My Medical Skills Give Me Experience Points Chapter 1291 - 509: The Dangers of Rapid Infusion, Unbreakable Unwritten Rules (Part 2)
Previously on My Medical Skills Give Me Experience Points...
Certain incidents arise from negligence by medical personnel, while others stem from inadequate expertise or unforeseen mistakes in treatment approaches.
"Did he have trouble breathing immediately after coming to from the anesthesia?"
"No! My husband was still in good shape when he got back to the ward following surgery. Then the nurse arrived with the infusion meds. After the over-three-hour drip finished, he began feeling off. He quickly told the nurse who was removing the needle. She explained that minor post-infusion reactions are typical. The drip aimed to strengthen his infection-fighting capacity and supply essential nutrients for faster healing. So, I held my tongue."
The patient’s wife had stayed right by her husband’s side throughout.
If not, she couldn’t have recalled it all so precisely.
Together in youth, partners through age.
Their bond runs profoundly deep.
After obtaining this vital detail from the relative, Zhou Can swiftly evaluated the patient’s postoperative infusion.
The drugs and saline checked out fine.
Infusion amount hit 1200ml.
This had to be a generous gift from the God of Wealth!
Noticing full insurance coverage, had they overloaded the patient with fluid?
To Zhou Can at least, the drug amounts were definitely too high.
Yet without knowing the scene back then, he couldn’t judge if the doctor had overprescribed.
"How long did the full infusion take?"
He inquired.
The patient had shared a key fact before: the post-op infusion ran roughly three hours.
"Uh... I didn’t note the start time, just that it wrapped up around four in the afternoon. My husband left the operating room near one PM and reached the ward. The whole process likely stayed under three hours."
The relative replied.
The Provincial People’s Hospital proved cunning; their post-op care log listed only drugs, doses, and care given, omitting infusion times.
"Doctor, was there a problem with the infusion my husband received at the Provincial People’s Hospital?"
The relative appeared to sense something amiss.
She questioned Zhou Can straight out.
"I wasn’t present then, so I can’t say. Your husband’s pulmonary edema is severe right now. I’ve readied the treatment orders for quick action. Can he urinate without issue now?"
Zhou Can wouldn’t bash another hospital’s practices in a patient’s presence.
That kind of thing stirs conflicts easily, and he avoided it.
"Yes, still able. Can manage with a urinal."
As an elderly couple, she spoke freely about tending to his urination needs.
"Any drug allergies?"
"None that we know of."
"Good, he’ll likely get diuretics soon, leading to more frequent urination than usual. If he wants water, don’t restrict it—eat and drink normally."
Zhou Can outlined key precautions and issued the patient’s med orders directly.
Vice Director Hee must sign off before they take effect clinically.
For now, orders from Zhou Can get quick reviews and approvals from Vice Director Hee, Director Xue Yan, and others.
[Pharmacological Differentiation Experience Points +1, Reward Experience Points +10.]
Progressing in pharmacological differentiation demands real endurance. At Level 5 now, Level 6 lies far ahead.
He’d largely pinpointed the reason for the patient’s postoperative right lung edema.
Drawing from Intensive Care Medicine experience, he suspected the lung fluid buildup came from an overly rapid post-surgery infusion. Perhaps the nurse at Provincial People’s Hospital lacked skill, or some mishap hastened the drip’s end.
Like relatives secretly cranking up the drip rate.
That scenario happens most often.
Eager for quicker infusions, some patients and families tamper with the regulator to accelerate the flow.
In their view, since it enters the body regardless, faster completion changes nothing.
Nurses confronting this often feel powerless.
They might softly warn families against repeating it next time.
No scolding harshly.
Harsh words could ignite feuds with irate relatives, escalating to fights.
Beyond family meddling with drip speed, certain patient conditions demand urgent fast infusions, weighed carefully by staff.
Life-saving trumps side effect risks.
Take internal bleeding: hemostatic drugs must rush in to halt it.
A 24-hour slow drip might let all blood drain away.
Anticoagulant thrombolytics demand swift action too.
That’s why Zhou Can held back criticism of Provincial People’s Hospital nursing.
Absent from the scene, one can’t grasp the staff’s dilemmas then.
For the patient, he prescribed meds: 10mg caffeine intramuscularly first to steady blood pressure and ease discomfort.
Further agitation could spike pressure higher.
Furosemide 20mg, cedilanid 0.4mg intravenous injection.