Chapter 54 The Role of Dialysate

The configuration of common dialysate is generally not difficult.

However, for different diseases, it is actually necessary to configure different dialysate, which is the key to the configuration of dialysate!

It's not as simple as just rinsing and sterilizing with dry powder!

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

He didn't expect that he thought that the configuration of dialysate could become a stunt!

Just like what the Second Provincial Hospital uses is the ready-made dialysate, Chen Cang does not need to make too many adjustments, but there are actually better ways, such as some proportion control in the dialysate, which can achieve a relatively good dialysis effect. of.

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

While methanol poisoning patients need peritoneal dialysis to improve the patient's blood condition, 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. The situation of different patients is different, and the specific value of the ratio of dialysate needs to be adjusted, and even some additional drugs need to be added."

The people present were stunned when they heard this sentence!

This is a master!

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

There is a word called ignorant.

For a long time, everyone has used the standard dialysate, how can you think of "private order"!

Wang Xiangjun was also taken aback by Chen Cang, thinking in his heart, the Second Provincial Hospital is now so good in emergency department? Where are the experts brought in? So young, could it be... a turtle?

Thinking of this, Wang Xiangjun felt that he had to strengthen talent expansion this year. In the second half of the year, the recruitment of the Provincial Hospital of Dongyang Province was about to start. He decided to ask the leaders for a few more places to consolidate the status of the First Hospital of Dongyang University.

Wang Xiangjun nodded and beckoned the doctor to bring the medical record folder.

Chen Cang spent a few minutes familiarizing himself with the condition, and then immediately began to think!

After a few minutes, he started matching work!

After cleaning, Chen Cang entered the clean area and began to prepare the first person's dialysate!

The first is the configuration of the concentrated B solution. He prepared the required dry powder, and after the B dialysis bucket was clear and clean with dialysis water, he began to pour the B powder into the dialysis bucket.

The Fresenius used by the Affiliated Hospital of Dongda University, so the proportion is carried out according to the proportion of Fresenius.

A: B: Dialysis in a ratio of 1:1.225:32.75.

As for the concentration of potassium ions, Chen Cang chose 1.25-1.75mEQ/1, and after some hesitation, he decided to add a buffer without acetic acid.

...

Time passed by, and the people behind him looked at Chen Cang nervously.

Not long after, Chen Cang turned around and said to the crowd, "This is the dialysate for 5 patients, and it's ready to use."

It has to be said that Chen Cang found that the preparation of dialysate requires the thinking of a doctor's system.

Because you have to take into account the many conditions of the patient!

For example, the patient just now had a heart attack, which requires a low calcium ratio to reduce the burden on the heart. Otherwise, the methanol poisoning and the burden on the heart will increase, and the consequences will be quite serious.

While 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, and everyone did not dare to disturb Chen Cang.

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

"Director, 5 beds are awake!"

Wang Xiangjun was stunned!

The effect is so obvious? ? ?

"Awake? Go and 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 is at least awake.

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

"Doctor Chen! Thank you so much. The liquid you prepared is really useful. 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 patients in critical condition being treated successfully!

At this time, Wang Xiangjun's phone rang, and it was still Tian Kai!

"Director Wang, I asked the manufacturer to send the dialysate. It's in the hospital's courtyard. Send someone to get it! I'll go to the hospital right away. We must do a good job in the rescue work this time!"

Wang Xiangjun sneered, this President Tian is really bullying the soft and afraid of the hard!

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

Wang Xiangjun raised his hand and looked, it was half past twelve!

Suddenly stunned!

Sorry for the smile: "It's so late that I didn't pay attention... Doctor Chen, thank you for your hard work, hurry back and rest!"

"Thanks to you for what happened today, I still have things in my hands and can't go away, so let's go to your hospital tomorrow, come to thank you in person, and have a good talk with your director!"

Chen Cang smiled and waved his hand. To be honest, he was really tired today!

First, 65 patients were sutured, then two peritoneal dialysis machines were intubated in a hurry, and then I rushed here to prepare dialysate in a hurry. From six o'clock to twelve o'clock, I did not stop for a moment.

very tired……

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

Do you have to nourish your kidneys yourself?

"Director Wang is very polite. You work harder than me. This is what we should do."

Chen Cang looked at this bald middle-aged man. His appearance was unremarkable, but there was a fiery power in his body, which was shining and hot all the time.

This is an older generation of Nightingale spirit!

Medical work is easy to overwhelm.

Heroes always need the background to set off, and the doctor leaves only the back, no background.

Chen Cang turned his head and saw Wang Xiangjun, who was in his fifties and obviously bald, sighed for no reason when he stooped and ran into the emergency room.

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

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

For everyone's life, health and safety, there are always some people who are moving 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.

Immediately, he scanned the QR code to unlock it, and rode his car towards the hospital.

In fact, excitement is really simple.

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

Simple enough to help others solve their difficulties.

Simple enough to think about going back and have a good sleep...

In the dark of night, Chen Cang involuntarily hummed a little tune and drove slowly towards the Second Provincial Hospital.

The shoulders were covered with the August moonlight, but ordinary street lamps illuminated the road ahead.

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