allendalepharm Chapter 198
Chapter 198
Cough, cough, cough!
A violent cough sounded in the rescue room, and the old man trembled and his face flushed.
Xiao Chenguang, who saw this scene, did not stop, and even slapped harder.
The withered body was slapped by Xiao Chenguang, and the crisp sound echoed in the room.
Lin Gaoyang was worried, and the nurses did not dare to say much, so they could only follow Xiao Chenguang's instructions.
Only Gong Liang was explaining something to the family in a low voice, as if to calm his excited emotions.
"Gaoyang, bring some paper, the patient's sputum is coming up."
As soon as the voice fell, the old man coughed violently again, and then the stuff that was blocked in his lungs was coughed out by him.
"Slow down, slow down."
Fortunately, Xiao Chenguang reminded Lin Gaoyang to react and help the old man wipe the corner of his mouth.
At this time, the old man had slowly opened his eyes.
"What happened to me?"
The old man was panting, as if he had just come to his senses, and his wheezing sound gradually became smaller.
This scene made everyone amazed.
The old man who was originally unconscious, Director Xiao patted him a few times, and even many rescue measures were not used in time, the old man woke up, which was incredible.
"Boss, is this lung vibration and sputum removal and postural drainage?"
Lin Gaoyang also saw it for the first time, so he asked.
Seeing that the old man's condition was gradually recovering and the remaining measures were also being carried out, Xiao Chenguang said a few words.
"Don't look at the old man just because he was holding his breath and sweating a lot, but his temperature is very high, and there is a lung infection."
Speaking of this, the nurse who was measuring the temperature on the side took out the thermometer from the old man's armpit, looked at the scale, and was immediately surprised.
"Director Xiao, the old man's temperature is 41℃, which is already in the category of hyperpyrexia."
According to the human body temperature classification, fever is also divided into low fever, medium, high and hyperpyrexia.
The old man's current temperature is already at the highest level, indicating that the infection is very serious.
"Boss, in other words, his coma is related to fever?"
"More than that."
Xiao Chenguang continued: "The old man has chronic obstructive pulmonary disease, and the carbon dioxide in the lungs is already slowly discharged. Now because of the lung infection, sputum is accumulated, which will cause the carbon dioxide that could not be discharged to accumulate in the lungs, thus causing coma."
After listening, Lin Gaoyang suddenly realized.
"So, the old man's face is red, in addition to fever, it is more caused by carbon dioxide retention."
"Yes, that's right."
Xiao Chenguang nodded. At this moment, the old man's intravenous access has been established. With the symptomatic treatment of drugs, the situation is much better than before.
"Grandpa, did you feel that you had phlegm that you couldn't discharge just now, and it was very uncomfortable?"
Xiao Chenguang leaned over to the old man's ear and asked about the situation.
"Yes, yes, yes, I had a stomachache. I just came to the hospital and suddenly felt that I couldn't breathe. It was like I had been to the devil."
The old man talked about his feelings just now, and there was still a bit of panic in his eyes, as if he had survived a disaster.
"Doctor, thank you, I was panicking just now. Fortunately, this is in the hospital. If I were at home, I couldn't even think about it."
The family members on the side hurried over to thank him.
He didn't know that patting the back was also a way to rescue the patient. Just now, when he saw Xiao Chenguang patting the old man, he almost got angry.
If it weren't for the doctor next to him explaining, he would have rolled up his sleeves and made trouble because he was out of control.
Fortunately, he didn't get angry, otherwise if the rescue was delayed, his father's life would be in trouble.
The family members suddenly felt a little more guilty and fortunate.
"The technique I used just now is called lung vibration and expectoration. It mainly uses the palm of the hand to tap the lung area on both sides of the patient's back. This can promote the movement of the ciliary tissue on the surface of the lung. As long as the method is correct, sputum and inflammation can be discharged naturally."
Xiao Chenguang picked up the stethoscope and listened to the lung area on both sides of the old man.
There were fewer bubbling sounds and moist rales than before, but some deep tissues still had a little sputum sound.
After briefly explaining the situation, Xiao Chenguang performed a more detailed lung vibration and expectoration on the old man in front of everyone.
Because the old man's condition was not so urgent at this time, Xiao Chenguang's every step was very gentle.
