Chapter 1234: [1234] Fortunately, she’s here
“We need to give him an injection for pain relief first. Administer 50mg of Derol intramuscularly and ask Doctor Xin to write the prescription,” Xie Wanying quickly instructed.
Sotis, what leads to a patient going into shock isn’t rely blood loss but could also be pain. Pain can indeed be so severe that it kills. For trauma patients like this, if the pain is extre, the doctor’s priority should be to provide adequate pain relief first.
Derol is a controlled narcotic dication. It requires a special prescription form and must be filed separately for records.
After hearing this, Sister Seo ran off to find Xin Yanjun.
Very soon, Xin Yanjun ca rushing in from the Observation Room. “What’s the situation?”
By this ti, Xie Wanying had finished examining the knife wound on the patient’s inner thigh. The wound was quite deep, but fortunately, the tendons and nerves hadn’t been severed. There was, however, significant bleeding, which needed surgical suturing. Turning to answer her teacher’s question, she said, “We need to debride and suture.”
This situation would call for an ergency surgical doctor to handle it. It wasn’t necessary to call for a specialized surgical doctor from the inpatient departnt, as this case didn’t fall under the orthopedic specialty.
“Doctor Li left with the ambulance and hasn’t returned yet. Doctor Yin is busy performing a catheterization,” Sister Seo promptly reported the situation to the two of them.
Catheterization? Does that require a doctor? Isn’t catheterization typically sothing a nurse can perform?
“Prostate hyperplasia,” Sister Seo explained.
Ah, the two internal dicine doctors imdiately understood.
Patients with prostate hyperplasia often experience severe urethral narrowing, making it extrely difficult for nurses to perform catheterization. In such cases, a specialized doctor’s assistance is required. These patients are usually elderly n, often suffering from urinary retention—a condition where the bladder fills up with a large amount of urine that cannot be expelled. Without catheterization to relieve the urine buildup, the pain is excruciating, forcing them to rush to the ER for relief. This is a common type of urological ergency case.
Doctor Yin, being a urologist, typically handles such cases in the ER when he’s free, providing initial ergency treatnt before sending the patient to the ward.
A doctor inserting a catheter cannot simply walk away midway.
“You give him the Derol,” Xin Yanjun instructed Sister Seo.
Sister Seo turned around and headed to the anesthetic dication cabinet with the keys.
With two ergency surgical doctors unavailable, it was fortunate that there was a surgical intern nearby. Xin Yanjun patted Student Xie’s shoulder and asked, “Can you handle the suturing yourself?”
Suturing is a basic surgical skill. Having rotated through two surgical departnts and even served as Chief Surgeon on so cases in the operating room, Xie Wanying had perfected this technique. She directly nodded at Teacher Xin.
Sister Seo ca in with the syringe, administered the Derol to the injured patient, and said to Xin Yanjun, “That old lady’s daughter is here again.”
As she spoke, the voice of the elderly patient’s daughter echoed from outside. She had spotted Xin Yanjun and was calling out, “Doctor, co here. I wasn’t finished talking to you earlier. Why did you walk away?”
Encountering family mbers like this always gave doctors a headache. The elderly woman was critically ill, so it wasn’t appropriate for the doctor to use an excuse to walk away. But leaving her there to argue endlessly could interfere with treating other patients. Xin Yanjun had no choice but to step out first.
After administering the Derol, Sister Seo prepared the surgical debrident tools for Xie Wanying and said, “You focus on your task. If you need anything, just call . I’ll be outside.”
Knowing that Sister Seo had a host of other tasks to handle outside, Xie Wanying nodded. She put on a mask, changed into a pair of sterile gloves, and prepared to administer the local anesthetic to the injured patient before proceeding to suture.
User Comments
0 comments from readers