Chapter 54: : The role of dialysate

The configuration of ordinary dialysate is generally not difficult.
针对 But for different diseases, it is necessary to configure different dialysates, which is the key to dialysate configuration!
It's not just as simple as rinsing according to dry powder to disinfect!
In the centralized liquid supply room, Chen Cang looked at the vat in front of him and various instruments and dry powder, and he had an inexplicable familiarity.
He did not expect that the configuration of the dialysate with chicken ribs could become a special skill!
Just as the Provincial Second Hospital uses ready-made dialysate, Chen Cang does not need to make too many adjustments, but there are actually better ways, such as adjusting some proportions in the dialysate, to achieve a relatively good dialysis effect. of.
The main components of dialysate are sodium, chlorine, calcium, magnesium, sodium lactate and glucose, which maintains a relatively balanced dialysis environment with the human body, so the contained ingredients are not so different.
While patients with methanol poisoning need peritoneal dialysis to improve the patient's blood condition, they also need to correct the poisoning!
Wang Xiangjun was anxious: "Xiao Chen, hurry up!"
沧 Cang Cang shook his head: "Director, I have to look at the patient's test sheet first and then make the ratio. The situation of different patients is different. The specific value of the dialysate needs to be adjusted, and even some added drugs need to be added."
Those who were present at the scene heard this sentence and suddenly hesitated!
This is a master!
Although I do n’t understand, this does not affect the shock.
There is a word called unconsciousness.
For a long time, everyone used the standard dialysate. Where would you think of "private custom"?
Wang Xiangjun was also stunned by Chen Cang, thinking in his heart, is the emergency department of the Second Provincial Hospital now so bullish? Where is this expert brought in? So young, is it ... a turtle?
Thinking of this, Wang Xiangjun felt that he had to strengthen the expansion of talents this year. In the second half of the year, the recruitment of Dongyang Provincial Direct Hospital was about to begin. He decided to ask for a few more places with the leaders to consolidate the status of the First Hospital of Dongda University.
King Wang Xiangjun nodded and greeted the doctor to bring the medical record folder.
沧 Cang Cang spent a few minutes getting familiar with the condition, and then immediately started thinking!
After a few minutes, he started matching!
After doing a good job cleaning, Chen Cang entered the cleaning area and began to configure the first person's dialysate!
The first is the configuration of concentrated B solution. He prepared the required dry powder, cleaned the B dialysis bucket with dialysis water, and then started to pour the B powder into the dialysis bucket.
The Fresenius used by Dongda Affiliated Hospital, so the proportion is based on the proportion of Fresenius.
A: B: Dialysis is performed at a ratio of 1: 1.225: 32.75.
For the potassium ion concentration, Chen Cang chose 1.25-1.75mEQ / 1, and after hesitating, he decided to add an acetic acid-free buffer.
Uh ...
Time passed by every minute and everyone behind him looked at Chen Cang nervously.
After a short while, Chen Cang turned to the crowd and said, "This is a dialysate for a 5-bed patient. It is ready for use."
I have to say that Chen Cang found that preparing a dialysate requires a doctor's systemic thinking.
Because you have to consider the many situations of the patient!
For example, just now, the patient has a heart disease. This requires a low calcium ratio to reduce the burden on the heart. Otherwise, methanol poisoning and the burden on the heart will increase.
And glucose is available in three concentrations: 1.5%, 2.5%, and 4.25%. The higher the sugar concentration in the dialysate, the greater the permeability.
Time passed by every minute, and everyone didn't dare to disturb Chen Cang.
After Chen Cang finished configuring the last person's abdominal cavity dialysate, a medical staff ran in!
主任 "Director, 5 beds wake up!"
The king of kings Xiangjun held on directly!
The effect is so obvious? ? ?
"Wake up? Go and see the patient!"
After a short while, Wang Xiangjun hurried back!
At this time, the patient's condition has improved significantly. Although he is still a little confused, he at least woke up.
Seeing the patient wake up, Wang Xiangjun, who is the director, is naturally excited!
"Doctor Chen! Thank you so much. The liquid you configured is so easy to use. The patient is awake and the symptoms of poisoning have been relieved. Thank you so much!" At this time, Wang Xiangjun was very excited, as a Doctor, the happiest thing is to see that the dying patient is successfully treated!
At this time, Wang Xiangjun's phone rang and it was still Tian Kai!
主任 "Director Wang, I let the manufacturer deliver the dialysate. Now in the hospital's compound, you can send someone to get it! I will go to the hospital right away. We must do this rescue work!"
King Wang Xiangjun sneered, this Dean Tian was really deceitful!
Alas, since it was sent, Chen Cang should go back.
Xi Wang Xiangjun raised his hand and took a look, it was half past twelve!
Suddenly hesitated!
I apologize and smile: "It's so late without paying attention ... Doctor Chen, it's so hard for you, go back and rest!"
"Today's things, thanks to you, I still have something in my hand and can't walk away, so I will go to your hospital tomorrow to thank you personally and talk to your director!"
沧 Cang Cang smiled and waved his hand. To be honest, he was really tired today!
First, 65 patients were sutured, and then hurriedly intubated two peritoneal dialysis machines, and then ran here to hurriedly configure the dialysate, tossing from six to twelve, without stopping for a moment ~ www .EbookFREE.me ~ I'm really tired ...
Chen Cang felt that his waist was not his own.
Do you have to go to the kidney?
"Director Wang is polite. You work harder than me. This is what we should do."
Cang Cang looked at this bald middle-aged man, his appearance was not good, but there was a fiery force in his body, and he was glowing with heat all the time.
This is an old Nightingale spirit!
Medical work can easily be rendered in an atmosphere.
The puppet hero always needs the background to set off, and the doctor only has the back view, no background.
沧 Cang Cang turned back and looked at his fifties. When Wang Xiangjun, who was obviously bald, ran into the emergency room with a bow, he sighed for no reason.
Life, there are always people who need to bear the weight they can't afford!
This is so-called, can't bear the weight of life?
For everyone's life, health and safety, there are always some people who move forward with a load!
沧 Cang Cang stepped out of the hospital door and saw that the little yellow car that he had just parked was still there, a sense of happiness came to his mind.
Suddenly, Metz's scan code was unlocked, and he hummed on his car and rode towards the hospital.
Actually, excitement is really simple.
It's simple. I don't want to walk when I go out. I just found a shared bicycle.
Simple to help others to solve difficult problems.
Simple to think of going back to sleep beautifully ...
In the dark of night, Chen Cang hummed Xiao Quer and drove slowly towards the Second Provincial Hospital.
His shoulders were strewn with August moonlight, but ordinary street lights illuminated the road ahead.
【Ding! Get a favored NPC Wang Xiangjun +10! 】