When a doctor opened a plug-in

Chapter 54 The role of dialysis fluid

The configuration of ordinary dialysate is generally not difficult.

However, for different diseases, different dialysate needs to be configured. This is the key to dialysate configuration!

It is not as simple as just washing and disinfecting with dry powder!

In the centralized liquid supply room, Chen Cang looked at the vat and various instruments and dry powder in front of him, and he was inexplicably familiar.

He didn't expect that he thought that the dialysis solution could be a masterpiece!

Just as the second hospital of the province uses ready-made dialysate, Chen Cang does not need to make too many adjustments, but there are actually better ways, such as some proportional control in the dialysate, which can achieve a relatively good dialysis effect. of.

The main components of the dialysate are sodium, chloride, calcium, magnesium, sodium lactate and glucose, and maintain a relatively balanced dialysis environment with the human body, so the difference in the components contained is not that big.

While patients with methanol poisoning need peritoneal dialysis to improve their blood conditions, they 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 look at the patient's test sheet before making the ratio. Different patients have different conditions. The specific value of the dialysate ratio needs to be adjusted, and even some added drugs need to be added."

When those present heard this, they were stunned!

This is a master!

Although I don't understand, it doesn't affect the shock.

There is a term called unconsciousness.

All the time, everyone has used the standard dialysate, no one would think of "private customization"!

Wang Xiangjun was also stunned by Chen Cang. He wondered whether the emergency department of the Second Provincial Hospital is so good now?Where are the experts introduced?So young, could it be... a turtle?

Thinking of this, Wang Xiangjun felt that he had to strengthen the expansion of talents this year, and the recruitment of Dongyang Provincial Hospital in the second half of the year 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 Dongyang.

Wang Xiangjun nodded and asked the doctor to bring the medical records.

Chen Cang spent a few minutes getting acquainted with the 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!

The first is the configuration of concentrated B solution. He prepares the required dry powder, cleans the B dialysis barrel with dialysis water, and then starts to pour the B powder into the dialysis barrel.

Fresenius is used by the Affiliated Hospital of East University, so the ratio is in accordance with the ratio of Fresenius.

A: B: Dialysis is based on the ratio of 1:1.225:32.75.

Regarding the potassium ion concentration, Chen Cang chose 1.25-1.75mEQ1, and after hesitating, he decided to add a buffer without acetic acid.

...

As time passed by, the people behind him looked at Chen Cang nervously.

Not long after that, Chen Cang turned around and said to everyone, "This is the dialysate for patients with 5 beds. It is ready to use."

I have to say that Chen Cang discovered that the preparation of dialysate requires a doctor's systematic thinking.

Because you have to consider the patient's many situations!

For example, the patient just now has a heart disease, which requires a low calcium ratio to reduce the burden on the heart. Otherwise, the methanol poisoning and the increased burden on the heart will cause serious consequences.

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.

As time passed by, everyone did not dare to disturb Chen Cang.

After Chen Cang finished configuring the last person's abdominal dialysate, a medical staff ran in!

"Director, bed 5 is awake!"

Wang Xiangjun was stunned!

The effect is so obvious???

"Wake up? Go, go see the patient!"

Not long after, Wang Xiangjun hurried back!

At this time, the patient's condition has improved significantly. Although he is still a little confused, he at least wakes up.

Seeing the patient wake up, Wang Xiangjun, the director, was naturally excited!

"Doctor Chen! Thank you so much. The liquid you prepared 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. Doctor, the happiest thing is 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 sent the dialysate from 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 the rescue work this time!"

Wang Xiangjun sneered, Dean Tian is really bullying and fearing hardship!

However, since it was delivered, Chen Cang should also go back.

Wang Xiangjun raised his hand to see that it was already 12:30!

Suddenly stunned!

Sorry to smile: "It's so late without paying attention... Doctor Chen, thanks for your hard work, go back and rest quickly!"

"Thanks to you for today's matter, I still have business in my hands and can't walk away. Let me go to your hospital tomorrow, and I will come to thank you personally and talk to your director!"

Chen Cang smiled, waved his hand, to be honest, he is really tired today!

First, 65 patients were sutured, and then two peritoneal dialysis instrument intubations were made in a hurry, and then he ran here to rush to configure the dialysate, tossing from six to twelve, without stopping for a moment.

very tired……

Chen Cang felt that his waist was not his own anymore.

Do I have to invigorate the kidney?

"Director Wang is polite, you have worked harder than me, this is what we should do."

Chen Cang looked at this bald middle-aged man, his appearance was shameless, but there was a fiery power in his body, glowing all the time.

This is the Nightingale spirit of the older generation!

Medical work is easily exaggerated.

Heroes always need backgrounds to set off, and doctors only leave behind, without background.

Chen Cang turned his head and looked at the obvious bald Wang Xiangjun, who was in his fifties, sighed for no reason when he ran into the emergency room with a bow.

In life, there are always some people who need to bear the weight they cannot bear!

This is the so-called, can't bear the weight of life, right?

For everyone's life, health and safety, there are always some people who are going to bear the weight!

Chen Cang walked out of the hospital door 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, he scanned the code to unlock it, and he hummed and rode toward the hospital.

In fact, excitement is really simple.

It's simple, I don't want to walk when I go out, and I just found a shared bicycle.

It's as simple as helping others solve difficulties.

It's so simple that you can sleep beautifully when you think of going back...

In the night, Chen Cang couldn't help but hummed a little song and drove slowly towards the Second Provincial Hospital.

The shoulders were covered with the moonlight of August, but it was ordinary street lamps that illuminate the road ahead.

Ding!Gain +10 favorability from Wang Xiangjun, a senior NPC!