Tao Le nodded. She is seeking truth from facts, without her words just now, this child really doesn't know what will happen!

"Well done!" Gao Yuan gave her a thumbs up: "Think about it, and then we PICU"

Before he could finish his words, he was interrupted by Bai Demu with a wooden face.

"Lao Gao, don't nag, the child is still waiting for treatment!"

"Hey, okay, the patient is the most important, but my words have been put here today, Xiao Tao, the PICU needs you"

Until the figure is no longer visible, you can still hear the lingering sound of the plateau.

Bai De said to Tao Le: "Director Gao looks easy-going, but in fact, he has a high vision and strict requirements. He rarely looks down on a young man, and you're an exception. ”

Tao Le smiled: "Director Gao is also encouraging me, I am not experienced now, where can I be qualified to go to the intensive care unit." ”

Bai De nodded. Indeed, whether it is the ICU or the PICU, the doctors and nurses in it are all experienced in a hundred battles and are always fighting against death.

Solid medical skills, rich clinical experience, keen observation ability, ability to cope with complex situations, and strong psychological quality are indispensable.

Thinking of this, he asked Tao Le: "Xiao Tao, you also understand the situation of this child, if you are in the PICU, how to deal with it?" ”

He asked the question that Tao Le had been thinking about, so he answered without thinking:

"Give oxygen, intravenous anti-inflammatory, fever-reducing, oral Smecta and Mommy Love."

"What are you going to do about hyperosmolar blood?"

That's actually the question he wants to ask. Hyperosmolar dehydration, hypernaemia, as a matter of common sense, as long as the intravenous supplement of a large amount of saline-free water, the blood sodium concentration is lowered.

However, if this is really done, the blood intake will drop too quickly in a short period of time, and there is a great possibility that it will cause cerebral edema.

Especially at such a young age, the brain may have been damaged in a state of hyperosmolar dehydration and hyperthermia, and the prognosis is extremely poor due to cerebral edema.

He didn't think that Tao Le would be able to answer this question correctly.

But this must not be blamed on her, because hyperosmolar dehydration is relatively rare, and because clinical experience needs to be accumulated slowly, no one can be born to know everything.

Tao Le was naturally not born with it, but he really knew a lot about this disease.

At this time, she remembered her mentor Tang Wanhe in her previous life, if it weren't for his little bit of teaching, she would not have experienced herself later.

"TODAY, DURING THE DAY, WE WILL CONTINUE TO DRIP 5% GLUCOSE 250ML + 10% POTASSIUM CHLORIDE 5ML, AND AT NIGHT WE WILL SUCCESSIVELY GIVE 5% GLUCOSE 250ML + 10% POTASSIUM CHLORIDE 5ML + 5% SODIUM BIBICARBONATE 15ML, PHYSIOLOGICAL MAINTENANCE SOLUTION + 5% SODIUM BIBICARBONATE 15ML."

"Don't rush for a while, try to reduce the child's blood intake to a normal level within two to three days."

"Oh?" Saying such a standard answer from Tao Le's mouth was something Bai De didn't expect at all.

Does this really understand, or do you happen to see a similar way of dealing with it somewhere, and use it to deal with yourself?

"Tell me, what do you think?" He asked again.

"For the treatment of hyperosmolar dehydration, it is necessary to use one-quarter to one-third more tension fluid when rehydrating, so as to avoid a rapid decline in blood absorption and cause cerebral edema." Tao Le spoke eloquently, confidently and calmly.

Come on, I still want to use this case to teach Xiao Tao, but people already know about it.

How did this kid learn back then, and how did he even know how to do such a rare illness?

Suddenly, he had a hint of competitiveness:

"The ECG shows sinus tachycardia, what should I do about this?"

"The cause of rapid heart rate, as well as hyperglycemia, is due to fever and hyperosmolar dehydration, and the intracellular water volume is insufficient. As long as the anti-inflammatory and antipyretic is successful, and the hyperosmolar dehydration is corrected, the heart rate will naturally decrease. ”

Bai De suddenly felt a sense of powerlessness. It seemed that he was lying on the beach now, and the waves behind him had crashed against him, making him dizzy.

"That's a good point, the foundation is very solid. Let's go, go back to the outpatient clinic, there are still a lot of patients in the queue! He sighed.

When the new issue of "Neurosurgical Medical Research" arrived, Yang Ruixue received a text message and went to the mailroom to retrieve it as soon as possible.

There's new food for thought! The excitement washed away the gloom that had enveloped her all morning.

She walked through the lobby on the first floor of the inpatient department and saw a steady stream of people.

It was almost noon, and there were more people at the door, most of them family members who had come to deliver meals to the inpatients.

At this time, a husband and wife came in from outside, their faces full of anxiety. The man was also carrying a large bag of small rolls: bedding and pillows, dishes, chopsticks and basins, everything and everything.

Yang Ruixue has seen a lot of such people, and it must be that his relatives have just been hospitalized and came to deliver things.

The elevator arrived, and a group of people came down, and another group of people went up.

Yang Ruixue didn't squeeze in with them. The hospitalized patient was in a hurry to eat, and she was not in a hurry.

No, another elevator arrived soon, except for herself, that is, the couple who stood up, very loose.

She pressed the seventh floor, and the couple pressed the ninth floor.

Oh, the ninth floor, the ninth floor is the pediatric ward, and it seems that there is a small piece that is zoned for the PICU. In this way, these two should be the parents of the child.

The elevator went up, and the couple talked.

"You just mentioned it, why did Xiaobo stop breathing, this scared me, I took something and hurried over - what the hell is going on?" The husband asked.

"I'm scared until now. At that time, Xiaobo's face was purple, and I was out of breath - I was so scared that my hands and feet were cold, and I couldn't move when I stood there. ”

"Thanks to a female doctor in the pediatric department, a needle was directly pricked into Xiaobo's chest, and guess what, he exhaled a long breath, and then woke up, and his breath was smoother than before!"

"Didn't you wait, didn't this needle pierce your arm and buttocks, why did you still pierce your chest?" The husband asked, puzzled.

"It's that I didn't make it clear, people probably studied Chinese medicine, and they used that kind of acupuncture needle!" The wife recalled.

"It turned out to be Chinese medicine. I didn't expect that first aid was so powerful at a critical time. When Xiaobo is ready, we have to go and thank people. The husband's face was full of joy.

"This is as it should be, it must be!" The wife chimed in.

Yang Ruixue took in the conversation between the two and guessed the identity of the female pediatrician.

Who else could it be, isn't it Tao Le, who is obviously studying Western medicine clinically, but loves to sell acupuncture and moxibustion?