"The ventilator adjustment parameters include four major parameters at first, including tidal volume, respiratory frequency, respiratory ratio, and peak airway pressure (PIP). Further adjusted parameters include airflow magic, inspired oxygen concentration, alarm settings, ventilator penalty sensitivity, and expiration
End positive pressure. These parameters need to be adjusted at any time according to the patient's weight, the patient's respiratory symptoms and causes, and changes in biochemical indicators such as blood gas analysis. Once the parameters are not adjusted properly and mechanical ventilation is improper, the ventilator is most likely to cause damage to the patient.
Barotrauma.”
"Once an alarm is issued, we must first distinguish the alarm content of the ventilator. Whether it is airway high pressure or low airway pressure, insufficient ventilation or hyperventilation, or even whether the patient has paused in breathing or directly suffocated. Is the ventilator itself?
There is a problem and the alarm is indiscriminate. Some can be solved by checking whether the ventilator is operating normally and the pipes are smooth. Some can be solved by adjusting the parameters of the ventilator. Some require other treatment measures for the patient. Just using the ventilator is probably not enough.
Solve the problem."
A group of people gathered around the door of the ward at some point, including nursing aunts, patients and their families walking around, other medical students who came to work, and doctors passing by. Everyone listened to the clear female voice talking in the ward.
Looking at Xie Wanying's face, I invariably thought: Is this person a teacher? Teaching students?
Xin Yanjun looked back and saw the expressions of the onlookers at the door, and smiled. She could only say that what the new student Xie said was really good, and it was like giving a lecture in a classroom.
"Let's go. It's time for the shift meeting." Xin Yanjun took Xie Wanying's arm and walked back to the doctor's office. "When you have time later, I will ask you to adjust the ventilator parameters for the patient yourself."
Teacher Xin let go of her so quickly.
Don't think too much about putting such a talented student in their department as an intern. The hospital leaders must want them to give her more opportunities to practice. If she goes to a large department, there will be too many students, and she may not be able to get a chance to practice. After all, this is
He is a surgical student. Xin Yanjun and the doctors from the Department of Respiratory Medicine understand the plans of the hospital leaders very well, and they happen to have such plans themselves.
If you have a good student, why hide him in the snow? If you don’t use him properly, you would be an idiot.
The shift meetings of internal medicine are much more detailed than those of surgery. Unlike surgery, they are not constrained by surgical schedules during the day, so the meeting time can be relatively long.
After the meeting, there is no surgery, and if there is an old professor to guide, it is normal for the internal medicine ward to sometimes check for more than one or two hours. Question the patient carefully, ask the students directly at the bedside, and the students will answer and discuss. Return to the doctor's office to accept the superiors
The doctor prescribes the medicine according to his guidance. There is plenty of time to review the patient's medical records.
Compared with surgery, internal medicine is much more leisurely. Except for those on duty in the afternoon, if there are no departmental tasks, the teachers can arrange their own time freely.
This slow-paced environment made Xie Wanying feel that her hand speed when typing on the department computer keyboard had slowed down. Her hand unconsciously touched the stethoscope in the pocket of her white coat to make sure it was there.
Internal medicine is different from surgery. Physicians often carry stethoscopes with them, and they are considered standard equipment. As for surgery, it depends on the specific department. For example, Mr. Tan, a general surgeon who specializes in gastrointestinal surgery, has little use for stethoscopes. If he wants to use one, he can't remember where it is.
, when in a hurry, ask the person next to you. Brother Tao, who has a liver disease, the stethoscope is crooked when it is stuffed in the pocket of his white coat, and he is often not seen taking it out, wearing it and listening to it. Brother Cao, neurosurgery, is more important than the stethoscope as a flashlight.
some.
These specialist surgeons do not use stethoscopes because they often have to do it themselves. For many specialist diseases, palpation is more effective than auscultation.