Zhou Ce came quickly. He looked at Sun Lien who was locked in the clean room with a surprised look on his face. After being stunned for a long time, he asked, "Did you also steal the little nurse's underwear?"
"Ah?" Sun Lien looked confused, "What?"
"Oh, it's okay." Zhou Ce waved his hand calmly, "That was a story from a long time ago."
Sun Lien looked at Zhou Ce suspiciously, and after a long time he raised his eyebrows and asked, "Dr. Zhou, I would like to ask how to install this dialysis equipment..."
"Dialysis?" Zhou Ce thought for a moment and shook his head, "Why do you ask? Why don't you just let the nurses do it?"
"Suspected bird flu." Sun Lien pointed to the hospital bed behind him, regardless of whether Zhou Ce could see it or not. "Three gas cylinders of the hospital's protective clothing have been used, and it will take some time to refill them. The patient's condition
……not too good."
"Is there a test report?" Zhou Ce quickly understood the current situation and asked directly without saying any nonsense, "How much is the urine output?"
"The examination report hasn't come out yet. It's been two hours since admission, and the urine output is about 15 milliliters." Sun Lien squatted down, picked up the urine bag hanging by the bed and took a look. "Since admission to now, the patient has been given supplements
More than 500ml of liquid."
"The urine output is a bit low, but we have to read the report before we can confirm whether there is acute kidney injury." Zhou Ce thought for a while, "I'll teach you how to connect it first."
Dialysis machines have actually become quite easy to use after several generations of evolution. Unlike peritoneal dialysis, the basic principle of dialysis machines is to "filter blood." The blood is extracted from the arteries, then filtered through a superpermeable membrane, and then the impurities are removed.
The blood is returned to the veins. Peritoneal dialysis makes more use of the structural characteristics of the human body and uses the semipermeable membrane properties of the peritoneum to absorb and filter impurities by injecting and extracting dialysate.
Although DIC itself is one of the applicable scopes of peritoneal dialysis, peritoneal dialysis requires a dialysis tube to be placed in the peritoneum. Under the current circumstances, Sun Lien alone will definitely not be able to complete this operation. Therefore, Zhou Ce simply cannot
He did not consider peritoneal dialysis, but directly chose to let Sun Lien learn to connect the dialysis machine.
"The dialysis machine comes with an operating bag, which contains two transparent hoses." Zhou Ce raised the transparent bag in his hand, "After opening it, you will find that there are two thick tubes with needles inside.
, one with a blue label and one with a red label.”
Sun Lien opened an operation package in the room, "What then?"
"Then, tighten all the passages on the machine and inject physiological saline from the red port." Zhou Ce threw away the operation bag in his hand, grabbed a bag of physiological saline, and explained dancing like a giant monkey.
, "It is not possible to directly connect physiological saline to intravenous drip pipes! The intravenous drip pipes are not thick enough, so a connecting pipe is required!"
"Okay, okay, I understand." Sun Lien signaled Zhou Ce to calm down, "I'll remember it."
"Brother, I'm helping you to deepen your impression. If you forget to pre-pour and pop the bubbles in, it will be a lot of fun." Zhou Ce said seriously, "Shut up before I think you have remembered it.
Listen and don't interrupt my train of thought!"
Sun Lien responded with a wry smile, took out a notebook from his pocket and started writing notes.
"The machines in our hospital require 1000 ml of pre-flush, so you just need to flush it honestly. Don't reduce the fluid volume to save time. Once there are bubbles, it will kill people." Zhou Ce emphasized again before continuing to explain.
Go down.
"The saline used to flush the tube will be discharged from the waste port. You can collect it with the waste collection bag in the operation bag. Then, use a syringe to extract the saline and inject it into the red-labeled tube first. After disinfecting the patient's injection site
After applying the poison, tie it in. Remember, this tube with a red label is used to tie the artery."
"Use the red label tube to perform arterial puncture..." Sun Lien quickly jotted down a few notes, "And then the blue label tube punctures the vein?"
"Smart!" Zhou Ce praised Sun Lien expressionlessly, "This sentence is to express encouragement. You can ignore the content."
Sun Lien smiled bitterly and nodded. He was really not used to Zhou Ce's character, which was always startled and occasionally sullen.
"After blood returns to both tubes, heparin is injected into the tubes for anticoagulation." He turned over the test report in his hand. "Generally, we use a standard injection of low molecular weight heparin of 60~80iu/kg, but since this patient is already in
If you undergo anticoagulation treatment, then inject according to the standard of 30iu/kg. You can estimate her weight yourself."
"After flushing, the red labeled tube is connected to the red arterial inlet, and the blue labeled tube is connected to the blue venous outlet. If you make a mistake with something as basic as this, you can consider resigning." Zhou Ce waved his hand, as if he also
I think this sentence is unnecessary, "Then the dialyzer is turned on, and I will give you the operation data later. The point is, when filtering is started, the tube with the ultra-permeable membrane has the venous outlet facing upwards, and the filtration flow is 100ml.
/min. Don’t set it too high at first.”
