Chapter 1234 【1234】Fortunately She Is Here
"I need to give him an injection to relieve the pain first. Inject 50mg of pethidine intramuscularly, and ask Dr. Xin to prescribe it." Xie Wanying said quickly.
Sometimes it is not only blood loss that can cause a patient to go into shock, but also pain. The pain can really kill a person. trauma like this
For a patient, if the pain is excessive, the doctor should give him adequate pain relief first.
Demerol is a controlled narcotic drug, and a special prescription paper is required to be issued and kept on file separately.
After hearing what she said, Sister Xu ran all the way to find Xin Yanjun.
Soon Xin Yanjun ran over from the observation room: "What's going on?"
At this time, Xie Wanying inspected the knife wound on the inner thigh of the patient. The wound was quite deep. Fortunately, the tendons and nerves were not cut off. There was a lot of bleeding and surgical sutures were needed. So he turned around and answered the teacher's question: "It needs debridement and sutures."
This situation should be dealt with by an emergency surgeon. As for finding a specialist surgeon in the inpatient department, it may not be necessary, because it does not fall within the scope of orthopedic specialist treatment.
"Dr. Li went out with the ambulance and hasn't come back yet. Dr. Yin is busy catheterizing people." Of course, Sister Xu went to the surgeon immediately and reported the situation to the two of them.
What catheterization? Need a doctor? Is catheterization generally not something a nurse can do?
"Prostatic hyperplasia." Sister Xu said.
Oh, two physicians understood right away.
For patients with benign prostatic hyperplasia, the urethral orifice is abnormally narrow, which makes it very difficult for nurses to perform urinary catheterization and requires the help of a specialist. Such patients are generally elderly male patients, often accompanied by urinary retention. That is, a large amount of urine has accumulated in the bladder and cannot be discharged. If the catheterization is not used, the urine will not be discharged. The patient will be very, very painful. It is really unbearable and has to go to the emergency department of the hospital to find a doctor. It is a common urology patient in the emergency department.
Dr. Yin is a urologist himself, and when he receives such patients in the emergency department, he can do some emergency treatment before sending them to the ward when he is free.
How can the doctor go away when the urinary catheter is half inserted.
"Give him Dolantin." Xin Yanjun said to Sister Xu.
Sister Xu turned around and took the key to open the anesthetic counter.
Two emergency surgeons were not available, but luckily I had a surgical intern by my side. Xin Yanjun patted classmate Xie on the shoulder and asked, "Can you sew it for him?"
Suturing is the basic skill operation of surgical students. After taking turns in two surgical departments, Xie Wanying had tried the chief surgeon on the operating table. Xie Wanying was familiar with this technique, and she nodded directly to Teacher Xin.
Sister Xu came in with a needle and administered Demerol to the injured, while saying to Xin Yanjun, "The old lady's daughter is here again."
While talking, the aunt's voice sounded from outside, and she found Xin Yanjun's figure shouting outside: "Doctor, come here. I was talking to you just now, and I didn't finish talking. Why did you run away?"
When encountering this kind of patient's family members, the doctor will always be overwhelmed, because the old lady happens to be seriously ill, and the doctor has no excuse to go away. Don't go there, I'm afraid this person will keep arguing here, which will affect the rescue. Xin Yanjun had no choice but to go out first.
After beating Du Lengding, Sister Xu helped Xie Wanying prepare surgical debridement and other items, and said to Xie Wanying: "You are busy, if you need anything, please call, I am outside."
Knowing that Sister Xu had a lot of work to do outside, Xie Wanying nodded, put on a mask and changed into a pair of sterile gloves, and gave the wounded a local anesthetic before suturing.