I can see the status bar

Chapter 168 Attracting Firepower
Zhou Ce came very quickly.He looked at Sun Lien who was locked in the clean room with a look of surprise, and after a long pause, he asked, "You also stole the little nurse's underwear?"

"Ah?" Sun Li'en looked confused, "What?"

"Oh, it's okay." Zhou Ce waved his hand calmly, "That's a story from a long time ago."

Sun Li'en looked at Zhou Ce suspiciously, and asked with a frown after a long time, "Dr. Zhou, I would like to ask, how to install this dialysis equipment."

"Dialysis?" Zhou Ce thought for a while and shook his head, "Why are you asking this? Can't it be done by the nurses?"

"Suspected bird flu." Sun Lien pointed to the hospital bed behind him, regardless of whether Zhou Ce could see it or not. "All three gas cylinders of the hospital's protective clothing have been used, and it will take some time to reinflate. The patient's condition...is not very good."

"Is there an inspection report?" Zhou Ce quickly understood the current situation, and asked directly without talking nonsense, "How much urine is produced?"

"The examination report hasn't come out yet. It's been two hours since I was admitted to the hospital, and the urine output is about 15 milliliters." Sun Lien squatted down, picked up the urine bag hanging beside the bed, and took a look. "Since admission to the present, more than 500 milliliters of fluids have been given to the patient."

"The urine output is a little low, but you have to read the report to confirm whether there is acute kidney injury." Zhou Ce thought for a while, "I will teach you how to connect first."

Dialysis machines have actually become quite easy to use after several generations of evolution.Unlike peritoneal dialysis, the basic principle of a dialysis machine is to "filter blood".Blood is drawn from the artery, filtered through a super-permeable membrane, and the blood removed from impurities is returned to the vein.Peritoneal dialysis, on the other hand, makes more use of the structural characteristics of the human body and utilizes the semipermeable membrane properties of the peritoneum to absorb and filter impurities by injecting and extracting dialysate.

Although DIC itself is one of the scopes of application of peritoneal dialysis, the use of peritoneal dialysis requires a dialysis tube placed in the peritoneum before it can be used.But under the current circumstances, Sun Li'en alone would definitely not be able to complete this operation.Therefore, Zhou Ce did not consider peritoneal dialysis at all, but directly chose to let Sun Lien learn to connect to the dialysis machine.

"The use of the dialysis machine will come with such an operation 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 bag in the room, "And then?"

"Then, tighten all the passages on the machine, and inject normal saline from the red port." Zhou Ce threw away the operation bag in his hand, grabbed a pack of normal saline, and explained dancing like a big horse monkey , "It is not acceptable to connect physiological saline directly to the intravenous drip line! The intravenous drip line is not thick enough, so a connecting tube is needed!"

"Okay, okay, I see." Sun Li'en signaled Zhou Ce to calm down, "I will remember."

"Brother, this is helping you to deepen your impression. If you forget to pre-fill and pump the air bubbles in, it will be a lot of fun." Zhou Ce said seriously, "Before I think you remember it, shut up Listen, don't interrupt my train of thought!"

Sun Li'en responded with a wry smile, and took out a notebook from his pocket to write notes.

"The machine in our yard requires 1000ml of pre-flush, so you just pour it honestly. Don't reduce the flush to save time. Once there are air bubbles, it will kill people." Zhou Ce emphasized again, and then continued to explain down.

"The saline in the flushing tube will be discharged from the waste port, and you can collect it with the waste liquid collection bag in the operation bag. Then, draw out the normal saline with a syringe and inject it into the tube with the red label first. The injection site for the patient is completely wiped out. After poisoning, stick it down. Remember, this red-labeled tube punctures the artery."

"Arterial puncture with a red-labeled tube..." Sun Lien jotted down a few quick notes, "And then a blue-labeled tube to puncture a vein?"

"Smart!" Zhou Ce praised Sun Lien expressionlessly, "This sentence is to express encouragement, and it doesn't matter if you can ignore the content."

Sun Li'en nodded with a wry smile, he was really not used to Zhou Ce's character of being startled and occasionally sullen.

"After the two tubes have returned blood, pour heparin into the tube for anticoagulation." He flipped through the test report in his hand, "Generally we inject low-molecular-weight heparin at the standard of 60~80IU/KG, but since this patient is already in the After anticoagulation treatment, follow the standard injection of 30IU/KG. Estimate her weight yourself."

"After flushing the tube, the red-labeled tube is connected to the red arterial access, and the blue-labeled tube is connected to the blue venous outlet. If you make a mistake with such a basic thing, you can consider resigning." Zhou Ce waved his hand, as if he also I think this passage is unnecessary, "Then turn on the dialyzer, and I will give you the operation data in a while. The point is, at the beginning of the filtration, the tube with the ultra-permeable membrane has the venous outlet facing upwards, and the filtration flow rate is 100ml. /min. Don't set it too high at first."

