Free Web NovelChapter 1083: Chapter 1083: The Patient with Tachycardia
(Thanks to DRDER for the monthly ticket encouragement)
Liu Banxia hurried to the bedside and glanced at the monitor.
The blood pressure had dropped to 70/50, but the heart rate had soared to 190.
"Charging complete."
At this moment, a nurse shouted.
Su Wenhao, who was performing chest compressions on the patient, quickly stopped. After taking over the defibrillator, he directly gave a shock.
"Snap"
After defibrillation, the ECG monitor finally stopped alarming.
"Blood pressure is rising, 120/70, heart rate... 110," the nurse said.
"Teacher Liu, is there something wrong?" Su Wenhao asked with a frown.
Liu Banxia nodded, "Indeed, something seems off. Let’s do an additional echocardiogram."
"Brother Liu, Brother Liu, what happened just now? Why is there a resuscitation?" Qiu Mingyuan asked worriedly.
"It’s a bit difficult to determine the situation right now," Liu Banxia said.
"I’m not sure if the impact just now caused some damage to the heart, leading to the current changes. Before admission, he experienced cardiac arrest, and now his heartbeat has become very rapid."
"Such drastic changes need to catch our attention. We must closely monitor and identify the real cause, otherwise, there might still be danger."
Ding! Task released: Patient with Tachycardia
Open task: Cardiac arrest after heavy impact, resuscitated, and then became abnormal again. The cause of the patient’s condition needs to be determined. Task rewards will be issued based on the diagnostic results.
"How are you feeling now?" Seeing the patient slightly regaining some spirit, Liu Banxia asked.
"Chest pain." The patient struggled to lift his hand and pointed to his chest.
"Is it the kind of pain on the surface or heart pain?" Liu Banxia pressed.
"It’s hard to say, just a bit of pain, and the heart feels a bit off," the patient said.
"Don’t worry, we will conduct a comprehensive examination for you right away. Your discomfort might also be somewhat related to the rapid heart rate," Liu Banxia comforted.
"Administer one unit of amiodarone by drip, and then carry out all those examinations, handle them urgently, and take the chest X-ray directly to the resuscitation room."
"Okay."
Su Wenhao responded, leading the nurse to push the patient back to the resuscitation room.
"Director Liu, can you give a rough judgment? I need to inform our instructor, he’s on his way here," the patient’s class monitor asked.
"It’s really hard to say right now. Although there are symptoms of chest pain, it is unclear if it’s the pain from the ball impact," Liu Banxia said.
"As you just saw, there is some redness and swelling of the skin at the heart’s location. Also, the high heart rate can make people feel uncomfortable."
"Just like when our heartbeat is really fast, people usually feel a bit uncomfortable. Usually, it’s just for a while, but now his heart rate has maintained a very high level."
"Don’t worry yet, our examinations will catch up immediately, once done, the situation will be clear. Is he from our city? If he is, we need to contact his parents."
"He’s not from our city, not even from our province," the patient’s class monitor said.
"Then let’s wait for the test results, if it doesn’t work, we can only communicate by phone. Knowing nothing now would make his family worry for nothing," Liu Banxia said.
"My gosh, it scared me so much just now," Qiu Mingyuan wiped his forehead and said.
"You’ve been volunteering with us for so long, can’t handle such a scene?" Liu Banxia asked.
"Brother Liu, it’s different this time, it’s someone we know very well," Qiu Mingyuan replied with a bitter smile.
"Just wait here then, you have his ID number, right? Register him, and you also need to handle the admission procedures. After the examinations, I’ll call over the cardiology doctors, this situation can’t be solved by observation alone."
The patient’s class monitor nodded and quickly picked up the phone to inquire about the ID number.
This is also sort of a necessary procedure, as only after registering and completing the admission procedures can an in-hospital code be generated.
All medications will be administered according to this code, and medication needs to be reconfirmed before use to avoid errors.
Liu Banxia sounded relaxed, but actually the situation was not that simple, he was quite worried.
But it was unnecessary to share this worry with Qiu Mingyuan, it would be useless for them to know.
"Teacher Liu, nothing wrong was seen in the chest X-ray, everything is normal, and the amiodarone has been given," Su Wenhao walked out from the resuscitation room.
"It’s becoming more troublesome, go for some other examinations. Look carefully, this patient’s condition is very complex." Liu Banxia said.
Su Wenhao nodded, still needing to continue the examination.
"The situation is complex?" Qi Wentai asked.
"Yes, it’s a bit tricky. First, do a comprehensive physical examination, especially focusing on the heart. The chest X-ray is negative, nothing showed up." Liu Banxia said.