Only then did they realize that Xiao Chenguang's expectoration technique was very special.
The upper and lower branches of the left lung, and the upper, middle and lower branches of the right lung.
He covered everything.
From the bottom of the lung to the apex of the lung, from bottom to top, every part, the force is precise and the frequency is uniform.
With his rigorous technique and constant tapping, the phlegm hidden deep in the old man's lungs moved upward little by little.
Soon, the old man seemed to feel the movement and started coughing violently again.
The violent coughing seemed to be able to cough out the lungs, which made the family members in other wards outside the room feel very uncomfortable.Heart-wrenching.
"Is the old man in the room okay? I saw he was in a bad condition when he was pushed in just now."
"With Director Xiao here, it should be fine. Besides, there are so many doctors and nurses in the room, so we don't have to worry about anything."
Just as they were whispering, the coughing in the room stopped abruptly.
"Director Xiao, the patient's blood oxygen saturation is already 100%."
In the room, the nurse who had put an oxygen tube on the old man was surprised to find that the blood oxygen saturation on the monitor, which was hovering around 90, went directly to 100.
After coughing, the old man also clearly felt the changes in his body.
Not only did he breathe smoothly, he didn't seem to be suffocated anymore, and even his purple lips became rosy.
Such changes were seen by everyone.
"Boss, just by tapping the patient's back, you can improve oxygenation and help the old man recover. This method is so useful."
"Director Xiao, if I hadn't seen it with my own eyes today, it would have seemed unreal."
Praise rang out on the scene. Facing the gratitude of the patient and his family, Xiao Chenguang smiled and spoke.
"Physical expectoration only temporarily relieved the old man's symptoms. Now he is in a very weak physical condition. I guess the blood test shows that many electrolytes in it are already disordered."
"In addition to his history of intestinal obstruction and chronic obstructive pulmonary disease, I suggest that after hospitalization, antibiotics should be used for a few days to control the lung infection, and then surgery will be arranged."
"During this period, we must strictly follow the arrangements of the department, control the intake and output, maintain sodium and excrete potassium, and correct acid-base and electrolyte imbalances."
"Only in this way can the old man be discharged from the hospital in good health."
These words are considered as the director's ward rounds. They are not only health education for patients and their families, but also precautions for the medical staff present.
Easy to understand, simple and clear, with only a few short sentences, the treatment plan for the elderly was explained.
Lin Gaoyang beside him listened very seriously, and the responsible nurse nodded like a chick pecking at food.
"Okay, Director, I will immediately hand over the elderly's condition according to your doctor's instructions."
"We will arrange a bed for the elderly and use the relevant treatment measures for him."
The medical staff recorded every word of Xiao Chenguang in detail and executed it immediately without conditions.
Such efficiency and execution stunned the family members.
Looking at the young doctor in front of him who impressed everyone, he vaguely felt that he looked familiar, and suddenly a promotional video of a city TV station that he had watched some time ago emerged in his mind.
"Are you Director Xiao Chenguang, who is very good at performing surgery and saving people?!"
The family members came in a hurry just now, and they were all confused, so they did not notice the address of everyone to Xiao Chenguang.
Now as the patient's condition improved, the family members realized that the one who saved his father was Xiao Chenguang, Director Xiao, who had been waiting in line for a while but couldn't even get a number.
The family members' expressions immediately became more respectful, and at the same time they were extremely grateful.
No wonder he was able to wake the old man up with just a few strokes. Such a doctor is really reassuring.
"Director Xiao... Can I ask, will you perform my father's surgery in a few days?"
The family members were cautious, with humility and request in their tone. After getting Xiao Chenguang's affirmation, the whole person was immediately relieved, and his eyes were full of gratitude.
"Okay, Director Xiao, thank you, thank you for saving my father's life, then... I'll leave the surgery in two days to you."
The family members bowed deeply to Xiao Chenguang excitedly, and this scene was also seen by other patients outside the house.
They all felt a little emotional.
You know, they waited in line for a long time before they got Director Xiao's number and got the opportunity to perform the surgery under Director Xiao.
The patient in front of them, just because he happened to meet Xiao Chenguang when he was in emergency, he didn't have to wait in line and let him perform the operation himself.
How lucky.
However, if such luck is based on a crisis, the envy in their hearts will be reduced a little.