Chapter 030, Miss Cat's Profession
Luo Jiang is a typical Hunan hot girl, with a generous personality and quick work. After the preparations were done, Luo Jiang started to do things quickly, and after a while, he caught up with Zhao Lei's progress, and occasionally helped them put a thermometer and change a liquid or something.
"Zhao Lei, the lactic acid made by 8 beds of blood gas is only 6.9, sodium bicarbonate and water for injection are 1:1 with 10ml, hurry up and push him once!" Dr. Li Xin, who was on duty, was also anxious when he saw the long list of critical values popping up on the computer, and ran to the bedside to adjust the ventilator parameters again. The partial pressure of carbon dioxide in 8 beds can't be lowered for a long time, and they are already respiratory alkalosis!
"Smoke again, right away!" Since the serious patients were concentrated in this room, Luo Jiang simply pulled the ambulance in, but he didn't expect that the first person to use it turned out to be Zhao Lei.
"Hurry up, are you done?"
"Alright." Zhao Lei took the liquid but didn't know where to give it to the patient, although there was a deep vein and a peripheral vein on the body, but carbonic acid and some vasoactive drugs could not be combined, what should I do?
"What's wrong?" Luo Jiang was busy with the things in hand, and when he saw that his patients were still stable, he hurried over to take a look.
"Great God, what should I do? This person wants to correct acid, how can he be good without veins! Zhao Lei saw Luo Jiang coming, and instantly had something to rely on.
Luo Jiang sprayed some hand sanitizer to quickly disinfect his hands, carefully looking for veins that could be punctured on the patient's body. But the baby's whole body is swollen severely, and the general small veins can't be sent in, where can it be used to quickly correct acid!
"Get me ready for a venipuncture!" Luo Jiang put on gloves and gently moved the child's head to one side, exposing the external jugular vein.
"You want to punch the outside of the neck? But his neck is so swollen that he can't see the veins! Zhao Lei looked worried, it is true that there is a large vein outside the neck, but it is too easy to slide, and after the puncture is successful, the patient will easily cause the cannula to fold as soon as he moves his neck, but fortunately, the 8-bed baby has been sedated.
"Look at the anatomy." Luo Jiang put her hand on the child's neck and carefully felt the direction of the muscles and veins.
Qian Jia tugged at the corners of his mouth disdainfully, "Then you can call her, I'm going to get busy." ”
"Hmm." Luo Jiang answered, picked up the iodine cotton swab and carefully disinfected it, grabbed the indwelling needle and did not hesitate to insert the needle from the selected puncture point.
"It's back blood," Zhao Lei stared at the edge of the bed, and didn't dare to shout when she saw the blood back, so she had to remind softly.
"Hmm." Luo Jiang calmly sent a section of venous cannula forward, and saw that the blood return was not broken, so he dared to withdraw the needle core and send the cannula all the way to the end.
"Let's get a T-tube, it's easier to use other liquids later." Luo Jiang took the tape paper that Zhao Lei had torn and fixed the indwelling needle, "You can get the rest!" ”
"Okay, thank you, Great God." Zhao Lei stepped forward to connect the T-tube and draw back the blood, perfect! A great god is a great god, and if you don't accept it, you can't do it.
"Dr. Li, does this patient want to have his arterial blood pressure measured?" Luo Jiang didn't take off his gloves and turned his head to look at the doctor on duty.
"Can you score? If possible, it is best to have an arterial catheterization done. The average blood pressure of this baby's peripheral blood pressure is only more than 30, and I can adjust the dose of the drug according to the blood pressure at any time, and it is convenient to recheck the blood gas. ”
"Okay, I'll give it a try." Luo Jiang fixed the baby's hand without venous access, took off the gloves and put the index finger above the radial artery, and felt the fluctuation of the weak artery for a long time.
"Qian Jia, can you help bring over the whole set of invasive blood pressure monitoring devices?" Luo Jiang looked at Zhao Lei, who was busy, and decided to ask Qian Jia for help.
"Hmm" Qian Jia put down the process sheet in his hand and walked out, his mouth was still broken: "Look, you can, you still want to hit the artery outside the neck?" Huh"
Luo Jiang pretended not to hear, spread a sterile towel under the baby's hand, changed a pair of gloves and put them back on, closed his eyes and took a deep breath.
