Chapter 54: The role of dialysate
The configuration of ordinary dialysate is generally not difficult.
However, for different diseases, different dialysate actually need to be configured, which is the key to dialysate configuration!
It’s not that it’s just that rinsing it with dry powder and disinfecting it!
In the centralized liquid supply room, Chen Cang looked at the big barrels and various instruments in front of him, dry powder, and felt inexplicably familiar.
He didn't expect that he thought that the useless configuration of dialysate could become a masterpiece!
Just like 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 performing some proportional regulation in the dialysate, which can achieve a relatively good dialysis effect.
The main components of dialysate are sodium, chlorine, calcium, magnesium, sodium lactate and glucose, which maintain a relatively balanced dialysis environment with the human body, so the differences in the components are not that big.
Patients with methanol poisoning need peritoneal dialysis to improve the patient's blood condition, and also need to correct the poisoning!
Wang Xiangjun was a little anxious: "Xiao Chen, hurry up!"
Chen Cang shook his head: "Director, I have to check the patient's test form first and then proportion. The situations of different patients are different. The specific value of the proportioning dialysate needs to be adjusted, and some added drugs are even needed."
When the people present heard this, they were stunned!
This is a master!
Although I don't understand, it doesn't affect the shock.
There is a word called "Unclear" and "Unclear".
Everyone has always used standard dialysate, so how could they think of "private customization"?
Wang Xiangjun was also stunned by Chen Cang, thinking to himself, the emergency department of the Second Provincial Hospital is so awesome now? Where did this expert introduced? So young, is it... a turtle?
Thinking of this, Wang Xiangjun felt that he had to strengthen the expansion of talents this year, and the recruitment of provincial hospitals in Dongyang Province was about to begin in the second half of the year. He decided to ask for more places from his leaders to consolidate the status of the First Hospital of Dongda University.
Wang Xiangjun nodded and asked the doctor to bring the medical record.
Chen Cang spent a few minutes familiarizing himself with his condition, and then immediately began to think!
After a few minutes, he started the matching work!
After cleaning, Chen Cang entered the cleaning area and began to configure the first person's dialysate!
First of all, the configuration of the concentrated solution B. He prepared the required dry powder, cleared the B dialysis bucket with dialysis water, and started pouring the B powder into the dialysis bucket.
The ratio is used by the Affiliated Hospital of Dongda University, so the proportion is carried out according to the ratio of the Affiliated Hospital of Dongda University.
a:b: Dialysis is at a ratio of 1:1.225:32.75.
For the concentration of potassium ions, Chen Cang chose 1.25-1.75meq/1, and after hesitating, he decided to add acetic acid-free buffer.
...
Time passed by minute by minute, and the person behind him looked at Chen Cang nervously.
Not long after, Chen Cang turned around and said to everyone: "This is the dialysate for patients with bed 5, and it is ready to use it."
I have to say that Chen Cang found that preparing dialysate requires a systematic thinking of a doctor.
Because you have to take into account the many situations of the patient!
For example, the patient just now had heart disease, so he needed to perform a low calcium ratio to reduce the heart burden. Otherwise, methanol poisoning and the heart burden would be worse, and the consequences would be relatively serious.
There are three concentrations of glucose to choose from: 1.5%, 2.5% and 4.25%. The higher the sugar concentration of the dialysate, the greater the permeability.
Time passed by minute by minute, and everyone did not dare to disturb Chen Cang.
After Chen Cang completed the last person's abdominal dialysate, a medical staff member ran in!
"Director, bed 5 is awake!"
Wang Xiangjun was stunned!
The effect is so obvious???
"Awaken? Go and see the patient!"
Not long after, Wang Xiangjun hurriedly ran back!
At this time, the patient's condition had improved significantly. Although he was still a little confused, he at least woke up.
Seeing the patient wake up, Wang Xiangjun, who is the director, was naturally very excited!
"Dr. 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!" Wang Xiangjun was very excited at this time. After all, as a doctor, the happiest thing was to see the dying patient being treated successfully!
At this time, Wang Xiangjun's phone rang, and it was still Tian Kai!
"Director Wang, I have already sent the dialysate to the manufacturer. Now in the hospital compound, you can send someone to get it! I will go to the hospital right away. We must do a good job in this rescue work!"
Wang Xiangjun sneered, Dean Tian is really bullying the weak and afraid of the strong!
However, since it has been delivered, it is time for Chen Cang to go back.
Wang Xiangjun raised his hand and saw that it was already half past twelve!
Suddenly stunned!
Sorry, smiled: "It's so late if you didn't pay attention to this...Doctor Chen, thank you for your hard work, hurry up and go back and rest!"
"Thanks to you today. I still have something to do now and can't leave. Let's do this. I'll go to your hospital tomorrow and come to thank you in person. Let's talk to your director!"
Chen Cang smiled and waved his hand. To be honest, he was really tired today!
First, 65 patients were sutured, then they hurriedly went to intubate two peritoneal dialysers, and then ran here and hurriedly arranged the dialysate. They went from six o'clock to twelve o'clock, and did not stop for a moment.
Really tiring...
Chen Cang felt that his waist was not his own.
Do you have to nourish the kidneys yourself?
"Director Wang is polite. You work harder than me. This is what we should do."
Chen Cang looked at the bald middle-aged man, with a bad appearance, but there was a fiery force hidden in his body, which was shining and heating all the time.
This is the spirit of the older generation of Nightingale!
Medical work is easy to exaggerate.
Heroes always need background to set off, and the doctor only leaves behind backs, no background.
Chen Cang turned around and looked at Wang Xiangjun, who was in his fifties and obviously bald, arched into the emergency room, sighed for no reason.
There are always some people in life who need to bear the weight they can’t bear!
This is what is called, you cannot bear the weight of life, right?
For everyone's life, health and safety, there are always some people who are carrying the burden forward!
Chen Cang walked out of the hospital gate and saw that the little yellow car he had parked just now was still parked there, and a sense of happiness came to his heart.
Suddenly, I happily scan the code to unlock it, and rode my bike toward the hospital.
In fact, excitement is really simple.
It's so simple that I don't want to walk when I go out, I just happened to find a shared bicycle.
It's so simple that it's so comfortable to help others solve their difficulties.
It’s so simple that you can have a good sleep when you think about going back...
In the night, Chen Cang couldn't help but hum a little song and drove slowly towards the Second Provincial Hospital.
The moonlight of August was scattered on his shoulders, but the ordinary street lights illuminated the road ahead.
Chapter completed!