Chapter 154: A Little Progress
Facing the man's thanks, Wu Xiangdong just smiled. After all, to him, this was really not a big deal.
He said to the man: "Your mother's condition is relatively stable now. Let us complete the relevant examinations later. If nothing happens, she can be extubated."
After hearing this, the man nodded quickly and said, "Okay, doctor, what do you need me to do now?"
Wu Xiangdong thought for a while and said, "You go to the registration office and complete the patient's relevant information. Then I will prescribe her a routine biochemistry and let's do a blood test. If there are no other problems, I will prescribe her a few boxes of antibiotics."
Take the special allergy medicine and you can go back."
"Really? Thank you so much." The man finally put a smile on his face when he heard that his mother would be discharged after she was fine.
Then the man took the blood drawn by the nurse, walked out of the emergency room door, and ran towards the night registration room.
At the same time, Zheng Hong, who had been staying in the observation room, finally took care of the patient and hurried to the emergency room.
On the way here, she kept beating her heart. After all, this was Wu Xiangdong's first day on emergency duty, and he was a temporary substitute.
Now that we are facing such a difficult patient, if something goes wrong during the period and there is a conflict with the patient's family, without Zheng Hong to deal with it, I am afraid something will happen.
"Although Wu Xiangdong has strong medical skills and is very decisive in handling patients, he is still too young after all. No matter how calm he is, he cannot cover everything."
Just when Zheng Hong was having random thoughts in her head, the door of the rescue room suddenly opened.
"Did something happen?"
When Zheng Hong saw this, her heart suddenly skipped a beat, and then she saw the man hurriedly walking out.
"Is your mother okay..." Seeing the man walking straight towards her, Zheng Hong asked him about the situation in a panic.
Unexpectedly, the man's attention was not focused on this aspect at the moment. He didn't even hear Zheng Hong's question clearly and simply said hello to her.
"Hi, head nurse."
Obviously the man knew what the bars on the nurse's hat meant. After greeting Zheng Hong with a smile, he walked past and ran towards the clinic hall.
"This?!" The head nurse was directly confused by the man's actions. She thought that now is not the time to say hello. My mother was in the emergency room and he was smiling. This was different from crying and shouting just now.
It's simply a world of difference.
After Zheng Hong watched the man leave, she opened the door of the emergency room with confusion on her face.
"It's so serious that he's already intubated?" The moment Zheng Hong entered the rescue room, she noticed the patient lying on the rescue vehicle. At this time, a slender tube was inserted into his mouth.
"Head nurse, don't worry. With Dr. Wu here, the patient will not have any problems."
"The family will get back the test results later. As long as the blood indicators are normal, the patient will probably be extubated and go home soon."
The little nurse seemed very excited at this moment. After all, she had a share of the credit for successfully rescuing this patient.
"Ah?" It was Zheng Hong's turn to be completely shocked. She looked at Wu Xiangdong in disbelief. After all, he knew better than anyone how urgent the patient was when he came.
"Well, the nurse is right. The patient is indeed fine." Facing Zheng Hong's questioning look, Wu Xiangdong briefly explained the situation.
"It's because of allergies again." Zheng Hong glanced at the patient with lingering fear and asked worriedly: "Then have you found her allergen?"
"Not yet, but I think I almost know what type it is." Wu Xiangdong looked at the red spots on the patient's skin that were gradually receding, and he already had a conclusion in his mind.
At this time, the man had already returned from the outpatient hall with the hung medical records and several laboratory test sheets.
"Doctor, what you asked me to do has been done. Can my mother be extubated now?"
Wu Xiangdong took the test sheet and looked at the metabolic indicators. There were basically no problems, so he said: "The patient is in good condition and can be extubated."
After saying that, he turned to look at the little nurse aside and said to her: "Find me a disposable syringe."
"Okay." The nurse quickly agreed, took a 10ml syringe from the treatment cart nearby, and asked, "Is this specification okay?"
"Can."
Wu Xiangdong nodded, took the syringe handed over by the nurse, and connected it to a thin tube extending from the end of the endotracheal tube.
This is a balloon tube inside the endotracheal tube, which can fix and support the airway.
"Auntie, take a deep breath for a while. After I remove the air bag, you should cough hard while preparing to extubate. This will cough out the impurities in the air bag and reduce lung infection."
Wu Xiangdong patiently explained the extubation process and precautions to the patient.
After all, tracheal intubation can be divided into two modes. One is positive pressure extubation, which is suitable for awake patients. It can rely on the peak flow rate generated when she coughs violently to impact the sputum in the airway, and then remove the tracheal intubation.
while reducing infection.
The second type is negative pressure extubation, which is usually used for unconscious and comatose patients. It requires the use of a negative pressure suction device to remove sputum in the endotracheal intubation through a sputum suction tube.
Since the patient in front of him regained consciousness, Wu Xiangdong chose the first method.
"Are you ready? I'm going to start extubating."
"Come, take a deep breath with me and hold your breath."
While demonstrating, Wu Xiangdong taught the patient to inhale. When he felt about the same, Wu Xiangdong released the air bag, grabbed the endotracheal tube with his right hand, and pulled it out from the patient's mouth.
"Cough cough cough!"
The patient stared, feeling a surge in her throat, and suddenly a tube more than 20 centimeters long spit out from her mouth.
"Yeah, it's so scary."
When the little nurse saw this strange scene for the first time, she felt a wave of nausea in her stomach. The horrific scene even made her close her eyes.
Although Zheng Hong on the side was not as miserable as she was, she had never seen many extubations at such a close range in so many years of work, so her face was a little ugly.
Wu Xiangdong naturally had a panoramic view of their reactions, and he could only shake his head helplessly at this moment. After all, a scene like this could only be considered a pediatric matter in an emergency room.
There will be more incredible things waiting for them in the future.
As someone who has been there, Wu Xiangdong naturally knows everything about the emergency department, but that happened later.
Chapter completed!