Chen Wenqiang's voice was very urgent, and Li Min and the instrument nurse hurriedly moved under her instructions.It only took about a minute before and after, and the dura mater on the suture showed signs of swelling and cracking.Li Min felt the brain tissue under her little finger on the outside, which was as hard as a stone, and she couldn't imagine that the edema of brain cells would be so serious.This time, there was no need for Chen Wenqiang to speak again, Li Min hurriedly asked the instrument nurse for a large horn needle with a double 7 line to do continuous sutures, and the scalp with significantly increased tension was pulled, aligned, and sewn on.Director Shi also helped with scalp suturing.When the last stitch was completed, Chen Wenqiang leaned back on Director Zhou."
Help me lie down for a while, dizzy."
The intern stepped forward to help Director Zhou carry Chen Wenqiang back to the locker room to rest.Director Zhou carefully put Chen Wenqiang back in his place on the bench.In this temporary rest place, Director Shi cleaned up very carefully, and the two folded military coats could not only maintain Chen Wenqiang's lateral lying position, but also make Chen Wenqiang lie relatively comfortable.Director Zhou waved his hand away from the intern, and then sighed: "Lao Shi is very fond of you." ”Chen Wenqiang said vaguely: "That's right, I'm kind enough to him." ”Director Zhou ignored his arrogant appearance at this time, he knew that Chen Wenqiang was a person who was not drunk, but he was able to restrain himself, and he only chose one cigarette and alcohol.So he frowned and asked him, "Why did you drink so much?"
”"The of the internal medicine stuff, they mixed several kinds of liquor in their beer, and they sincerely spoiled it."
Chen Wenqiang muttered dissatisfiedly: "It's easy to get drunk and uncomfortable when you mix wine, it's not wrong at all." ”Every year, the leaders of the hospital go to pay New Year's greetings, and there are departments that make a little name when they toast.Director Zhou understands this kind of thing, and Chen Wenqiang also knows that this is unavoidable.But for the New Year, the annual New Year's party, as the leader of the hospital, wants to have fun with the people, and they all choose to pretend not to know with a closed eye and happily pour down the mixed wine.However, Chen Wenqiang did not face forward in the internal medicine department last year, and he directly "blow" with a beer bottle on the surgical side, so he inadvertently avoided being "framed".So the internal medicine department made up for the part he avoided last year when he was pushed to the front by Dean Shu this year, and he realized that the internal medicine was so bad - it was actually a bad move.You must know that it will not be like this if you give him those liquors directly, the key is that the liquor prepared by the internal medicine department is still of different varieties, and even the local liquor of more than 60 degrees such as burning knives is actually mixed in it.Chen Wenqiang had drunk such "inferior" wine, and before he left the internal medicine building, he knew that he had been calculated.Director Zhou saw him complaining about the people in the internal medicine department, and smiled and didn't answer.Ask him, "Push you some candy and VB?"
Why don't you have some naloxone?
”"No, I just pushed sugar and VB in Cory.""
Then you might as well have some naloxone.I look at the patient's condition, maybe you will have to talk to the family tomorrow during the day.Passive hepatoprotection is not as fast as intravenous naloxone. ”"It's a medicine that is three parts poison."
Chen Wenqiang's mouth insisted, but his attitude was not so resolute."
If you metabolize alcohol in your liver or kidneys, it's not a poison.You wait for me for a while, and I'll call the nurse to come and give you the medicine. ”Director Zhou called a nurse in the operating room, first hung 10% glucose to Chen Wenqiang, and then added 0.4mg naloxone to 25% glucose injection 20mL intravenous bolus; He was then consulted and 4 mg of naloxone was added to 500 mL of 10% glucose injection and given intravenously at a rate of 0.4 mg/h.The nurse in the operating room left, and Director Zhou stayed by Chen Wenqiang's side, saying a few words to him without a ride, staying by his side to take care of him, afraid that he would have an accident.
*It's still in the operating room.The patient's situation is something Li Min has never thought of.She only thought that the patient's intracranial pressure would be high, that the operation would be ineffective, that the patient might die on the operating table, but she just didn't expect that the cerebral edema would progress so quickly and so badly - wait for the anesthesia to wake up?
But forget it, this patient will not wake up in this life.The young anesthesiologist follows the side of the flat cart after they carry the patient to the flat cart.Director Shi took a step back and looked at Li Min in charge."
