Chapter 234: As soon as you pat your ass, you know how to change your posture (ask for a monthly pass, ask for a monthly pass)

The air seemed to freeze.

The two looked at each other, and there was already a crackling special effect with electric light in everyone's minds.

"Goodo"

Senior Brother Guipei, who was sandwiched between the two, swallowed with difficulty.

Carefully, slowly, gently, he took a step back.

Then, take a step back.

The moment he withdrew from the midpoint of the two's line of sight, he instantly felt relieved.

In the center of everyone's focus, the director of the ICU stared at Zhang Tianyang, who had a calm face on the opposite side, and his heart was full of emotion.

Sure enough, it's not a loss to Lao Liu's students who show off everywhere!

There's a brush!

It seems that some of the more basic questions that may be answered by other small doctors can be given up directly.

So, let's start with the problem of the side door!

The director of the ICU regrouped and launched another offensive.

"What is the normal number of white blood cells in a routine examination of cerebrospinal fluid, and what is the normal amount of protein and sugar in a biochemical examination of cerebrospinal fluid?"

As soon as this question came out, the attending doctor next to him couldn't help frowning slightly.

These data are not required to be memorized by clinicians.

Because on the inspection report, the scope will be directly marked, and you can directly compare it.

It's a bit hard to ask this kind of question.

Zhang Tianyang squinted his eyes, and he also realized the other party's intention.

But the soldiers came to block the water and cover the earth, he paused and spoke directly.

"The normal white blood cell count on cerebrospinal fluid routine examination is 0-5*10^6/L, which indicates inflammatory lesions of the cerebrospinal membrane and brain parenchyma, and the normal protein count on cerebrospinal fluid biochemical examination is 0.15-0.45 g/L, indicating ...... , the sugar range was 2.5-4.4, and the increase and decrease indicated ......"

This time, the answer was long and detailed, and it not only answered the scope correctly, but also answered the meaning of whether the result was higher or lower.

Again go beyond the program!

Out of 100, score 200!

Even though the director of the ICU came with the purpose of finding faults, he couldn't help but marvel in his heart.

This Xiao Zhang is indeed very solid in terms of basic knowledge!

If Zhang Tianyang was still a free man, he would have broken his head to rob him.

It's a pity that there is a mentor like Lao Liu who loves to show off!

Since the questions that are out of the way are not difficult for him, let's go to the questions that require clinical experience!

This breath must be fought back.

The director of the ICU squinted his eyes and suddenly waved his hand, "The new student is very good, everyone should learn from him!"

And that's the end of it?

Senior Brother Pei, who was hiding in the half bucket of water regulation pei, didn't even dare to breathe, and finally breathed a sigh of relief when he saw that the director of the ICU really bypassed the hospital bed and went to the next patient.

In the next second, he cast his grateful eyes on Zhang Tianyang.

Although I don't know why this guy seems to have been targeted by the director, but thanks to him, he saved his life!

The onlookers in white coats also seemed to realize something, and looked at the ICU director thoughtfully, and then looked at Zhang Tianyang.

Involuntarily, they took a step slower under their feet.

Before the bed of the second patient, the director of the ICU listened to the report step by step, examined the body, and guided the treatment.

After the business was done, his eyes turned and fell on Zhang Tianyang again.

"Xiao Zhang, do you know why this patient is using sodium valproate?"

Zhang Tianyang glanced at the patient and replied casually, "Control epilepsy." ”

"Do you know why you should use Copico?"

"To relieve tracheal spasm. ”

"Do you know why nebulization is done after endotracheal intubation?"

"Moisten the phlegm slurry and avoid choking. ”

Xiao Zhang's answer is very good, everyone should learn from him. Next patient!"

A kind of white coat followed in a trance to the bedside of the third patient.

Subconsciously, they didn't get too close.

In the most central part, in addition to the chief attending and the doctor in charge of the bed, there is only one Zhang Tianyang.

