Wang Songhe, a student from Binhai University, and a middle school student Yan Feifan once tutored.

Yan Feifan saw him unconscious and wearing a breathing mask, his face was very bad. While helping push the gurney, he asked the first aid staff who sent him.

"What's the patient?"

The first responder in his thirty years old who was pushing the gurney was impatient when he heard this question.

He glanced at Yan Feifan and quickly replied in a serious voice: "Doctor Yan, the patient has hypokalemia."

"During the treatment of potassium supplementation in the school hospital, I developed symptoms such as coma, irregular breathing and irregular heart rate."

"The school hospital dared not continue treatment, so we asked us to transfer it."

After hearing the emergency doctor's words, Yan Feifan's heart sank.

Irregular breathing and irregular heart rhythm, Wang Songhe is a manifestation of severe hypokalemia. He extremely needs to supplement potassium quickly, otherwise he will be in danger of life.

It was then that a girl rushed in.

The girl also saw Yan Feifan, was slightly stunned, and then stepped forward and hugged Yan Feifan's arm.

"Doctor Yan, you advised him not to drink soda and drink more mineral water, but he just didn't listen."

"It doesn't work for me to persuade him."

Yan Feifan also recognized that the girl was Wang Songhe's girlfriend Qiao Nan.

Qiao Nan regretted a few words, and begged with a crying voice: "Doctor Yan, please save him, save him..."

At this time, Yan Feifan had already pushed the gurney to the emergency area.

He took on the responsibility of treatment without hesitation.

Yan Feifan looked through the treatment records of Wang Songhe at Binhai University Hospital and found that Wang Songhe was sent to the hospital because of his soft limbs.

The hospital tested blood potassium 2.06 mmol/l and was diagnosed with hypokalemia. The treatment plan was 10% potassium chloride 15    ml    added saline 500    ml                                                                                         

Half an hour later, the patient suddenly became unconscious, had shallow and slow breathing, and the ECG monitoring showed an asymptotic heart rate.

Yan Feifan, who had read this treatment record, noticed that Wang Songhe was very wet. He immediately judged that the conventional potassium supplementation method adopted by the hospital did not play the role it should, or that his potassium loss rate exceeded the potassium supplementation rate.

In this case, it is too late to supplement potassium by general intravenous infusion, and an unconventional potassium supplementation method must be adopted.

Through the unconventional central vein catheterization, the infusion pump supplements potassium.

In addition to the high experience and technical requirements for this operation, the most important thing is that there is a high risk of treatment.

Yan Feifan didn't have too much concern and immediately shouted: "Card monitoring, ventilator preparation!"

"Give me a central intravenous injection needle and an infusion pump."

"There is also 5% glucose solution and add 10% potassium chloride to dilute it into 100 mmol/l."

As he finished speaking, the three nurses around him became busy in an orderly manner.

At the same time, a nurse stopped Qiao Nan and persuaded her to leave the rescue area to avoid affecting the work of the doctor and nurse.

When Yan Feifan put on disinfection clothes and disinfection gloves, he also sent the puncture needles, infusion pumps, potassium supplement solution and other instructions.

The puncture, core extraction, and connection of the infusion pump were performed in one go, and the infusion speed was set at 20    mmol/h.

After the infusion began, Yan Feifan closely monitored the changes in Wang Songhe's body monitoring data.

Such rapid potassium supplementation can easily cause local or instantaneous hyperkalemia, which is more likely to induce fatal arrhythmia or even cardiac arrest.

Moreover, hyperkalemia seriously affects renal function. People with kidney function defects can easily induce fatal renal failure and uremia.

Yan Feifan needs to pay close attention to the changes in Wang Songhe's physical signs data and adjust the speed of potassium supplementation...

One or twenty minutes later, Director Wang Yuming came over, checked the patient's vital signs, looked at the rescue records, and noticed that the infusion speed had dropped to 6.7mmol/h, and nodded gently.

"Extraordinary, your bold decision saved the patient's life."