Bring the patient to the ICU.Before I came, I had a head nurse in the ICU to say hello.Yang Yu, you go and write the operation record.I went to the ICU after explaining to the patient's family. ”"Yes."
Yang Yu promised to push the patient out of the small elevator in the operating room."
Xiao Li, you wait, I'll go with you."
Director Shi stopped Li Min, who wanted to explain to the patient's family."
You stand behind me for a moment and don't say anything.I said that the patient's family may be able to accept the result of such surgery; If you go and say it, you may have to make a difference. ”Li Min was stunned for a moment, and immediately said gratefully, "Thank you, Director Shi." ”Sure enough, the patient's family was very excited, but in the face of the majestic Director Shi, they thanked them politely, and by the way, they also expressed their gratitude to Li Min.This made Li Min, who was standing behind Shi Lei, uncomfortable.A thought that she hadn't had for a long time suddenly came to her mind: Should I be transferred to obstetrics and gynecology?
*After explaining to the patient's family, Director Shi is going home to rest, and Li Min goes to the ICU from the small elevator."
Dr.
Li is here."
The nurse on duty greeted her."
Hmm.Let's take a look at the one that was sent after the craniotomy. ”"It's in 3 beds.""
Thank you."
Li Min walked to bed 3 and saw that it was indeed a patient after craniotomy.The attending doctor of the ICU has connected him to a full set of life support systems for a while."
Teacher Li."
Yang Yu held the medical record and showed her the page of the operation record.Li Min quickly swept it.That's what the surgery is all about.Yang Yu also faithfully wrote the operation record according to the actual situation.She asked for Yang Yu's pen and signed her name word for word."
Let's go.We went back. ”Li Min put the medical record folder on the nurse duty desk in the ICU, and after explaining to the nurse who changed the drip, he returned with Yang Yu the same way.* When she came out of the shower, she saw Yang Yu, who had changed her clothes, standing at the door of the women's locker room waiting for her."
Is there something wrong?
Yang Yu. ”"Dean Chen is infusion inside, should we push him back?""
Push back.There are a lot of nurses here, and they are not as busy as the ward. ”What Li Min didn't say was that Chen Wenqiang was in the men's locker room, and it was inconvenient for the nurse in the operating room to enter."
Then I'll go back and get the quilt.""
Push our flat car, and you won't have to make another trip to deliver the car.You wait a while before leaving, I will change my clothes and go in to take care of Dean Chen. ”"Director Zhou is guarding it.""
Alright, you can go quickly."
Li Min went into the locker room to change clothes and blow her hair, and when she cleaned up, the doorbell in the operating room remembered.She hurried over and brought the flat car in."
Yang Yu, you wait outside the door, don't let the people in the operating room talk about you.""
Hmm."
Li Min pushed the flat cart to the door of the men's shifter, and said inside: "Teacher, Director Zhou, the flat cart is here, let's go back to the department." ”Inside, the voice of Suo Suo rang out.Director Zhou shouted, "Xiao Li, push the car in."
There's no one else in there. ”Li Min lifted the door curtain, pushed the flat car forward, stood at the door to help the flat car, watched Director Zhou struggling to pull Chen Wenqiang on the car, quickly stepped on the brake of the flat car, reached out to take the drip bottle and hung it on the infusion hook.The heart said that fortunately, it was Yang Yu who went to take the flat car, and he didn't know that Chen Wenqiang was infusion, and he might not bring this infusion hook."
Why are you so drunk this moment?"
Li Min was puzzled."
He was holding on just now.Internal medicine poured him a lot of mixed liquor.I have given him 0.4mg of naloxone plus 20mL of 25% glucose injection.You can push him like this again when you go back to the department. ”Li Min has never used naloxone, and she stays in textbooks and drug instructions about the use of naloxone.So she cautiously asked Director Zhou: "What about the time interval?"
”"You can push it when you go back.I didn't expect him to be so strong in this drink, otherwise I would have given him 0.8mg just now. ”When Director Zhou saw Li Min, he immediately took out a note notebook and wrote it down, so he released the brake and pushed the cart out for her."
This is 4mg of naloxone added to 500mL of 10% glucose injection, and you can still maintain this 0.4mg/h rate when you go back.Glucose and Vc don't have to be given anymore.Let him drink some white porridge tomorrow morning to nourish his stomach, and you can call my house if there is anything. ”"Okay."