The other white coats, including even the three resident doctors, all subconsciously retreated to the periphery and surrounded a circle from a distance.

They are clearly aware of who is the protagonist today.

Sure enough, after a medical history report, physical examination, and medication guidance, the director of the ICU found Zhang Tianyang again.

"What are the possibilities for elevated C-reactive protein?"

"Lung infections or gout. ”

"What does PCT indicate if it is high, and what does it indicate if the value is hundreds?"

"A high level of PCT suggests gram-negative bacteria, and hundreds of suspicions of Pseudomonas aeruginosa are highly suspected. ”

"This patient has mold and binding, what are we going to consider?"

"Consider whether there is bone destruction. ”

"What are the specific drugs for gram-positive and negative bacteria?"

"The commonly used drugs of G+ are Wangu, Teco, and Kedu. Commonly used drugs for G- are Terzhicin, Mepin and Tico. ”

"Do you know how many ratings there are?"

"I don't know if you're asking about the NIHSS score, or the GCS score, or the MRS score?"

A barrage of questions, answers without thinking.

The whole process unexpectedly produced a pleasing feeling.

The three resident doctors who didn't know Zhang Tianyang's deeds developed from a slight surprise at the beginning to a solemn respect for Zhang Tianyang.

The attending doctor's gaze at Zhang Tianyang became more and more intense.

The eyes of a group of white coats looking at Zhang Tianyang changed again and again, from gratitude, to pity, to surprise, to shock, to overwhelmed.

And the director of the ICU, who was in it, felt a subtle sense of coolness.

It's like it is.

As soon as you pat your buttocks, you know how to change your position, as soon as you lie down, you know how to sit up, as soon as you stand up, you know how to kneel, and as soon as you kneel, you know how to pout......

It's not like other little doctors, who slap it down and only shout "Why are you hitting me".

A simple question, Zhang Tianyang not only knows how to pick up the stalk, but also asks for quotations from the side, answers beyond the outline, and says everything he thinks in his heart, even what he didn't expect, all at once.

It's really a cool word!

This disguised large-scale feeding technique was used, Zhang Tianyang was still at ease, but the director of the ICU squinted his eyes comfortably.

I almost forgot my purpose.

Fortunately, after all, he is an experienced and unruly ICU director, and he has found himself in a strong sense of coolness.

After he came to his senses, he was afraid for a while, and a thin layer of cold sweat instantly broke out behind his back.

This classmate Xiao Zhang almost wrapped him in!

No wonder several professors wanted to rob him, it turned out that Xiao Zhang's skills were terrifying!

No, I can't forget the purpose of my surprise teaching rounds.

The director of the ICU was chattering in his heart to do psychological construction for himself, but after such a series of questions and answers, he couldn't be ruthless to Zhang Tianyang anymore.

Vaguely, there is even some regret.

Forcing himself to calm down, the director of the ICU came to bed 78, drove away the little nurse who was operating on the patient, and listened to Song Changkong's report on his condition.

With a long sigh of relief, the director of the ICU decided to break the boat.

Since the questions he prepared were not difficult for Zhang Tianyang.

So, just ask a question that you can't figure out yourself!

"Xiao Zhang. ”

He nodded at Zhang Tianyang, "This patient is your Teacher Song's patient, you should be familiar with his condition, right?"

Zhang Tianyang nodded lightly.

His eyes were a little erratic, intentionally or unintentionally, always floating to the side, on the little nurse who was changing the water for the 79th bed.

I always felt that something seemed to have caught his attention.

The director of the ICU cleared his throat with a straight face.

"Ahem, the evidence of this patient's blood infection is very conclusive, but do you have any idea where the blood infection came from?"

He stared at Zhang Tianyang with blazing eyes.

If this kind of question is asked, Xiao Zhang can also answer it.

He is, he is ......

He knelt down and asked Zhang Tianyang to stay in the neurology department!