Monday's belated doctor's order.

It can be said that it is highly anticipated.

Sudden surgical conditions.

It makes everyone in the operating room seem helpless.

All eyes were on Monday.

Everyone was waiting for Monday's next doctor's order.

However, before that, Zhou Yi was like an old monk in the meditation, without the slightest expression.

Minutes and seconds passed.

Wang Xiaoming and Cao Xin were both a little anxious.

Wang Xiaoming even thought to himself, it's over, it is estimated that Zhou Yi has no experience in dealing with this kind of emergency. It seems that this operation will not be able to go ahead today.

Monday certainly knows how to deal with this kind of problem.

The reason why he has not given a doctor's order for a long time.

It's because he's waiting for an opportunity.

After five minutes of silence.

Monday finally gave the doctor's order, "Prepare the perfusate!"

Hear this doctor's advice.

Everyone immediately understood that Monday was going to be perfused again.

If the first perfusion is unsuccessful, then come a second time.

Changing the doctor's order may seem like a no-brainer, but it's also the easiest and most effective way to do it.

And Wang Xiaoming and Zhao Feihu have already understood why this simple medical order had to wait five minutes for Zhou Yi to be issued.

The two of them are also some qualified extracardiac attending doctors.

Although during the procedure, there was never a secondary perfusion of abortion.

However, there is still a knowledge reserve for stopping the jump.

They speculated that it must have been because of the fear that too short a time interval between the two perfusions would cause the patient's potassium levels to become too high, potentially endangering the patient's life.

Wang Xiaoming and Zhao Feihu's guess was correct.

The normal value of potassium in the blood of the average person is L/L.

When it is higher than 5.5, it is considered hyperkalemia.

And when the high blood potassium exceeds 6, it will cause damage to the person's body.

After Jing Xinghai's heart was perfused with asystole for the first time, it did not reach a long-term asystole.

So the plan given on Monday is to do a second perfusion.

However, this second perfusion must be started at the right time.

This is because after the first perfusion, the level of potassium in the blood rises rapidly, and in two minutes, the potassium in the blood will reach a peak of about 5.5.

At this time, if the second perfusion is rushed, the blood potassium will definitely exceed 5.5.

Therefore, on Monday, wait for the potassium in the blood to drop to a normal level before a second perfusion.

For when the potassium in the blood will drop to normal levels.

Monday has already accumulated a lot of experience in the dungeon.

Generally speaking, after the blood potassium reaches the peak of 5.5, it will not last too long, and it will fall sharply, and this process will also take about two minutes, and finally reach the normal level, which is about five minutes.

Therefore, five minutes after the first primation, the second primation can be performed. Of course, it's better to wait a little longer.

But for Jing Xinghai, who has lowered his body temperature.

It is also important to stop the heart beating earlier and start the surgery earlier.

As soon as the five minutes passed, the doctor's order was immediately given on Monday.

The instrument nurse immediately prepares the perfusate again.

Zhou Sheng took the perfusate and pushed the perfusate containing high potassium from the perfusion cannula into Jing Xinghai's heart again.

Next, everyone in the operating room, including Monday, waited for the results of the perfusion.

In general, based on the experience of Monday.

In this case of heart arrest, as long as the asystole fluid is reperfused, it will basically solve the problem 90%.

In the expectant gaze of everyone, Jing Xinghai's vibrant heart stopped again.

And this time the stop seems to have really succeeded. After two or three minutes, my heart was still quiet.

Seeing the situation in front of them, Wang Xiaoming and Cao Xin smiled.

Zhao Feihu was also eye-catching.

He thought, yo, this week is a good week, such a tricky problem, just re-perfusion of the stop jumping fluid can be solved. And the time of the second perfusion, he seems to be very clear. It seems that this kid really has two brushes.

The thoughts of others, Zhou Yi had no time to take care of it, and he carefully observed Jing Xinghai's heart for a while at the moment.

Confirm that it is finally honest.

Zhou Zhou raised his head and beckoned the nurse to hand over the electric knife, he was going to remove the tumor for Jing Xinghai.

"Electric knife!"

Monday's voice just fell.

The instrument nurse, who had always been quick with her movements, did not act immediately.

Monday was a little strange, he glanced at the instrument nurse and gave the order again.

"Electric knife!"

At this time, the instrument nurse said timidly: "Doctor Zhou...... It was as if something was wrong with his heart. ”

When Zhou Zhou heard this, his heart sank.

He immediately looked down.

Suddenly, Zhou Zhou felt bad all over the place.

I saw that the heart, which was still quiet just now, began to tremble abnormally again in an instant, and that posture was like a beast that had just been tamed, roaring uneasily.

Although at the moment, it has not immediately jumped again. But that also seems to be a matter of time.

The second perfusion is still not effective.

This made Zhou Yi frown.

For a moment, Zhou had the illusion that he was not operating in reality, but in a copy.

It was as if the operation was deliberately trying to make things difficult for oneself.

I have to force out the small universe of Zhou Yi.

Monday was secretly worried.

It's kind of interesting!

I didn't expect this kind of thing to happen in reality. It seems that those unexpected situations in the previous dungeons are not out of nowhere.

Today I met it.

Zhou Yi's eyebrows were raised, and his gaze became more focused.

He did not lose faith, on the contrary, he was more motivated.

Thousands of difficult surgeries, in addition to honing Zhou Shengsheng's skills, also honed his will.

Monday is still full of combat effectiveness.