Li Min responded, read the content of his record to Director Zhou, and was confirmed by Director Zhou: "Director Zhou, I'll go over there, I have to change my shoes."
You help me get off the medical elevator. ”"Well, there you go."
Free novels bring you joy and joy ---> storyskyline.net
Li Min hurriedly changed his boots and left the operating room, just in time to see Yang Yu pushing the car into the medical elevator.She hurried a few steps into the elevator."
Dean Chen, what's wrong?"
The elevator worker looked at Chen Wenqiang, who was not very good and had a dripping face, and asked in surprise."
I'm tired."
Li Min looked at Chen Wenqiang, who barely opened his eyes, and replied to the elevator worker lightly.She felt that Chen Wenqiang was not simply drunk, but a little mildly alcoholic."
It doesn't matter, right?"
The elevator worker is very concerned about Chen Wenqiang.Such a principled, conscientious, and highly skilled dean has a very good reputation among the masses."
It should be fine."
Li Min replied to her in the affirmative.The elevator worker helped Li Min and Yang Yu push Chen Wenqiang out.Yang Yu came back to get the flat car just now, and the nurse already knew that she was going to pick up Chen Wenqiang, and at this time, the three nurses on the night shift were waiting."
Go to the director's office."
Li Min instructed Yang Yu who was pushing the cart."
Isn't it okay?"
Warmth objected."
It's not safe for Dean Chen to sleep in the director's office.""
Yang Yu and I are guarding.He wouldn't want to sleep in a hospital room. ”"Okay then."
Seeing that Li Min had an idea, Wen Wen naturally had to listen to Li Min at this time with public and private.The five of them gave the sleeping Chen Wenqiang a bed.But the space behind the locker is too narrow, and the flat car pushes into a place where no one stands, and moving the locker is obviously not an easy task.But it's the middle of the night, and the lights have been turned off in the ward, so it's not good to call the escort to help.So they could only hold the dripping stream alone, and the other four people lifted Chen Wenqiang up with the quilt and put Chen Wenqiang on the bed with great effort.Fortunately, with Yang Yu, the main force, he finally didn't throw Chen Wenqiang on the duty bed.But the people who carried Chen Wenqiang were tired enough.Thanks to the good cooperation of several people, the little nurse holding the dripping stream, kicked the flat car away at the moment when they lifted Chen Wenqiang, providing them with more space to lift people.* "Warm, does Corey have naloxone?"
”There are a lot less medicines on the twelfth floor than on the eleventh floor.Li Min is used to taking medicines, and before asking if there are any unprepared medicines."
Yes.It's locked in a small medicine cabinet. ”Warmth replied in the affirmative."
How much are you going to use?"
The head nurse locks the medicine cabinet for medicines that are not usually used.Locked in different medicine cabinets according to the degree of value and the number of spare."0.4mg naloxone plus 20mL of 25% glucose, and give it to Dean Chen."
Li Min gave the doctor's advice."
Okay, I'll go get the medicine."
Warmth immediately left with the two nurses to prepare."
Yang Yu, you look at Dean Chen first, and I'll go back to the duty room to get a towel.""
Teacher Li, I have new towels in my locker, which will be distributed at tonight's party.I'll get it. ”"Then go ahead.Ask for a new washbasin with Nuan and bring a pot of hot water. ”"Okay."
The warmth pushed naloxone in, and Yang Yu also wiped Chen Wenqiang's face and hands.Chen Wenqiang has been asleep for a while.The intern nurse called: "Doctor Li, Dean Shu's phone." ”*"Hello, Dean Shu, I'm Li Min. ”…… Li Min talked a little about Corey's operation tonight, mainly talking about Chen Wenqiang's series of events after the operating room.Then I heard Dean Shu say anxiously on the phone: "I'll go over now."
You and Yang Yu look at him for a while. ”Dean Shu wanted to come over to see Chen Wenqiang, which made Li Min a little surprised.But she was relieved.She has not been in contact with patients with alcohol poisoning, and now it is great to have Dean Shu, a person from internal medicine, come over.Dean Shu came quickly, and Xiao Yin came with him."
Dean Shu, Director Yin."
Several people led by Li Min said hello to the two of them."
Thank you for your hard work."
There was a new towel on the clean new washbasin, and when he saw that Chen Wenqiang's face had been wiped again, Xiao Yin hurriedly thanked them."
