is affected. Electrolytes will naturally be affected. This is one of the tests that we must check, and we have to review it every day."

"In the intensive care unit, the two electrolytes of greatest concern are potassium and acid."

"Yeah. It's good." Lu Cheng let out a slow sigh of relief.

"When do you get off work?" Lu Cheng asked.

If you have checked it, you can make use of the data in the database.

…

The current VI situation is becoming more and more complicated. From multi-point, multi-source and multi-type, to now, multi-organ damage may even be hidden in the bone. This is the most difficult situation.

However, after passing the natural outcome of the derivation in the battle scene skills, Lu Cheng made sure of one thing, that is, as long as the patient is handled properly, the mortality rate will not be very high. It's really not possible, and there is still an artificial lung to guarantee the bottom line. This is a piece of good news in the bad news.

…

Time flies by.

three days later.

Chang Weilong looked at Lu Cheng with a complicated look, frowned and asked, "Xiao Lu, are you really going to the intensive care unit?"

"Actually, it's good for you to stay in the Orthopedics Department. We don't have too many people on duty now." Chang Weilong thought he could rest today, and Lu Cheng was on duty.

But who would have thought that on the first day of his shift, Lu Chenggong would lose the ball, which would be nonsense.

"Well, Brother Long, there are not enough staff in the ICU right now."

"And Fang Nixin is there too, so I want to help." Lu Cheng said, and took Fang Nixin out as a cover.

Anyway, as long as you can go, it doesn't really matter what you say.

And it is impossible for Chang Weilong to stop himself from making decisions.

Chang Weilong said: "Just because Xiaofang went there, you shouldn't go!"

"What do you think, if it were you?"

"just in case?"

Chang Weilong still hoped that Lu Cheng could stay.

But Lu Cheng smiled and shook his head and said, "Brother Long, I have thought about what you said, but our situation is different from the one posted on the Internet."

love reading

"What's the point of it if someone can stay anyway?"

Chang Weilong frowned helplessly.

"Be careful then." Chang Weilong didn't know how to persuade Lu Cheng, so he couldn't say it, it's just a girl, what kind of girl do you want now?

If I were you, I wouldn't go to death.

In any case, no one would have thought that you would go to the clinic.

But the words in my heart are naturally not easy to say.

Individuals have personal choices.

"Thank you Brother Long for your concern, then I'll go. Brother Long." After saying goodbye to Chang Weilong, Lu Cheng went downstairs and went to the intensive care unit, carrying a bag containing his daily necessities .

He made this application with the hospital, which was rejected for the first time.

Then Lu Cheng personally called the current acting dean, and his attitude was quite tough.

After all, Lu Cheng's influence today is no longer what the little Lu in his mouth represented.

When he really wants to do something, he also has to consider it carefully, otherwise, Lu Cheng will not lack the liquidated damages caused by the unit willing to transfer the unit for him.

Lu Cheng came to the intensive care unit and was simply held a welcome ceremony.

Just got to know each other a bit, and the dinner parties are just organized lunch boxes.

Special times, special ceremonies, simple but heartfelt.

After eating, Zhou Chengcheng, who was wearing a protective suit, was pinched by Fang Nixin and his waist hurt very much.

Lu Cheng also endured it, then looked at Fang Nixin and said, "You are here, and I will definitely come too."

Fang Nixin was stabbed by Lu Cheng's sudden love words, and her hands were relieved of strength.

Turning around, he snorted heavily: "What's in here?"

"I'm in a special situation. I have antibodies now, but what about you?"

Fang Nixin said that, she suddenly thought of something.

Then he dragged Lu Cheng directly to the blood drawing room.

"Why are you going?"

"Go get your blood drawn! I want to check your blood!" Fang Nixin was so smart, she seemed to understand it all at once.

She and Lu Cheng had been starving for a while, so maybe Lu Cheng would be too.

It's just that she didn't know, maybe Lu Cheng's symptoms weren't that serious.

"Why are you drawing my blood?" Lu Cheng quickly collected it.

I was secretly shocked: Daughter-in-law, what are you doing with my blood? This joke is not so easy.

Damn, there was no nucleic acid antigen and antibody test before. I avoided a disaster. If you do this now, it may send me to the hospital bed.

Lu Cheng was not sure whether he could detect antibodies.

After all, antibodies are tiny and harmless to the body, and the blood purifier doesn't care...

"Are you going to give me a pump?" Fang Nixin was angry.

"Don't smoke!"

