"The first four parameters are to adjust the parameters of the ventilator, including tidal volume, respiratory rate, respiratory ratio, and airway peak pressure PIP. The parameters further adjusted include airflow magic, inhaled oxygen concentration, alarm settings, sensitive ventilator punishment, and positive end-expiratory pressure. These parameters need to be adjusted at any time based on the patient's weight, the patient's respiratory symptoms and causes, blood gas analysis and other changes. Once the parameters are not adjusted properly and mechanical ventilation is improper, the most likely cause damage to the ventilator to the patient is barometric injury."

"Once an alarm is issued, the first thing to do is to distinguish the alarm content of the ventilator, whether it is airway high pressure or airway low pressure, insufficient ventilation or excessive ventilation, or even whether the patient has apnea and is directly suffocated. Is the ventilator itself arbitrarily called the alarm? Some can solve it by checking whether the ventilator is running normally and the pipes are smooth, some can adjust the ventilator parameters to solve it, and some need to provide other treatment measures to the patient. It is estimated that using the ventilator alone will not be able to solve the problem."

At some point, a group of people gathered around at the door of the ward, including nursing staff, patients and families who came out to walk, other medical students who came to work and doctors passing by. They all listened to the clear female voices in the ward and looked at Xie Wanying's face, and thought to themselves: Is this person a teacher? Teaching students?

Xin Yanjun turned around and saw the expressions of the onlookers at the door and smiled. She could only say that the new student Xie said it was really good, it was like giving a lecture in class.

"Let's go. It's time to start the shift meeting." Xin Yanjun pulled Xie Wanying's arm and turned back to the doctor's office, "When I have time, I'll ask you to adjust the ventilator parameters for the patient in person."

Teacher Xin let her go very quickly.

If you want such a genius student to be intern in their department, you don’t have to think too much about it. The hospital leaders must have wanted them to give her more opportunities to practice. If you go to a large department, there are too many students, so it’s not the turn to give her a chance to do it. After all, this is a surgeon. Xin Yanjun and the doctor in the respiratory department know the abacus of the hospital leaders, and they also have this plan.

A good student, why hide the snow? Wouldn't you be idiot if you don't make good use of it?

The class transfer meeting of internal medicine is much more detailed than that of surgery. It is not subject to the daytime surgical arrangements like surgery, so the meeting time can be relatively long.

After the meeting, there is no surgery and if an old professor comes to guide it, it is sometimes normal for the internal medicine ward to check for more than one or two hours. Ask the patient carefully, ask the students directly next to the bedside, and the students answer and discuss. Go back to the doctor's office to receive guidance from the doctor's superior doctor to prescribe medicine. There is still time to think about the patient's medical records slowly.

Compared with surgery, internal medicine is much more relaxed and comfortable. In the afternoon, teachers can arrange their time freely if they have no department tasks.

This slow-paced environment made Xie Wanying feel that her hand speed at typing on the computer keyboard of the department had slowed down. Her hand unconsciously touched the stethoscope in her white coat pocket and was sure whether it was there.

Different from surgery, internal medicine, internal medicine doctors often carry stethoscopes, which are standard. The surgery side depends on the specific department. For example, Teacher Tan, general surgery is mainly used to treat gastrointestinal tract, and the stethoscope is not very useful. If you want to use it, you can never remember where it is. When you are anxious, you should take it to the person next to you. Brother Tao, the liver and gallbladder, the stethoscope is crooked in the pocket of the white coat, and he often doesn't take it out and wear it on. Brother Cao's neurosurgery seems to be more important than a stethoscope.

These specialist surgeons do not use stethoscopes frequently because they often have to get started in person. For many specialist diseases, palpation is more effective than auscultation.

－－－－－－－－－－－－－－－－－－
Chapter completed!