"Your fast, steady, accurate and ruthless treatment method is especially suitable for staying in the emergency department. With you here, the treatment success rate of our emergency department can be increased by at least five points."

"Freefan, have you ever thought about it..."

Director Wang stopped when he said this.

He shook his head and sighed: "Your medical talent should not be wasted in the emergency department, just to treat a few people."

"Your medical talent should be used in medical research and benefit millions of patients."

Yan Feifan smiled and said without any modesty: "Teacher, I will work hard in this direction."

Wang Yuming said happily: "You kid, you are still panting when you say you are fat."

After pausing, he waved his hand and urged, "This patient has been rescued, I will stare at you, hurry up and go back."

"Then I'll bother the teacher." Yan Feifan was not polite at all.

Yan Feifan took off his disinfectant clothes and gloves and came to the waiting area of ​​his family. He talked about Wang Songhe's situation with Qiao Nan, who looked worried, and then went out of the emergency department with Yu Suye.

"Doctor Yan..."

The one who called Yan Feifan was Lu Xin, a nurse in the emergency department who changed into casual clothes.

She quickly walked to Yan Feifan and said quickly: "Doctor Yan, I have decided to have plastic surgery."

"It's really decided?" Yan Feifan asked confirmation.

Lu Xin nodded and said, "Doctor Yan, let me tell you, I went to ask the two sisters in the Finance Department."

"I am very envious of their plastic surgery effect."

"They are very satisfied with their current appearance."

Yan Feifan had to remind him: "Lu Xin, based on your foundation..."

Lu Xin said very self-awarely: "Doctor Yan, I understand that my foundation is poor. If you want to make them, you need to make major changes."

"Doctor Yan, I know that the cost of all of them is about 110,000."

"I'll pay 150,000, no, 200,000, what level can I reach?"

Looking at Lu Xin with anticipation, Yan Feifan couldn't help but sigh.

Although the nurse in the emergency department works hard, her salary is not high, and she only gets four or five thousand yuan a month.

Just a guy like Lu Xin who is very good at playing and constantly wearing cosmetics may not be enough for her to spend a month.

Yan Feifan reminded: "Lu Xin, you are not allowed to borrow money to have plastic surgery."

Lu Xin smiled and said, "Doctor Yan, I am investing. Doctor Yan's plastic surgery technology is definitely a low investment and high output investment."

"If you find a boyfriend with good conditions, you will have everything."

Lu Xin bowed his little hand and asked with a pitiful look on his face, "Doctor Yan, just help me!"

Yan Feifan was speechless.

However, this was the other party's choice, and he didn't want to persuade him deeply.

"I don't have time this week, next week."

"Do you think about it again during this period..."

Seeing Lu Xin leaving happily, Yu Suye suddenly asked, "Feifan, if one day I tell you that I am an artificial beauty, what would you react?"

Yan Feifan chuckled and said, "I haven't checked what part of you? You are 100% natural."

"Are you so confident?"

Yan Feifan said confidently: "Su Ye, it's not that I can fool me into the plastic surgery that can't help but also that's what I did."

Yu Suye said: "You are not humble at all."

"I'm just slapped in the face now..."

Yu Suye said seriously: "Yan Feifan, let me tell you that there is a repair surgery on me."

Yan Feifan recalled and said in confusion: "How is this possible? I obviously had a full-body examination for you."

Yu Suye laughed and said, "This shows that your Taoism is not deep enough."

Yan Feifan pondered and said, "It is necessary to have another full-body examination for you tonight."

Yu Suye threw a charming look and said provocatively: "Isn't someone tired? Do you still have the energy and physical strength?"

Yan Feifan said without showing any weakness: "You will know until night."

"Then I'll wait."

Yu Suye, who was facing the challenge, asked again: "Feifan, you haven't answered me yet. What would you do if I were an artificial beauty?"

"return the goods!"

Yan Feifan said simply: "With my skills, I can't just pick up what kind of appearance I want!"

"Su Ye, be careful."

Yu Suye laughed and said, "You have used it all, so you can't return it unless you can restore the original settings..."
Chapter completed!