My Medical Skills Give Me Experience Points

Chapter 1291: Chapter 509: The Dangers of Rapid Infusion, Unbreakable Unwritten Rules (Part 2)

Some are caused by medical staff’s carelessness, while others result from insufficient professional skills or unexpected erroneous care methods.

"Did he experience difficulty breathing right after waking from anesthesia?"

"No! My husband’s condition was still good when he returned to the ward after the surgery. Later, the nurse came in with medication for infusion. After the three-plus hour infusion was done, my husband started to feel unwell. He immediately reported this to the nurse withdrawing the needle. The nurse informed us that slight adverse reactions post-infusion are normal. The infusion was to enhance my husband’s anti-infection ability and replenish necessary nutrients for quicker recovery. So, I said nothing further."

The patient’s wife seemed to be by her husband’s side the whole time.

Otherwise, she wouldn’t know this so clearly.

Companions in youth, partners in old age.

Their affection seems to be deep.

Upon learning this crucial information from the family member, Zhou Can immediately assessed the patient’s post-surgery infusion.

The medication and saline were fine.

Infusion volume reached 1200ml.

This must be a special favor from the God of Wealth!

Seeing their insurance covered 100%, did they infuse the patient excessively?

At least to Zhou Can, the medication dosage was certainly excessive.

However, he wasn’t aware of the actual situation at the time, so he couldn’t determine if the doctor over-treated.

"How long did the entire infusion process last?"

He asked.

The patient mentioned an important detail earlier; the post-surgery infusion lasted about three hours.

"Uh... I didn’t check the infusion start time, only know the infusion ended close to four in the afternoon. My husband came out from the operating room near one in the afternoon, returning to the ward. The entire infusion process shouldn’t exceed three hours."

The family provided an answer.

The Provincial People’s Hospital is quite shrewd; the post-surgery care record only shows medications and dosages, and what care was provided, infusion timing wasn’t mentioned.

"Doctor, is there an issue with the infusion given to my husband by the Provincial People’s Hospital?"

The family member seemed to perceive something.

Directly asking Zhou Can.

"I wasn’t there at the time, so I can’t comment. Your husband’s pulmonary edema is quite severe now. I have prepared the medical orders for prompt treatment. Does he urinate easily now?"

Zhou Can naturally wouldn’t criticize another hospital’s operations in front of a patient.

Such actions easily spark disputes, which he wouldn’t do.

"Still convenient. Can use a urinal."

Being an old couple, she didn’t feel embarrassed when mentioning caring for her husband’s urination.

"Does he have any medication allergies?"

"Shouldn’t have any."

"Alright, he may need to use some diuretics in the coming days, causing urination to exceed normal levels. If your husband wishes to drink water, there’s no need to prohibit, just eat and drink as usual."

Zhou Can explained some precautions, and directly prescribed medication orders for the patient.

Vice Director Hee needs to give approval before clinical implementation.

Basically, for the orders Zhou Can prescribes now, both Vice Director Hee and Director Xue Yan, among others, will briefly review and approve directly.

[Pharmacological Differentiation Experience Points +1, Reward Experience Points +10.]

Advancing in pharmacological differentiation really is a long journey. Currently at Level 5, there’s still a long way to go to reach Level 6.

He has mostly identified the cause of the patient’s postoperative right lung edema.

Based on experience in the Intensive Care Medicine Department, he believes the pulmonary edema likely resulted from too fast a post-surgery infusion. Possibly the nurse responsible for infusing the patient at the Provincial People’s Hospital wasn’t professional, or some accidental circumstances accelerated infusion completion.

For instance, family members privately increase the speed of the infusion switch.

This is the most common situation.

Some family members and patients, feeling the infusion is too slow, secretly increase the infusion switch to speed up the infusion rate.

To them, since it’s going into the body anyway, finishing sooner or later makes no difference.

Sometimes encountering such patients and family members, nurses feel helpless.

Even merely telling family members gently not to do this again next time.

Dare not to speak too harshly.

Because speaking harshly to family members might provoke some hot-tempered ones to directly argue or even get physical.

Besides family increasing infusion speed privately, sometimes a patient’s body conditions necessitate emergency infusion treatment, which medical staff might accelerate infusion speed after comprehensive consideration.

Compared to potential side effects, saving lives is prioritized.

For instance, if bleeding internally, antihemorrhagic medications are needed to control and stop the bleeding.

If leisurely infusing for twenty-four hours, the patient’s blood might have all bled out.

Or anticoagulant thrombolysis, requires rapid effectiveness similarly.

This is also why Zhou Can refrains from negative comments on the Provincial People’s Hospital’s nursing.

Not being on site, you’ll never know the circumstances faced by medical staff at that time.

He ordered medication for the patient, immediately administering 10mg caffeine intramuscular to calm and control blood pressure. Doing so aims to alleviate the patient’s pain and manage blood pressure.

If the patient gets more agitated, blood pressure might rise further.

Furosemide 20mg, cedilanid 0.4mg intravenous injection.