Xiong Shengnan was stunned for a moment, this is a practical problem.

She thought for a moment and said, "This thing won't work without a stethoscope, because there's no way to tell if the intubation is in place." So, you come and listen. ”

As she spoke, she fetched her stethoscope.

Wang Bingbing was startled and said, "No, no, head nurse, that's too dangerous." Then you will be exposed to polluted air, and you will be exposed to aerosols on your face, which will easily cause infection, so you should think of other ways. ”

"There's no other way, it's okay, I'll just pay attention to it, and I'll disinfect it as soon as I'm done, come on!"

She was about to tear off her protective suit and insert the stethoscope into her ear, when Dai Yunyang came over and said, "Wait, it can't be like this, I have a way." ”

The head nurse looked at him in surprise: "Doctor Dai, what can you think of?" ”

"Human gastric juice has food residues, and the H-value is acidic, in contrast, the intestinal juice is much clearer, and the H-value is alkaline, so we can take out the liquid while intubating it to check it, and we know if it has been inserted into the intestine."

When Xiong Shengnan heard this, he immediately nodded happily. Pointing at him, he said, "Doctor Dai, you're amazing." Okay, let's do what you want. ”

Dai Yunyang made rounds and found Xiao Juan squatting beside a patient's bed, not knowing what he was looking at, so he curiously leaned up and asked, "What are you looking at?"

"I'm looking at the urine bag and fecal bag values, and I have to write them down."

Of course, Dai Yunyang knew that these had to be written down, and this was arranged by the doctor's order. What he was curious about was what Xiao Juan was doing squatting there, he could see this kind of thing standing up, why did he squat down?

Xiao Juan seemed to guess Dai Yunyang's doubts, and immediately explained: "I'm so tired, so I squatted for a while and looked at the numbers of urine bags and fecal bags by the way." ”

Dai Yunyang then understood that for doctors, they only need to appear at the bedside during ward rounds and rescue to see patients, and they can usually stay in the office and lounge of medical staff and sit in the lounge. Nurses, on the other hand, are always busy, their feet are not touching the ground, and there are so many things that need to be done.

Every patient in the intensive care unit had to do everything they did, including eating, drinking, and Lazar, and poor Xiao Juan was so tired that she had to take the opportunity to squat while checking the fecal bags in order to rest for a while.

Under normal circumstances, the workload of nurses is much larger than that of doctors, so nurses generally change shifts every four hours or so, and will not exceed eight hours at most. And now they have to be on duty for more than 12 hours like doctors, because there is no one to replace them, and there is no one to do these cares if they are not there.

And at this moment, I heard a nurse squatting there in the corner of the house not far away, shouting: "Whoever comes and pulls me, I can't get up!" ”

Xiao Juan immediately stood up and hurriedly ran over. It was an old nurse in her fifties squatting there, carrying two large bags of yellow garbage in her hand. There was also a bag open next to it, and she was disinfecting the patient's feces and bagging it, but she couldn't get up when she squatted down.

Xiao Juan hurriedly pulled her up with great effort, slapped her back, and said, "Are you okay?" ”

The old nurse exhaled, shook her head and said, "It's okay, my waist is not very good." But there was no time when I couldn't get up when I squatted down, I thought about squatting to save effort, but I didn't expect to squat down and not get up, oh my God! ”

Wang Bingbing said: "You leave this matter alone, I'll come, you go and do something else." ”

The old nurse shook her head and said, "Forget it, I have to do the task assigned to me by myself, it's a big deal not to squat for a while, bend over and do it, it's okay." ”

As she spoke, she carefully disinfected the bag of feces with alcohol, then put it in the yellow bag and carried it, and staggered to the outside hallway to the waste storage room.

Dai Yunyang also came over to see the situation, sighed when he saw this, and said, "I know that many of you nurses have lumbar muscle strain, that is, they bend over too much. No way, you have too much nursing work to bend over to complete, unlike doctors, you really work harder than doctors. ”

Xiao Juan smiled sweetly: "Being able to hear the doctor's understanding and considerate words like this, no matter how tired I am, I am willing." ”

Dai Yunyang checked the situation of the mother Tan Yuanyuan.

Her condition was stable, and her oxygen saturation was finally back to 87% with the strong support of the invasive ventilator, which was still dangerous, but better than before.

On the side of Tan Yuanyuan's bed, four micropumps are stacked on top of each other, and if you don't look at anything else, you can know how serious the patient's condition is just by looking at this thing.

He looked at Tan Yuanyuan, who was completely unconscious in a large dose of sedative analgesic muscle relaxants. He checked the monitor again, adjusted the oxygen concentration of the ventilator to 70%, and the positive end-expiratory pressure continued to remain high at 18, which he did not dare to move.

Fu Quan, who was in charge of the ICU, said on the side: "The body temperature has not come up. ”

"Well, it's good if you don't have a high temperature. But we can't rest on our laurels, let's do another lung recruitment for her. ”

"Do it again?"

"There is no way, after the patient's lungs were eroded by the new coronavirus, the alveolar damage was very serious, and a large amount of fluid in the body returned to the blood vessels after childbirth, and the pulmonary edema was even worse, and she could only rely on the lung recruitment of the ventilator to barely maintain her oxygenation."

Fu Quan nodded.

Just as they were performing lung recruitment on the patient again, the nurse station outside was connected through the intercom video system, saying that Tan Yuanyuan's husband and mother-in-law were here, hoping to see Tan Yuanyuan. Although the nurses' station said that this was an isolation ward and could not be visited, the two hoped to find a way for them to take a look.

Dai Yunyang has completed lung recruitment, and the patient is still asleep and unconscious due to a large dose of sedation, except for the numbers displayed on the ECG monitor to prove that she is still alive. If you only look at the body, it is almost no different from a dead person, because the face is extremely bad, and it is miserable and white.

Dai Yunyang felt that it was really not a good thing for such a face to be seen by the patient's family, so the nurse refused the patient's family's request to visit in the intercom system.

However, unexpectedly, the patient's family was already prepared, took out a mobile phone and handed it to the nurse, saying: "This is a mobile phone we bought, please send it in after disinfection, you don't need to take it out, just keep it inside, so you don't have to worry about taking it out and causing pollution." We have turned on the phone and connected the video, we just need to ask the doctor and nurse to hold it and point it at the daughter-in-law for us to take a look, we know that she must not be able to speak, so we want to take a look, and after watching it, the phone is put in the ward and not taken out. We know that you doctors and nurses are not comfortable with your phone, so it's okay to keep it in a drawer until the battery runs out. Do you think that works? ”

The nurse relayed the request to Dai Yunyang.

Dai Yunyang knew that the patient's family had come prepared, and this method would not violate the isolation regulations. Besides, it is completely understandable that the patient's family is concerned about Tan Yuanyuan, and in the end he nodded and agreed.

After the mobile phone is sterilized, it passes through the small window and passes into the buffer compartment, and then the nurse inside disinfects it again, and then takes it out of the cubicle and takes it to the patient's bedside.