"Wait until the machine has been running for more than two minutes, then remove the tube with the ultra-permeable membrane from the shelf of the machine and change it to red up and blue down. When the intravenous pot is almost three-quarters full, shut it down and turn it off.
Adjust the filtration flow to 200ml/min." Zhou Ce quickly explained, "Don't ask me the specific principle of why this is done, I don't know. This is required in the machine's instruction manual."
Sun Lien was left speechless by this explanation. He opened his mouth for a long time before nodding and saying, "I understand..."
"Finally, wait until the machine is finished running, shut it down, and then use the tube clamp that comes with the label tube to close the label tube. Remember to only close the artery." Zhou Ce said as he directly intercepted the blood report sent by Xiao Guo.
After a quick glance, he continued, "After closing the arterial labeling tube, use physiological saline to connect it to the arterial end of the machine, adjust the machine's operating speed to 100ml/min, and wait until the saline water flushes the pipes in the machine until there is no color.
Turn off the machine and close the intravenous tube."
Sun Lien was a little confused after listening to this series of sequences. After he finished writing it all, Sun Lien simply read what he had recorded again, and then he breathed a sigh of relief after Zhou Ce nodded in approval.
"A DIC patient received anticoagulant treatment and then added dialysis anticoagulation. It will be very difficult for her to stop bleeding later. After extubation, put a cotton block on it and bind it with a pressure band for half an hour." Zhou Ce ended the emergency training.
, and raised the examination report in his hand towards Sun Lien, "The blood creatinine concentration is 486 μmol/l. This patient does need kidney dialysis."
"No need to go to such trouble." As soon as Zhou Ce finished speaking, a woman's voice came from behind, "I'll do it."
Sun Lien looked closely at the voice and his eyes widened. "Why are you here?"
"My boyfriend is about to be quarantined. I must come here at this time." Hu Jia was not wearing a white nurse uniform and was still wearing her own clothes. Her hair was a little messy and she looked like she had just taken a shower.
"You have done such a big thing and you didn't even think of telling me? If Sister Xu hadn't called me, I still don't know what happened."
Hu Jia's expression was calm, but Sun Lien seemed to feel a little numb on the back of his head... as if it was the instinctive fear of a little rabbit after being stared at by a tiger.
"Are you going in?" Zhou Ce didn't think Hu Jia's expression had any other meaning. He just turned sideways and blocked the door of the clean room. He slowly shook his head, "If one less person is exposed, there will be less risk.
.If you just ran in like that, wouldn’t the risk Xiao Sun took be meaningless at all?”
"I'm a nurse, and it's my job to assist doctors in saving patients' lives." Hu Jia put on a mask, raised his head and stared at Zhou Ce, "Please excuse me."
"Sister Hu, calm down." Xiao Guo looked at this scene and felt that his calves were about to get cramped. He moved to the door of the clean room and blocked the door with Zhou Ce. "You can't go in now.
What’s the meaning…”
The two of them tried to persuade Hu Jia not to act recklessly, but Hu Jia still stood stubbornly at the door, and no one could say anything. The sound in the rescue room gradually became noisy, and finally the noise attracted Liu Tangchun.
of attention.
Comrade Liu hurried back to the emergency room after learning about the situation, but suddenly calmed down after opening the door. The old man put his hands behind his back and shook his legs, looking as relaxed and content as a retired veteran cadre taking a walk after a meal. He slowly swayed to the
After Hu Jia was behind him, he spoke. But it was not to Hu Jia.
"Look." Liu Tangchun grinned at Sun Lien, "Did you get yourself into trouble?"
Sun Lien almost cried, "Teacher Liu, if you don't want to help, don't make trouble..." He waved his hand towards Hu Jia and emphasized, "I'm really fine!"
"If a good doctor doesn't do it, he has to imitate that old guy Zheng Guoyou." Liu Tangchun chuckled and spoke a little louder, "How many times have I told you, don't be anxious when finding a girlfriend?
It’s better not to look for the little nurse in our hospital. Do you know the word “the same blood”? Xiao Lirong’s disciples and grandsons are all good! If you are asked to squat on the balcony, you have to squat on the balcony, and if you are asked to eat standing up
You have to stand up to eat."
Zhou Ce blinked and suddenly understood what Liu Tangchun wanted to do, so he echoed, "That's right! Our director's wife teaches Chinese in a primary school. That's called gentleness and virtuousness."
"What...what do you mean?" Hu Jia, who looked calm on the outside but was already going crazy inside, was immediately fooled, "What's wrong with the nurse?"
Zhou Ce and Liu Tangchun exchanged glances with each other and continued to speak ill of nurses. The content was rich and colorful, mainly through Zheng Guoyou's tragic life experience and comparison with the director of the Department of Nephrology who had a very happy life after "marrying a female teacher". Thus.
To achieve the purpose of "criticizing Sun Lien for his careless choice of spouse".
These two people are trying their best to attract firepower, but the expressions on the faces of the nurses standing next to them are a little ugly. Although they also know that Director Liu and Dr. Zhou do not have any malicious intentions, in this scenario, everyone will inevitably be accidentally injured by stray bullets.
Once or twice.
Guo Yulai stood there, blinking, but he didn't know which side he should stand on now.