At the critical moment, Xie Wanying gave another vaccination to the teachers who had never done it before: "After being connected to the machine, there may not be any improvement in the first two days or even worsening. After two days, if the machine is effective, the patient will be more satisfied with the machine."
dependence will gradually decrease."
Everyone was originally very anxious, eager to see the effects of the new machine. Now after hearing her words, it became clear that this battle must be fought slowly and there was no need to rush.
All the doctors and experts at the scene can understand that rescuing a critically ill patient can never completely reverse the situation in a few hours or a day or two.
During this period, it has become very important to protect the patient and detect problems in time and correct them in time. In the future, specially trained nurses will stay beside the patient and watch the machine all the way.
At this stage, there are no well-trained nurses, and doctors themselves are not familiar with it. They can only take care of themselves and gain experience first.
Director Wang was mentally prepared to move a chair and sit next to the patient's bed and fight to the end.
Director Wang is far from the only one who is prepared to fight the disease to the death.
Zhang Huayao said: "Arrange your classes."
After hearing what Leader Zhang said, everyone else nodded in response: How could Director Wang take advantage of such a good learning opportunity alone?
Here we have to talk about Zhang Desheng, who was the first to express his stance. Suddenly, he found that he was surrounded by people competing for opportunities with him, including teachers who were scrambling to be the first.
Feng Yicong and others patted classmate Zhang on the shoulder: Look, what's the use of rushing to say it.
The smart classmate Zhang Desheng ran to find classmate Xie. Instead of competing with the teachers, he could be a good follower of classmate Xie.
As a result, all the teachers wanted to be classmates with Xie.
I heard Mr. Zhang say: "Teacher Xie, you tell me what to do, and I will do it."
They all wanted to run to find Xie's classmates, screaming from the bottom of their hearts: Even the bosses came to compete for the position of the follower, what are they going to do now?
After using the machine, it was the turn of the hemofiltration machine. Xie Wanying and Dr. Liu continued to explore the technical points of RRT. Since RRT is a type of hemodialysis, the working principle is similar. The purpose of using such a machine is to replace the damaged kidneys.
Kidney-like function, filtering out excess water and metabolic waste toxins in the patient's body
etc., to correct the water and electrolyte imbalance and ensure the patient's nutritional support. From the above description, we can know that the main purpose of this machine is the patient's fluid balance. For critically ill patients, they cannot eat for a long time and need other anti-inflammatory drugs.
While waiting for treatment, rehydration is a must
Few. Simply put, you cannot starve a patient to death by dehydrating him or her.
At this time, there is a technical difficulty, how to control the patient's various fluid infusion volumes, to avoid continuing to supplement randomly during treatment, and to prevent the machine from being ineffective or worse.
In addition to conventional blood test indicators, monitoring methods are usually used clinically for fluid management, such as the central venous pressure (CVP) mentioned by Xie before. This is a very old and traditional monitoring plan.
Medicine is progressing and developing all the time, and CVP has advantages but also limitations. "CVP cannot monitor the preload of the patient's heart, so it cannot judge some special conditions, and it is affected by more factors when measuring.
If there are too many, the measured value may not be very accurate." Xie Wanying said, "So it is better to use pio."