Xiao Li, Xiao Yang, go back and rest.Director Yin and I are here to guard him. ”Legend has it that Dean Shu has a good relationship with Chen Wenqiang, and it is true.Li Minqian gave in and said, "I'm in the duty room, call me for something." ”He was the first to withdraw from the director's office.Yang Yu and the nurses also left with her."
Teacher Li, I'll go to Puwai to sleep, and if you have something to do at night, you can call Puwai to find me.""
Okay."
The doctor on duty downstairs lives in the duty room with the intern.When it was Zhang Zhengjie's turn to be on duty, he opened the director's office to sleep by himself, and the interns brought to him in the duty room were Xiaocao.Therefore, there is no extra space in the duty room on the eleventh floor, and there is no extra space for non-duty hours.Yang Yu didn't go home to sleep, so he had to find another place.Fortunately, in addition to the director's office, there are two duty rooms.It was prepared by Director Liang for interns who didn't want to go back at night.* Xiao Yin wiped Chen Wenqiang's face with a hot towel after they left, and even carefully wiped his neck.Chen Wenqiang answered Xiao Yin's question vaguely, so that Xiao Yin could rest assured that his mind was clear.Dean Shu picked up the temporary doctor's order that was on the side, read it carefully, and handed it to Xiao Yin."
You see, they've given all the medicine that's supposed to be given.If you sober up tomorrow morning, you'll be fine.Relax. ”"Hmm.I just haven't seen him so drunk before, and I'm a little panicked. ”"Actually, if he sleeps in the hospital office, if he doesn't toss for that brain contusion and laceration, there will be nothing wrong at all.""
Uh-huh.That old Shu, I'll just guard him here, you can go back. ”"I can't sleep well when I go back like this, so I'll stay with you."
It was silent, and no one was moving in the hallway.Dean Shu stood in front of the window and looked out of the window on the twelfth floor, it was also dark in the distance, and everything was asleep in the quiet night.…… Chen Wenqiang, who was on duty on the bed, turned over and made a movement, waking up Xiao Yin, who was sitting at the foot of the bed in a daze.Dean Shu rushed to the bed in a few steps, first Xiao Yin took a step to hold down the back of Chen Wenqiang's dripping hand, and then turned him sideways.Xiao Yin asked Chen Wenqiang: "Do you want to drink water?"
”"Yes."
Chen Wenqiang's voice was rough and dry.Xiao Yin went to get Chen Wenqiang's water cup, and found that the hot water in the thermos cup he had just replaced for Chen Wenqiang was still a little hot.At first glance, it is boiling hot water poured into the thermos cup."
Those children are very careful, and they know how to dry water for Lao Chen."
Xiao Yin shook the thermos cup for a while, and then dripped a few drops of water on the back of his hand again, and after feeling that it was not so hot, after Dean Shu picked up Chen Wenqiang, he put the thermos cup close to his mouth, and did not forget to remind him: "Drink it slowly, it's a little hot." ”Chen Wenqiang grabbed the thermos cup impatiently, poured hot water into it in a few gulps, and then looked at Dean Shu and Xiao Yin a little unrefreshed."
Why are you two here?""
You're drunk like this, how can we rest assured at home.Would you like to go to the bathroom?
”"Okay."
Free novels bring you joy and joy ---> storyskyline.net
After Chen Wenqiang drank the hot water, he saw that half of the glucose + naloxone was infused, and he felt that the alcohol had been excreted from his body."
I'll just go myself."
Dean Shu didn't talk nonsense with him, and waited for him with an infusion bottle.Xiao Yin watched Shu Wenchen accompany him to the bathroom, so he sat in the director's office and waited.Just looking at Chen Wenqiang's gait when he walked out, the alcohol he drank was metabolized.This made Xiao Yin feel a lot more relaxed.Alas, it's really sad for a fifty-year-old person to get drunk and hurt his body once.But this is the tradition of the hospital, and every year there is a director who gets drunk......
She was letting her thoughts wander, some of them thinking wildly, when she heard what seemed to be a faint phone ringing in the nurse's office.Then I heard the nurse knocking on the door of the duty room."
Dr.
Li, I am warm.Dr.
Li, there are patients in the emergency department who want to be brought in. ”Xiao Yin walked to the door, but heard the sound of kicking footsteps, and she stared at her husband and Shu Wenchen coming back.Then there was the sound of them talking to Li Min."
Is there an emergency?""