First, second, and third, Luo Jiang opened his eyes, disinfected them with an iodine cotton swab, stared at the puncture point, and held the needle in his right hand to penetrate the patient's skin steadily.
When the needle into the muscle was almost two-thirds of the way through, Luo Jiang stopped and looked at the needle, and there was no blood return? Come on! Retracting the needle and adjusting the direction slightly, Luo Jiang chose to continue the puncture. When the fingertip holding the needle felt a sense of failure, Luo Jiang quickly sent the cannula and withdrew the needle core.
Zhao Lei, who was waiting next to her, hurriedly handed over the T-shaped tube connection, tore off the adhesive tape and fixed it with a large compress, and waited for the invasive blood pressure monitoring pipeline.
"Qian Jia, did you get anything?" Li Xin was very excited to see that the arterial catheterization was done, this patient could at least last until tomorrow morning, and several big leaders were there during the day. Seeing that Qian Jia hadn't brought the things over yet, the anxious Li Xin wanted to get it himself.
"It's coming!" Qian Jia trotted in, "Are you ready?" ”
"Alright." Zhao Lei took the arterial blood pressure monitoring wire and connected it to the monitor neatly; Li Xin took the pressure monitoring tube, carefully opened the package and handed it to Luo Jiang in aseptic operation.
Luo Jiang skillfully connected the pressure detection tube to the arterial blood pressure monitoring wire, and took off the gloves to zero the pressure. A clear arterial pulse sounded from the monitor.
Seeing the series of regularly fluctuating arterial blood pressure waveforms on the monitor, Li Xin happily patted Luo Jiang's shoulder. "Luo Jiang, it's very good, what do you want to eat tomorrow morning? Sister, please! ”
"I don't want to eat anything, as long as I leave work on time, can I?" Luo Jiang looked at Li Xin pitifully, "You old man has to hold on!" ”
"Don't worry, do you see my muscles? It's definitely going to hold on! "After the patient's condition stabilized, Li Xin began to play treasure.
Luo Jiang poked her biceps, took out a ruler to measure the circumference of her arms, shook her head and smiled and returned to her computer and sat down.
After a night of non-stop sputum suction, recording the amount of intake and output, measuring vital signs, writing about the assessment of the condition, writing about the shift, and it was not until the morning that the patient was safely handed over to the day shift colleagues, and Luo Jiang breathed a sigh of relief.
"Luo Jiang, yesterday's doctor on duty specially praised you for your good performance in front of the director, yo, these drug dosages and pipeline labels are doing a good job!" The head nurse originally just went into the room to praise Luo Jiang, but she didn't expect to have an unexpected joy. This thing is worth promoting in the department, and the head nurse has made a decision.
"You day shift staff all come to see these identification cards, patients with more than three special drugs have to do it, and make it and stick it on the patient's bedside before getting off work!" The head nurse commanded.
It's over, and it's hatred again, although I just want to make it easier for myself when I do it...... Luo Jiang cheekily thought, if there are too many lice, don't be itchy, let him be, let him be.
When he returned home, he reluctantly stuffed a few pieces of toast and sacrificed the Five Organs Temple, and Luo Jiang ran to the bed and lay down.
Luo Xiaoqi sat in the nest reservedly and waited, waiting for me, why didn't the shoveler come back today to hug me? Xiao Qi, who was struggling inside, finally decided to climb into bed and take a look. Kindness? Slept? You actually ignored me and fell asleep!
Luo Xiaoqi, who was angry, followed Luo Jiang's chest directly, and stepped on Luo Jiang's big face with two paws. I told you not to remember to put food for me, and when you came back, I ignored me, and told you to sleep!
Kindness? What is this thing called a mobile phone that keeps shaking? Luo Xiaoqi raised his paw and pulled it a few times. Hey? How is there a person in it? Why don't you talk to me? I'll bite you to death!
So, Xu Dong, who sent nearly 20 WeChat messages and did not receive a reply, plucked up the courage to send out a video invitation, and all he saw was a bloody mouth and a mouthful of thin fangs.