I Can See Health

This patient was diagnosed and treated by Sun Guoguo.

Lu Chen was just helping by taking blood pressure and doing electrocardiograms. Unexpectedly, he also received thank you points, and the system completion level 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.

I stayed in the ward for a few more minutes.

The old man's condition has stabilized, his breathing has become steady, his hands no longer shake randomly, and his pale face has gained a trace of color.

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 yet.

Lu Chen measured the patient's blood pressure again and found that the blood pressure had dropped to 173/95mmHg.

"Next, keep pumping sodium nitroprusside and adjust the pump speed according to your blood pressure. Don't let your blood pressure drop too much."

Sun Guoguo ordered the nurse on the side.

If blood pressure drops too much, the volume of cerebral blood vessels will decrease rapidly, resulting in insufficient blood supply and brain cell ischemia and hypoxia, which may lead to cerebral infarction.

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

The old woman held Sun Guoguo's hand tremblingly, and then grasped Lu Chen's arm tightly, 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, the patient in bed No. 10 is quite special." Sun Guoguo said, "His son works out of town all year round, and the two old people depend on each other. The old man is a regular patient in our department and comes to the department several times every year."

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

Heart failure is one of the diseases with the highest mortality rate in the world.

There is no complete cure, but it can only delay the further development of heart failure, reduce the number of hospitalizations and the disability rate.

"Junior brother, I will make up for the medical orders for the rescue just now, and you will write the course record of the rescue."

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

"You should try your best to write down the rescue record first, and I will 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 pays little attention to medical records.

But for the internal medicine system, medical records show 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 a dispute arises during medical practice, medical documents will be important materials to protect doctors when going to court.

"Okay, senior sister, let me try."

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, concise and professional, and can accurately describe the patient's onset and treatment process.

The writing of rescue records is more difficult than the daily course of illness.

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

…

About five minutes later.

Sun Guoguo completed all the emergency medical instructions and glanced at Lu Chen aside with her peripheral vision.

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

He has solid clinical skills and basic knowledge, has good looks, is polite and kind to others.

But why would such an outstanding junior choose mentor Li Yao?

It's not that Li Yao is a bad instructor, but based on current public opinion, Li Yao is not the best choice.

And it's not just Lu Chen.

This year's tutor Li Yao's students seem to be quite outstanding, such as Junior Sister Jiang.

What a strange thing!

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

"Sister, I've finished writing."

Lu Chen finished typing 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 a junior, she also had some things that she was not good at.

"The writing of rescue records 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 down the time of onset and specific symptoms of the patient. For example, for this patient, the first sentence It should be that the patient suddenly had difficulty breathing at 7:12 this morning. I immediately saw the patient at the bedside. The patient was sitting upright, sweating profusely and short of breath. Then I started to write down the physical examination and the treatment method at a certain point in time... "

Lu Chen nodded.

During his internship, he rarely wrote rescue records in person. At most, he wrote down the daily course of the disease.

For tasks such as rescue records, which have relatively strict requirements, they are usually left to trained doctors or graduate students.

Medical record writing is indeed one of Lu Chen's weaknesses.

"Let's stop here for today. I'll tell you more slowly when I have time. There's still a lot of time in the future."

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

"Thank you, senior sister."

Although Sun Guoguo didn't talk much, every sentence focused on the key points. UU Reading www.uukanshu.net helped Lu Chen sort out the ideas for writing medical records from scratch.

"Oh, Guoguo, since when have you been so patient in giving lectures to interns?"

Suddenly a teasing female voice came from behind.

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

She is about twenty-seven or eighty-years-old, with willow-leaf eyebrows, pink and phoenix eyes, and a pair of beautiful eyes with dots in them.

Although she was wearing white clothes, she still couldn't hide her graceful figure.

"Liu Mei, he is not an intern."

Sun Guoguo turned around and smiled.

"He is Teacher Li Yao's graduate student this year. He is my younger brother. He just entered the department today."

"Oh, it turns out he is Director Li's graduate student. No wonder you are so interested."

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 in the future."

"Oh, Guoguo, what are you talking about? How can I bear to bully such a handsome boy? What's his name?"

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

A faint fragrance hit my nostrils.

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

In all departments, except for interns and nurses who have just entered the department, those with the lowest status are graduate students, regular trainees and the like.

In major tertiary hospitals, some senior nurses can even scold certain attending physicians or deputy chief physicians.

Not to mention some junior residents, nurses can shout around them.

In a word, junior doctors are at the bottom of the department.

"Okay, Doctor Xiao Lu, welcome to the eighth district of the heart." Liu Mei smiled.