Hmm.Just called me warmly, I called and asked about the outpatient clinic. ”"Okay."
Xiao Yin thought they would come in, but when he opened the door, he only saw the backs of the two of them entering the nurse's office.The sound continued to reach her ears."
Lao Shu, I'll pull it out.""
There's quite a few.""
No need.I'm fine. ”It is estimated that Chen Wenqiang wanted to pull out the needle by himself, and Xiao Yin listened to Shu Wenchen's calming "Okay, okay, you don't let the nurse pull it out, you wait for me to pull it out for you."
Oops, what did you say you were in a hurry.Look at the blood. ”This is acute!
Xiao Yin went to the nurse's office.I heard Li Min say to Chen Wenqiang: "The outpatient department received a traffic accident and called downstairs, and Director Zhang asked me to call too."
I'm going to go down and have a look. ”"What's the patient's condition?""
The patient went to get a film."
Li Min told the truth.Chen Wenqiang frowned and whispered, "Play the piano indiscriminately."
The patient didn't arrive, what did you tell you to go down!
”As he spoke, he stroked the tape on the back of his hand and said, "I'll go down with you and see what's going on." ”Li Min hurriedly said, "Teacher, you can rest for a while." ”"Nope.So much naloxone has been fine for a long time to go in.Let's go. ”Dean Shu saw that Chen Wenqiang was resolute and indeed no longer drunk, so he said, "Then I'll send Xiao Yin back." ”"Hmm."
Xiao Yin nodded at Chen Wenqiang and said, "Be careful." ”"Good.I'll go over tomorrow for dinner. ”"I see."
*Dean Shu and Xiao Yin went to wait for the elevator, and Li Min followed Chen Wenqiang up the stairs to the eleventh floor.When he knocked on the nurse's office, Chen Wenqiang was a little annoyed."
It's not that the outpatient clinic has admitted patients, why are you still sleeping?
What about Director Zhang?
”The two nurses said inexplicably: "We don't know how to admit patients." ”Their voices alarmed Zhang Zhengjie in the director's office, who was still dark just now.He came out in a military coat and said, "Xiao Li, you go and take the intern with Xiao Cao to the radiology department." ”He walked into the nurse's office, saw Chen Wenqiang stunned for a moment and said, "Dean Chen, you are also here." ”Since eleven years ago, Zhang Zhengjie saw that Chen Wenqiang was three points shorter in terms of momentum, and now it is untenable to call Li Min to go to the radiology department to see patients.If he wanted, he should have gone to the radiology department and explained to the nurse that he had something to do with Li Min.Embarrassed.Zhang Zhengjie held his glasses and said: "The outpatient department called the director's office, I drank too much yesterday, so I wanted to ask Xiao Li to help me go and have a look." ”In this matter, he occasionally crossed the boundary of the division of labor and instructed Li Min to work, and was caught by Chen Wenqiang, who was protecting his shortcomings.Li Min saw that Chen Wenqiang's face was not right, and she didn't want to be troubled on the night of Chinese New Year's Eve, so she said: "Teacher, you go back upstairs to rest, I'll call Xiaocao and the intern to go over and have a look." ”Chen Wenqiang looked at Li Min, then at the nurse who slipped away to call Xiao Cao, and nodded at Zhang Zhengjie and motioned for him to follow him out of the nurse's office."
How did I not know that your director's office still has a phone?
When?
”"I pretended it a few days ago."
Zhang Zhengjie has a weak heart.This is his personal relationship, and it is currently only open to emergency and outpatient clinics, and the rest is known to the people in the family."
Isn't it the end of the year, there are many patients in trauma surgery and they are often in emergency rooms, so I have the whole phone shift extended.In fact, when this building was built, there were several rooms with telephone sockets on each floor. ”"Is there such a thing?"
Chen Wenqiang raised his eyebrows, unable to believe it."
Can I still lie to you about this?
It's just that last month, I went to the phone shift to find someone to fix it because of the noise of the phone at home. ”Zhang Zhengjie saw that Chen Wenqiang's face was acceptable, so he continued: "I took a look, and each section has arranged its own director's office, which is basically all here.The duty room is next to the door of the ward.The original design was that both rooms had a telephone socket and a nurse's office.If you don't believe me, you can look at the drawings of the telephone class. ”Chen Wenqiang groaned, if this is the case, the director's office and duty room of each section can be equipped with extensions.() The distance is a bit far