"Wait until the machine has been running for more than 2 minutes, then remove the ultra-permeable membrane tube from the machine shelf and change it to red upper blue lower. When the intravenous pot is almost three-quarters full, turn off the machine and put the Adjust the filtration flow rate to 200ml/min." Zhou Ce quickly explained, "Don't ask me the specific principle of why you do this, I don't know either. This is required in the machine's instruction manual."

Sun Lien was left speechless by this explanation, opened his mouth for a long time before nodding, "Got it..."

"Finally, after the machine is finished running, turn it off, and then close the label tube with the clamp that comes with the label tube. Remember to close only the artery." Zhou Ce directly intercepted the blood report sent by Xiao Guo while talking.Quickly glanced twice, and continued, "After closing the arterial labeling tube, connect it to the arterial end of the machine with normal saline, adjust the machine's operating speed to 100ml/min, and wait until the saline flushes the inner tube of the machine until it has no color. Shut down. Close the IV line again."

After hearing this series of sequences, Sun Lien was a little confused.After writing everything, Sun Li'en simply re-read what he had recorded, and he was relieved only after Zhou Ce nodded in approval.

"For a DIC patient, anticoagulant therapy and dialysis anticoagulation are added, and it will be very difficult for her to stop bleeding afterwards. After extubation, put on a cotton block and tie it with a compression belt for half an hour." Zhou Ce finished the emergency training , and pointed at the examination report in Sun Lien's hand, "The blood creatinine concentration is 486 μmol/L, this patient really needs kidney dialysis."

"Don't be so troublesome." Just as Zhou Ce finished speaking, a woman's voice came from behind, "I'll just do it."

Sun Li'en followed the voice and looked closely, his eyes widened. "How did you come?"

"My boyfriend is going to be quarantined. I definitely have to come at a time like this." Hu Jia didn't wear the white nurse's uniform, and she was still wearing her own clothes.Her hair looked a little messy, as if she had just taken a shower. "You didn't think about telling me about such a big deal? If sister Xu hadn't called me, I still don't know what happened. "

Hu Jia's expression was very calm, but Sun Li'en seemed to feel a little numbness in the back of his head... It was like 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 his body to block the door of the clean room, and slowly shook his head, "If one less person is exposed, then there is less risk. .You ran in so straight in a daze, wouldn't it be pointless for Xiao Sun to take the risk?"

"I'm a nurse, and it's my job to assist doctors in saving patients' lives." Hu Jia put on a mask and looked up at Zhou Ce, "Please let me go."

"Sister Hu, calm down." Looking at this scene, Xiao Guo felt that his calves were about to cramp.He bite the bullet and moved to the door of the clean room, and blocked the door with Zhou Ce. "It doesn't make sense for you to go in now..."

The two tried to persuade Hu Jia not to mess around with each other, but Hu Jia still stood at the door persistently, and no one said it would work.The voices in the emergency room gradually became noisy, and finally the noise attracted Liu Tangchun's attention.

Comrade Liu hurried back to the emergency room after learning about the situation, but he suddenly calmed down after opening the door.The old man clasped his hands behind his back and shook his legs, looking relaxed and content as a retired veteran cadre walking after a meal.Slowly swaying behind Hu Jia, he spoke.But it was not against Hu Jia.

"Look." Liu Tangchun grinned at Sun Lien, "Did you cause trouble for yourself?"

Sun Lien was about to cry, "Teacher Liu, don't make trouble if you don't help..." He waved at Hu Jia and emphasized, "I'm really fine!"

"A good doctor doesn't want to be a good doctor, so I have to imitate that old man Zheng Guoyou." Liu Tangchun chuckled and spoke a little louder, "How many times have I told you, don't worry about finding a girlfriend, the last Don’t look for the little nurse in our hospital. Do you know the word “inherited in the same line”? Xiao Lirong’s disciples and grandchildren are all good hands! If you are asked to squat on the balcony, you have to squat on the balcony, and let you 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, and that's called being gentle and virtuous."

"What do you... mean?" Hu Jia, who was calm on the outside but was already going crazy in his heart, was immediately fooled, "What's wrong with the nurse?"

Zhou Ce and Liu Tangchun exchanged glances, and continued to speak ill of the nurse.The content is rich and colorful, mainly through Zheng Guoyou's tragic life experience, and the director of the nephrology department who lived a very happy life after "marrying a female teacher".So as to achieve the purpose of "criticizing Sun Lien's careless mate selection".

The two were desperately trying to attract firepower, but the faces of the nurses standing beside them were a bit ugly.Although they also knew that Director Liu and Dr. Zhou had no malicious intentions, in such a scene, everyone would inevitably be injured by stray bullets once or twice.

Guo Yulai stood where he was, blinking his eyes, but he didn't know which side he should stand on to speak now.

(End of this chapter)