"Why do you have to draw blood? Aren't you afraid that the bacteria in the air will directly enter my body?" Lu Cheng naturally refused.

Fang Nixin didn't try to persuade her, but her eyes turned red.

Suddenly, he said in a slightly wrong tone, "Have you ever had the same experience as me? You didn't tell me."

"I didn't find out either."

He turned to look at Lu Cheng, his eyes a little distressed.

It must have been a lot of effort for Lu to become a VI, and there are more places that others can't see.

Since the time he ran out of Shashi, Fang Nixin had not seen how much he had done, but after Lu Cheng came back, the corresponding things, one by one, seemed to be simple data, but in fact they all depended on time. spelled out.

Lu Cheng didn't know how to respond to this for a while.

In his heart, he really wanted to confess to Fang Nixin and not hide anything. However, there are some things that Lu Cheng really can't give an explanation for.

But if you don't say it, it seems a little inappropriate.

If I tell the truth, I don't know what kind of explanation to give.

But it seems that there will always be a conclusion to this matter.

Lu Cheng then said: "Actually, I don't know. I had a little cold before. I was called by the teachers to rest for a few days, and nothing happened after that."

"It's coming out immediately. I have a video with you every day. Don't you know?"

"If you don't believe it, then you can draw it." Lu Cheng handed out his hand and was trapped by Dabai, so he definitely couldn't draw blood just like that.

Fang Nixin shook her head and said, "In the days when I didn't want to see you, we didn't make a video!"

Fang Nixin would not ignore this small detail.

"I also did a nucleic acid test before, isn't the situation good now?" It is a fact that Lu Cheng was in a special ward in P City before! Unbelievable, he didn't do anything during the hospitalization.

The evaluation for him to be discharged from the hospital was also given by others, so Lu Cheng also felt that there was no need to hide it. If Fang Nixin wanted to investigate, then let her do the investigation.

Even if the final result is that there are antibodies, it has nothing to do with them. Diagnostic methods were not perfect at the time.

I was ignored, not my own reason.

Fang Nixin shook her head, tears slipped from the corners of her eyes under the goggle, she tried to wipe it with her hands, but the glove was blocked by the glove.

She stretched out her hand, took two steps forward, and when Lu Cheng was quite surprised, she hugged Lu Cheng.

He also patted Lu Cheng on the shoulder and said, "You should also take care to protect yourself."

"Fool."

The voice was very soft, and they separated quickly, then she blinked and said: "I went to see the patient, you only came today, Mr. Huang should not assign tasks to you, and you have never been in internal medicine before. Relevant treatment experience, it is estimated that you will have to undergo short-term training to let you follow one of us."

Lu Chengcheng immediately followed Fang Nixin and said cheekily, "Then I'll follow you first."

Fang Nixin said earnestly, "You have to listen to Director Huang's arrangement. UU Reading www.uukanshu.com, you have to follow me and let him speak."

But it was obviously wrong, she wanted Lu Cheng to follow her.

"Then I'll go and talk to Professor Huang." Lu Cheng smiled.

Then I went to the ward with Fang Nixin...

Twenty minutes later.

Lu Cheng was writing the medical records, Fang Nixin was writing a medical order on a computer next to him, and Lu Chengcheng looked at the doctor's order written by Fang Nixin and wrote the medical records.

This is what Fang Nixin asked him to do. Internal medicine treatment lies in systematic thinking. Lu Cheng needs to logically analyze the corresponding medication in the medical record system according to the doctor's order. This is a basic work and a basic thinking. .

However, when Lu Cheng was in the middle of writing, Lu Cheng's phone rang.

It was Lan Lingzhi from the Department of Respiratory Medicine who called: "Doctor Lu, is that convenient for you?"

When Lu Cheng saw Lan Lingzhi calling, he knew her intention. He probably also performed CT 3D reconstruction for the patient, so he called him: "Well, Mr. Lan. Is that patient's CT result out? ?"

"Is there a cavity?" Lu Cheng asked pretending not to know.

Lan Lingzhi said with emotion: "You are really amazing, I still haven't figured out the logic inside."

"After you went back that day, I turned around and planned to give the patient a doctor's order, but as soon as I arrived in the ward, two patients suddenly had difficulty breathing. I went to the rescue. Later, I wrote the rescue record and the death case record, and I forgot about it. ."

"It was only yesterday that I remembered that there was really bone destruction. Dr. Lu, how did you think that the patient might have bone destruction?"Click to download the APP of this site, Massive novels, free to read!