My Medical Skills Give Me Experience Points Chapter 1247 - 491: Unexplained High Fever Reaction, Multifocal Hemorrhage (Part 3)

Drawing upon Zhou Can’s extensive clinical background and his mastery of pharmacology, a reaction manifesting as a high fever seems highly improbable.

Is a high fever common following a blood transfusion?

To be honest, this is the very first time such a possibility has crossed my mind.

"Doctor Ai, please summon the nurse who managed the infusion and patient care to the office so we can discuss the situation in detail."

Zhou Can’s priority is to eliminate the potential that the fever was induced by the infusion process or the transfusion itself.

For example, the saline solution used for the IV might be the culprit.

This must be verified immediately.

It is possible for saline vials to harbor defects due to various complications during the manufacturing or storage phases.

One such complication could be the emergence of flocculent sedimentation within the solution.

A nurse who is both seasoned and careful will not merely adhere to the triple-check protocol of seven distinct factors; they will habitually agitate the vial to ensure the integrity of the solution when mixed with other medications.

Saline solution stands as the most frequently utilized medical supply in hospital settings.

When hospitals place bulk procurement orders, manufacturers sometimes resort to dubious tactics.

One cannot rule out the possibility that less-than-ethical suppliers might offload substandard saline to hospitals once a contract is secured.

Naturally, manufacturers dread the repercussions of errors and aim for sustained success, so they generally strive for product quality, particularly regarding patient safety.

Nevertheless, human error at the production level, obsolete technology, or dated facility infrastructure can all contribute to failures in the resulting saline products.

It is not as if every single vial arrives flawed.

However, even if only one in ten thousand contains a defect, it remains a dangerous liability.

If such a bottle reaches a patient, that individual is almost certainly bound for an adverse reaction.

Once inside the office, the attending nurse, Doctor Ai, and Zhou Can commenced their consultation regarding the patient’s health.

Zhou Can assumed the leadership role for the discussion.

"Teacher Zhao, did you evaluate the medication vial thoroughly before administering the infusion?"

Zhou Can would refrain from posing such sensitive questions directly in the presence of the patient or their family members.

That serves as the primary reason why Ai and the nurse were pulled into the privacy of the office.

"I performed a deliberate check at the time and found nothing amiss. Director Niu has issued multiple directives emphasizing extreme vigilance during routine nursing and medication cycles, placing patient safety as our number one priority. We remain exceptionally rigorous with every infusion administered in this ward."

Zhao Qian and Zhou Can share a long-standing professional rapport.

She is certainly a hard worker.

Though she has ascended to the rank of nurse practitioner, the path toward becoming a supervisory nurse practitioner remains quite extensive.

The trajectory for nursing promotions is no less strenuous than the path for physicians.

Attaining the title of attending physician is relatively more straightforward by comparison.

For nurses to reach the level of supervisory nurse practitioner, they must either log significant practical experience or invest time in advanced clinical education—assuming, of course, that personal influence doesn’t play a role.

Our society often relies on networking, especially in this country, where interpersonal relationships frequently influence institutional functioning. Look at sectors like the state railway or major hospital systems, where the most lucrative and stress-free administrative roles are dominated by the well-connected offspring of the elite.

Zhou Can possesses a solid grasp of Zhao Qian’s dedication to her craft.

She handles her duties with grit and precision.

Given her meticulous pre-infusion checks, it is reasonable to deduce that the saline solution was not the root cause of the complication.

After careful deliberation, Zhou Can began to entertain the theory that the patient might be suffering from multisource gastrointestinal bleeding.

What does a multisource hemorrhage entail?

It implies that the bleeding originates from multiple distinct sites.

It is highly probable that the origin of the patient’s internal bleeding is not restricted to the upper GI tract alone.

The upper small intestine and the colon should be treated as high-priority areas for further diagnostic scrutiny. Furthermore, consistent monitoring of gastric levels is necessary.

Considering the patient’s history of passing black stools for over a month, one cannot definitively disregard the possibility of chronic, significant stomach bleeding.

In the medical field, one should never dismiss any hypothesis until concrete evidence proves otherwise. Some leads are simply more probable and thus warrant investigation first.

Especially in cases that prove difficult to diagnose, the culprit is often a factor that has been easily overlooked.

The crux of these intricate cases is that they often involve anomalies and symptoms that fall outside the scope of standardized textbooks.

Such scenarios demand that doctors adapt their diagnostic approach based on their hard-won clinical experience.

"Doctor Ai, I advise that we initiate regular monitoring of the patient’s gastric juice to accurately assess the current bleeding rate from the stomach. Simultaneously, we must employ secondary diagnostic tools to investigate potential lesion sites within the small intestine and the colon."

Zhou Can presented his concrete plan for proceeding with the diagnosis.