2023-10-18 01:13:40
Preface
In hospitals, the most common job of a nurse is to administer an intravenous drip. As the saying goes, if an intravenous drip is easily put in, the work will be reduced by half. At least this is the case in the emergency department. After all, the emergency departmentMedical patientsOf these, 7-8 out of 10 require injections and intravenous drips, but if you are unlucky, you end up in the emergency room for half a day, which consumes your lifelong skills. If the intravenous drip is still not successfully inserted, the words in your heart will keep flashing in your mind ~
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As a member of the public, how much do you understand the importance of every detail?
Definition of bit by bit
Today’s story is not about the intravenous drip, but about the intravenous intravenous injection and the intravenous drip. What are the people’s expectations for the intravenous drip?
1. Once the drip is finished, the treatment is complete
2. Add medicine drip by drip, the more the better, especially to get the nutritional injection I want.
3. When I see a doctor, I must give an intravenous drip to achieve the therapeutic effect.
The above three conditions are really common in the emergency department. However, after various treatments, because medical diseases still require intravenous drips, we will still assist in administering them. What I hate most is when family members or patients randomly adjust the drip speed.
Because internal medicine involves patients with a variety of diseases,Many patients actually have clinical restrictions on the total amount of drips that can enter the body.such as the most commonly heard kidney dialysis patients, heart failure, pulmonary edema, etc.
drip speed
If we encounter this type of patient, we usually reduce the amount of drip, which should be consideredempirical safety rulesand there are always family members who will come to adjust our drip, secretly tampering with us in our hurry, or often the whole package will be finished when we see it, and there are endless cases of clamoring to go back.
You will feel that the degree of respect for medical treatment is really important. After all, a pack of intravenous drips can be more or less serious. If a serious illness occurs, it will not be an understatement of just one pack of intravenous drips. After all, you don’t know whether this packet of intravenous drip is mixed with other drugs. Some drugs cannot be infused too fast, otherwise you will suffer from allergies in mild cases and shock in severe cases.
case analysis
This case is described in the emergency room. We received an ambulance patient and brought him to the emergency room. Of course, at the same time he was brought to the emergency room, the patient was breathing heavily and his blood oxygen was only 80%. So everyone quickly started treatment, drawing blood, X-rays, intravenous drips of drugs, and physiological monitors are also monitoring, and the treatment has reached a stage.
At this time, the family members also arrived at the hospital. The doctor explained the condition to the family members. After listening, the family members sat next to the patient. Among the busy patients, our nurses also started to treat them. When they came back from the treatment, Hearing the sound of Dangdang, the three things that used to learn in the ward in the past were listening to the position and debate.
Listening to sound positioning/things are as follows
Dang Dang Dang: The physiological monitor emits a warning sound, which may include heartbeat, blood oxygen, and blood pressure warnings. Bah, bah, bah: The respirator issues a warning: it indicates that the respirator may be blocked or the respirator tube may be detached. Elegant flute sound: It represents the sound heard when the positive pressure breathing mask is leaking. The tube may fall off or the mask may be taken away/loose by the patient.
At this time, the head naturally turned to the 11 o’clock direction of the bed (the source of the sound). Gan… the blood oxygen was actually 60% left. The patient was gasping for breath, and the breathing tube did not fall off. What happened? When you approached the patient, in addition to seeing the patient who was gasping for breath, you also saw that the drip beside the patient was full of blood. When you looked up, you saw that the entire pack of drips had been drained. !
And what I was thinking in my heart at this time… The on-off valve of the pipeline was opened all the way. Did I not set it? Or something happened? When I thought about it again, it was impossible! When the patient was brought in, I I was very sure that this patient had heart failure. Moreover, the doctor just said that the X-ray showed pulmonary edema. I would not make such a stupid mistake, so I asked the family members.
Every time I ask family members, there will be answers that predict the outcome.
Me: Sir, have you done anything? I had to ask tentatively.
Family member: Oh, yes, the drip I just watched was too slow. I wanted to say that I could be discharged from the hospital after the drip was finished. I just wanted to speed it up because I have to pick up my child from get out of class later!
I was really about to explode. I couldn’t hold back the anger in my heart anymore. I said: Sir, the doctors said that your family’s lungs have accumulated water in the X-ray, and their heart is very poor. You adjusted the drip randomly, and now his whole body is… Very panting, you are hurting him by doing this, do you know?
Family member: Shrimp~ How can it be so serious? It’s just a packet of intravenous drip. You have given oxygen and you can also inhale medicine. How could a packet of intravenous drip cause him to gasp so much… As he talked, he started Try to avoid responsibility.
The saddest thing about medical care is that patients or family members mess around. In addition to escaping, doctors or nurses have to help deal with the aftermath.
At the moment, I can only inform the doctor first. After all, everything has happened. I can only discuss the matter and deal with the patient first. I can only say that the doctor on duty is very kind. After hearing this, the doctor went to explain the condition to the family members and told the family members not to mess around. In addition to adjusting intravenous drip, the family members were asked whether they should be intubated if they were short of breath, etc.
Finally, the patient was sent to the intensive care unit. Hearing that he was still short of breath at night, he was intubated and connected to a ventilator.Although a pack of drips may not cause many causes, it is actually very controversial to say that there is no correlation at all.and the fact is that there are many clinical cases where patients are not suitable for intravenous drip.
The drip you think is actually not for your treatment, it is just a faucet switch that needs to be dealt with immediately in an emergency.
The importance of every detail
Sometimes the emergency department will respond to critical patients by receiving a drip and adjusting the very slow drip rate. It is not about the treatment of the drip, but about emergencies such as unstable vital signs: blood pressure, oxygen concentration, heartbeat, breathing and other emergencies. , at least there are blood vessels that can inject medicine, and the medicine can be infused through the blood vessels immediately to the extent of life-saving treatment, instead of letting him finish the infusion quickly.
in conclusion
Clinically, intravenous drip is a method that can be treated but does not require treatment. Only the medical staff will know whether the drip speed is suitable or not. I hope that through this experience sharing, family members will know the importance of not adjusting the drip randomly. After all, there are many Sometimes there are consequences that you don’t expect, but you just don’t know them clearly.
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