"I thought it was because of pressing too hard and breaking the sternum that caused the current situation. But the sternum is fine. The patient might have had issues before being hit by the ball or it could be the heart function changed after the impact."
"Director Liu, you have to solve this. This patient is not just of great publicity value but also this relates to his life." Wang Chao said.
"Yes, see if Doctor Meng in cardiology is busy, we need him to join the consultation right away." Liu Banxia said.
Wang Chao nodded and headed towards cardiology.
Just as he said, this patient holds certain significance. Taking good care of him not only serves for publicity but also saves a life.
Any condition involving the heart isn’t trivial. Whether it’s the primary condition before the impact or the effects afterward, they all need to be clarified.
"Director Liu, do you have the recent test results?" Meng Qingfan asked as he hurried over with Wang Chao.
"Doctor Meng, currently there’s just a chest X-ray, I’ll bring it up for you. We’re doing other tests, I’ve arranged for expedited processing." Liu Banxia said hurriedly.
"Could it be that just going through such a major event and not having recovered from it caused this?" After looking at the chest X-ray, Meng Qingfan asked.
"I can’t be sure about that, but the patient mainly complains of chest pain and discomfort, primarily maintaining a high heart rate." Liu Banxia said.
"It’s hard to determine if the pain and discomfort are due to the heart or caused by the high-speed impact of the ball or by tachycardia. We’ll have to wait for the results?"
Meng Qingfan nodded, "Alright, it’s definitely related to the heart, for now hand him over to me to manage. You stay busy and I’ll update you with any progress. Director Chen and the others should also be back soon, let’s see how the test results look first."
"Doctor Meng, thank you very much." Liu Banxia said.
For now, that’s the arrangement. The patient’s main symptoms belong to cardiology. Since the cardiology people are called here, it’s their responsibility.
Although he cared a lot and it related to his task, he couldn’t just keep the patient under his own care without reason.
Anyway, he can always follow up.
"Brother Liu, why do I feel a bit nervous?" Qiu Mingyuan said.
"It’s because it involves someone familiar to you." Liu Banxia said.
"We surgeons have certain avoidance principles when performing surgery; the more familiar the person, the easier it is to mess up during operation."
"In a few days, your Sister Qiaoqiao will also be settling down here. When you have time, go home more often and spend time with our Tang Dou and its kids."
"No, Brother Liu, does that mean you won’t go home either?" Qiu Mingyuan asked, feeling aggrieved.
"With Qiaoqiao coming here, what would I go home for? You should be familiar with the VIP wards upstairs, they’re quite well-equipped, we can live well here." Liu Banxia said seriously.
"Oh... poor Tang Dou. If it’s really unfeasible, I’ll take Tang Dou and its kids to my home. Doudou always wants to play with Tang Dou, and if there’s no one at your place, they can’t play." Qiu Mingyuan said.
"You sure talk disparagingly, but in reality? You’ve been thinking about our Tang Dou and its kids for quite a while, right?" Liu Banxia glanced at him.
"No way, absolutely not, Tiggie is my treasure." Qiu Mingyuan said.
"And Yueyue?" Liu Banxia asked curiously.
"She’s my little treasure." Qiu Mingyuan said honestly.
Liu Banxia really didn’t know what to say anymore, young people these days, really can’t keep them in check.
"You guys stay in my office for now, the examinations will take a bit. When Doctor Meng has any definite news, you can also report it." Liu Banxia said.
"But your instructor is something else, how long has it been, and he’s still not here. Don’t forget to get his home phone number just in case."
"Brother Liu, does that mean there’s still a life risk?" Qiu Mingyuan asked worriedly.
Liu Banxia nodded, "The heart is like an engine, although we’ve controlled it with medication, it’s a temporary fix. Whatever the condition is, it’s definitely in a flare-up stage."
"If this condition isn’t diagnosed and treated properly, we can’t say when his heart might race again."
"It’s like a car engine, driving normally is seventy or eighty, pressing the gas pedal goes to one hundred to one twenty. But now he’s at one hundred eleven, constantly pressing the gas pedal, who knows when it’ll jump to two hundred, three hundred, or even more."
"When it reaches such a high speed, it’s ventricular fibrillation. The heart can’t handle it, it’ll shut down directly. Right now I can’t even determine if he went into cardiac arrest due to the condition at your school or because the ball directly caused it."
"Anyway, his body definitely has issues, there could be many potential causes. In this situation, do you think it’s dangerous?"
"Brother Liu, isn’t it the same? Wasn’t it cardiac arrest after being hit by the ball?" Qiu Mingyuan thought for a moment and asked.
Anyway, he thinks it’s the same, he doesn’t get why Liu Banxia has to delve into such detail.
