Chapter 235: I Have a Conjecture

For the sake of his own face, the director of the ICU is a little superior.

But the attending doctor and resident doctor next to me didn't go up!

When this question was asked, their faces couldn't help but change again and again.

Their own director has been targeting Zhang Tianyang, and they have already seen it.

But you can't target it too much!

Forget all kinds of questions.

Asking questions that are biased in textbooks and asking clinical questions that require experience in practical application can be understood as promoting juniors.

But it's a bit too much to ask questions that no one understands!

The chief physician of the dignified hall is so embarrassed for an intern.

Say it, it's cheap!

The attending doctor frowned, trying to make his director change his mind.

"Director, is this question ......?"

Who knows, the director of the ICU who went up to the head glared at him coldly.

"What, do you have any opinion on this issue?"

The attending doctor was directly choked.

This patient, he has also been struggling for several days, if he has any ideas, can he wait until now to go with Meiping Wangu?

Seeing that the attending doctors were stunned, the three resident doctors who also wanted to speak lowered their heads.

Eyes and nose and nose and heart.

Anyway, it wasn't they who were questioned, they didn't see anything, they didn't know anything......

The little white coats in the outer circle subconsciously took a small step back.

Their mood was much more complicated than the white coats standing in the middle.

Sometimes grateful, after all, Zhang Tianyang is their shield.

Sometimes pitiful, this junior brother is so pitiful to be targeted.

Sometimes he is amazed, and he can answer anything he asks.

From time to time, this director is a bit excessive.

With anticipation, I hope that Zhang Tianyang can come again and slap the director in the face.

But he hesitated, what if Tianyang slapped him in the face and the director pointed the finger at them.

For a while, the faces of the little white coats were full of mixed tastes.

Zhang Tianyang, who was in the center of everyone's attention, did not put all his attention on the director of the ICU, who was pressing step by step.

His gaze was drifting to the side, consciously or unconsciously.

Bed 79 next to it is also a patient in a coma.

I was also on a ventilator, and even had a tracheostomy and is now doing nebulization.

Overall, the configuration is similar to that of a tattooed man with a 78-bed bed.

The little nurse who had just operated on bed 78 and was rushed to bed 79 because of ward rounds is now changing all kinds of fluids in bed 79.

This includes, but is not limited to, enteral nutrition preparations for patients, and various fluids that need to be pumped into an infusion pump, including propofol.

And he stared at it for a while, and found that the liquid was almost all gone.

"Do you change it after you finish playing......

A vague conjecture gradually took shape in his mind.

Next to him, the director of the ICU who threw out the question waited for a long time without waiting for Zhang Tianyang's answer, and after the energy on his head cooled down, he gradually calmed down.

It seems that his own targeting is indeed somewhat obvious.

Although he wanted to earn back the face he lost on Professor Liu's side.

But the more he asked, the more he felt that this Zhang Tianyang was indeed a good seedling.

I've repeatedly targeted.,It seems that it's really a bit of a villain boss.。

The director of the ICU calmed down, learned from the pain, and vaguely began to regret it again.

In the end, it is a good seedling, although it is said that there is a master, but after all, the contract has not been signed, everything is possible.

Do you want to try to keep it?

With this in mind, the director of the ICU made a decision.

After this question, Zhang Tianyang is no longer embarrassed.

At the same time, I will have to catch a few more students to cover up.

So he cleared his throat and snorted at the same time.

"Ahem, it seems that Xiao Zhang doesn't have any ideas. However, Xiao Zhang can answer so many questions, which is very good, everyone should learn from him!"

"Let me introduce the situation of this patient, he has been here for a long time, and he has done many lumbar punctures, all of which indicate that the intracranial infection is improving, but the results of the blood test show that the infection index is very high, and it is difficult to control with conventional antibiotics. ”

"Now it's been temporarily controlled by Meiping and Wangu, but the source of the infection hasn't been found yet. ”

"When you have time, you can help think about it and find out why. ”

Finally got the problem back.

This not only shows the thorniness of this problem, but also shows that he attaches great importance to Zhang Tianyang, and also calls on more people to think together, which is really a triple win.

The director of the ICU, Mei Zizi, explained to himself in his heart that he was about to change the patient, but who knows, Zhang Tianyang, who had been silent next to him, suddenly spoke.

"I have some ideas. ”

Zhang Tianyang frowned slightly and looked at the director of the ICU.

Of course, he could see the change in the director in front of him in just one minute.

I wanted to embarrass him before, but now I want to win him over.

What a normal psychological change!

Zhang Tianyang, who has abilities that do not match his status as an intern, has experienced too many similar things in just a few months of clinical practice.

If he hadn't noticed the little nurse, then of course he would be happy to push the boat now, and more is better than less.

But after having that conjecture in my mind, the more I scrutinized, the more I felt that it was very likely.

For the sake of the 78-bed patient, for the sake of the middle-aged man who was only his son through the glass yesterday afternoon, Zhang Tianyang felt that he had to say it.

So, even if you say your conjecture now, it will seem like a slap in the face of the ICU director.

He still spoke.

"Director, may I ask, is the enteral nutrition preparation used by this patient domestic or imported?"

The director of the ICU was stunned for a moment, not knowing why Zhang Tianyang suddenly asked such a question that had nothing to do with his condition.

But with the intention of cherishing talents, he still explained seriously.

"It should be domestic, this kind of enteral nutrition preparation, imported is several times more expensive than the domestic one, so if it is not specifically requested by the family, the domestic one is generally used by default. ”

Zhang Tianyang nodded, and then continued to ask, "I remember that the most recommended time limit for domestic enteral nutrition preparations is less than four hours, right?"

After all, the director of the ICU is a professional, and this kind of "common sense" problem naturally does not bother him.

"Yes, the time limit for domestic use is four hours, and for imports it is six hours. ”

Until now, he still didn't understand why Zhang Tianyang suddenly asked these questions.

But the next moment, Zhang Tianyang stepped forward slightly, and pointed to the head of the 78th bed in the air, which had consumed 80% of the enteral nutrition preparations that were still slowly dripping.

"Director, at this rate, I'm afraid I won't be able to finish the drip in four hours, right?"

The director of the ICU nodded defenselessly, "Indeed, at this rate, it is estimated that it will take seven or eight hours to ......."

Halfway through his words, he suddenly froze.

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