world famous doctor

Chapter 69

Zhou Chen could tell from director Xu Weiping's eyes, body movements and expressions that he really didn't want to see him.

Even a little disrespectful, looking down on their own feelings.

What happened to Gui Peisheng?
Which department, which chief physician did not climb up step by step from medical student, Gui Peisheng, and attending physician?

Or, the director sees that he is a newcomer, so he wants to show him off?

Zhou Chen doesn't like this.

He opened his mouth and was about to say something back.

But at this moment, the system suddenly issued a task.

"Mission issued: Treat patients with acute carbon monoxide poisoning."

It's important to save people, Zhou Chen casually dropped a sentence, turned and left the office.

"Now I'm going to save people, and I'll discuss it with you, Director, another day."

After Zhou Chen walked out of the door quickly, Zhang Jian glanced at Zhou Chen doubtfully.

I don't know what he meant by that.

save people?

Who are you saving?

Just now, when they came from the emergency department, there were no outpatients.

Zhang Jian reacted instantly.

Oh... This kid is really smart, he will make excuses for himself to step down.

When they go back to the emergency department.

Indeed, the 120 ambulance rushed in an unconscious man in his 70s.

Doctor Zhang Jian's heart trembled suddenly.

He turned his head again and looked at Zhou Chen in disbelief.

Can he pinch and count?
Or had he just heard the sirens of an ambulance?
Beside the stretcher, a middle-aged man was extremely anxious:
"Dad, you have to hold on, we're at the hospital."

Zhou Chen and Zhang Jian hurried up to meet them.

Several nurses also hurried over.

In a very short time, Zhang Jian asked the patient's family members:
"How did you faint?"

"I opened his door this morning and that's it. The doors and windows are closed, and there is a coal stove in the room for heating."

Zhou Chen looked steady and calm.

He took the topic and asked the family members: "Has this patient taken any medicine recently? Is there any other medical history?"

Although Zhou Chen was on the first day of regular training at the hospital and had not yet received formal training, the questions he asked were very professional.

This is all thanks to the famous doctor system.

In a few seconds, Zhou Chen quickly opened the system mall in the sea of ​​knowledge.

And spent 1000 likes to exchange for a symptomatic treatment plan for acute carbon monoxide poisoning.

"My dad is in good health and hasn't taken any medicine recently." The old man's son replied quickly.

"Do you have any history of drug allergies?"

The two questions that Zhou Chen asked in succession were originally the ones that Zhang Jian was going to ask.

Unexpectedly, he asked all the questions, so Zhang Jian began to check the old man's body.

A nurse recorded by the side.

T37.0℃, P95 times/min, R24 times/min, Bp125/8mmHg.

Coma, no response, no bleeding points on skin and mucous membranes, no superficial lymphatic palpation, no yellow staining of sclera.

Pupils are equal in size, diameter 3MM, sensitive to light reflection, cherry red lips, soft neck, no resistance, heart rate 95 beats/min, regular rate, no noise, clear lung, no rales, flat and soft abdomen, no palpation of liver and spleen ...without rales
Zhou Chen took the supine position for the patient, unbuttoned his clothes, and cleaned up the secretions from the mouth and nose to keep the patient breathing smoothly. At the same time, he first expressed his own diagnosis opinion.

"He has acute carbon monoxide poisoning. Give him high-flow oxygen through a nasal cannula immediately."

Zhou Chen gave an order, and the nurse looked up at Dr. Zhang Jian.

I would like to seek Zhang Jian's opinion again.

After all, Zhou Chen is just a newcomer to Gui Peisheng.

What he said was not a doctor's advice.

Based on years of clinical experience, Dr. Zhang Jian probably guessed that this patient was acute carbon monoxide poisoning.

This also gave a reliable basis for the subsequent detection of plasma HbCO levels in patients.

Zhang Jian's expression froze.

Some couldn't believe it, Zhou Chen, a Gui Peisheng, could make a diagnosis faster and more accurately than himself?

Without hesitation, Zhang Jian immediately turned to look at the nurse beside him, Bai Ting, and repeated Zhou Chen's words.

"Quickly use nasal cannula for high-flow oxygen inhalation, 8L/min."

Patients with acute carbon monoxide poisoning can use hyperbaric oxygen therapy as soon as possible to increase the partial pressure of oxygen and blood oxygen content and correct tissue and cell hypoxia.

It can also promote the dissociation of carboxyhemoglobin, accelerate the permeability of carbon monoxide, prevent cerebral edema, promote the awakening of coma patients, and accelerate the recovery of nervous system function.

"20% mannitol, 250ml intravenous infusion, light quantum blood infusion at the same time."

Zhou Chen followed the medication guide given by the famous doctor system, and once again preemptively ordered.

Before that, Zhang Jian originally planned to use dexamethasone 20mg for intravenous infusion.
However, Zhou Chen's treatment plan seems to be more reasonable, more rigorous, and more helpful in improving the patient's tissue hypoxia.

Bai Ting didn't know whether she should listen to Zhou Chen or not.

She looked up at Dr. Zhang Jian again.

Zhang Jian did not refute Zhou Chen's instructions. He nodded, and Bai Ting followed suit.

Bai Ting couldn't even believe that a new graduate student had stolen the limelight of Zhang Jian, a long-time clinician, in the emergency department on his first day at the hospital.

"Doctor Zhang, I think we need to use some drugs to promote the recovery of brain cell function." Zhou Chen said to him in a probing tone.

Dr. Zhang Jian also thinks it makes sense: "Then tell me, your medication suggestion?"

"Adenosine triphosphate 40mg, coenzyme A200U, cytochrome C30mg, vitamin C, vitamin B complex..."

Zhou Chen listed these medicines one by one in an orderly manner.

Zhang Jian nodded again: "Yes, feasible, comprehensive!"

When nurse Bai Ting was injecting the patient with medicine, the patient suddenly experienced frequent convulsions.

She got even more nervous:

"This... Doctor Zhang, the patient has convulsions, what should I do?"

Before Zhang Jian could speak, Zhou Chen was calm and preemptively said:

"Add diazepam, 19mg, intravenously."

After Zhou Chen's previous two accurate predictions, this time, Nurse Bai Ting no longer confirmed to Dr. Zhang Jian whether Zhou Chen's doctor's order was correct.

She fully believed that Zhou Chen had the ability to issue medical orders, so she simply lowered her head and prepared diazepam medicine.

After about an hour of busy work, the patient's vital signs stabilized, and the next step was to push him to the emergency ward for continued observation and recovery.

The old man's son hurried forward to inquire about his father's condition, his voice trembling with worry.

"Doctor, how is my dad doing now?"

Zhou Chen had a brief exchange with him, and after learning about the poisoning environment, co concentration and exposure time of this poisoned patient, he gave a corresponding judgment.

Zhou Chen reassured: "Your father's carbon monoxide poisoning is not serious. After our active treatment, I believe the prognosis is good, and the recovery of neurological symptoms will not be a major problem."

(End of this chapter)