Chapter 4361 【450】Not to Be Outdone

All I know is that the medical staff at the community hospital themselves were scared to death.

Without finding out the cause, the patient's family members would come to the door every minute and say it was their fault.

Community hospitals ask the National Association for help. How do doctors from the National Association break the situation?

Dr. Qiu called the leader's roll: "How about we talk about respiratory medicine first?"

The main cause of the patient's previous consultation was respiratory disease, so the respiratory medicine department should provide some advice first.

The experts in the Department of Respiratory Medicine were Teacher Wen and Dr. Hua, a very promising group of middle-aged and elderly people.

(So ​​Dr. Xie’s exam is very fair, considering that none of the previous instructors, Dr. Xin, was admitted.)

Teacher Wen is good at talking about clinical experience, and Dr. Hua is good at operating new technologies in respiratory medicine. So first, Teacher Wen expressed his opinion.

"I personally think that the patient's condition may not have much to do with respiratory diseases."

After three days of antibiotic dripping, the patient's respiratory disease condition improved significantly, and the respiratory problems were a bit unreasonable.

Dr. Qiu recorded it on the small blackboard, and then called the call: Department of Critical Care Medicine.

The two expert members of the critical care medicine team are also an interesting combination. One is Sister Yu from the NICU, and the other is Dr. Hao from the ICU.

In fact, the patient can be transferred to the ICU in this condition. I wonder how the ICU will handle this case.

The patient is not a pediatric patient. Dr. Hao replied: "First do a comprehensive examination to support his vital signs."

This is the routine handling procedure of the ICU, and it is obvious that nothing can go wrong.

"What kind of comprehensive examination?" Doctors from other departments criticized the ICU.

"Do a complete set of blood tests." Dr. Hao opened his mouth and said, "Re-comprehensive physical examination, ask the patient's past medical history again and again, and perform imaging examinations if necessary."

Other doctors: I feel like what you are saying is nonsense. Can you say that the emergency department is not doing these things?

The answers from the two departments gave people the illusion that the patient was getting more and more confused and the doctor had no clue at all.

Someone in the room raised his hand to answer.

Dr. Qiu nodded: "Please answer Nurse Yao."

Nurse Yao said: "Why don't we check whether it is a pyrogen reaction first?"

Nurses do infusion work every day and are most aware of infusion reactions. The first cause of infusion reactions refers to infusion reactions in a narrow sense, that is, pyrogen reaction.

Pyrogenic reaction simply refers to the contamination of the infusion equipment and drugs themselves. Therefore, after each infusion reaction, the drugs and infusion equipment must be sealed immediately and sent to the laboratory to check whether there are endotoxins (to confirm whether they are contaminated).

Dr. Qiu then drew the key points of the medical record: only one patient in the entire infusion room had this "accident".

Pyrogenic reactions are relatively easy to identify and will usually show up in more than one patient, since contamination usually does not occur in just one case.

Not to be outdone, Head Nurse Yao raised her hand again: "Were the amino acids lost? Could it be related to liver disease?"

Infusion reactions that occur with amino acids are often related to patients with liver disease or gastrointestinal disease, because amino acids may induce hepatic coma.

Many doctors looked at Dr. Lin Chenrong who was here: Your wife is quite powerful.

Dr. Lin Chenrong: Let’s talk about Dr. Xie first.

Since Dr. Xie started working in cardiac surgery, his requirements for nurses have increased a lot. In addition, his wife received education from Dr. Xie.

Dr. Qiu, who is a hepatobiliary surgeon himself, blushed because he did not think of this quickly. The gastroenterologist and Dr. Tao quickly fell into thinking about the next step.

Sometimes it is not that the patient intentionally conceals his or her medical history, but that some diseases are too hidden in the early stage and cannot be known without investigation. Of course, no one will know until the patient does not have an attack.

Liver disease has this characteristic.

Before the discussion of the medical records was completed, the emergency department suddenly called to ask for support from doctors in the new district because the patient's vital signs were unstable again.

A large group of doctors hurried downstairs.