Liu Tangchun's revenge with one arrow that he never forgot, Dean Song only took two minutes to solve it, not to mention, and also added some blockages to the second courtyard by the way. Although this was not Dean Song's original intention, it was naturally a good thing to be able to achieve such an effect without having to bear any serious consequences. Not only can Director Chen be diverted from the attention of "informal doctors participating in the rescue", but also the two ECMOs that will be taken away by the latter of the Second Hospital, this win-win situation makes Dean Song himself very happy.

"You go and keep an eye on the point, and when the people leave, hurry up and call the personnel department. Seeing Secretary Chen leave, Dean Song lowered his voice and said to Director Zang on the side, "Hurry up and get that Yankee onboarded, you can't get out of the basket in this kind of thing." ”

Director Zang sighed, he bought five big sheep kidneys on the Internet, and they arrived today. Originally, I was going to go back and prepare well, but today I lived a two-person world with my wife - the child was sent to my grandfather's house, and I will come back tomorrow. But Dean Song gave this instruction...... I'm afraid that I will have to work overtime in the hospital tonight.

After forty years, Director Zang felt the malice from life.

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"It's okay, at least for now. "In the emergency room, the condition of the three patients is fine. Although it is still far from "healthy", at least it is not to the point where it needs to be rescued. Sun Lien took the coffee and sucked it in his mouth, looked at the data of the three cardiopulmonary monitors inside through the glass wall of the clean room and nodded. As long as it doesn't deteriorate too quickly, as long as it can be delayed until the antibiotics start to take effect, then there is still a cure.

Some patients with pneumonic plague have an extremely rapid course of disease. Often, doctors have just diagnosed plague and the patient is dying. But as long as you can survive until the treatment starts to work, then there is at least hope.

This is indeed a race against death.

"The blood gas results came out, and all three had varying degrees of acidosis. Yuan Ping'an wiped his mouth with a napkin, walked to Sun Lien's side and whispered, "I have already used sodium bicarbonate for all three of them, but Zhou Ce suggested that they be given dialysis to reduce the burden on their kidneys." ”

"Do you agree with this suggestion?" Sun Lien looked at the blood gas analysis report, and it was indeed metabolic acidosis. "Does dialysis affect the effectiveness of antibiotics?"

"The pharmacists from the nephrology department and the pharmacy department discussed it, and they came up with a plan. Yuan Ping'an, like Doraemon, took out a piece of paper from another pocket, "Dialysis while maintaining intravenous antibiotic infusion." After dialysis, an additional 0.74 grams of cefpimide is infused, which can reduce acid-base disorders and serum creatinine (SCr) levels while maintaining blood concentrations. ”

Clinical pharmacists in pharmacy are an emerging profession that originated in the United States and is still relatively scarce in China. Unlike pharmacists in general pharmacies, clinical pharmacists are mainly responsible for assisting clinical practitioners in selecting more suitable drugs. In terms of professional nature, clinical pharmacists have the same nature as transfusion medicine and anesthesiology. are all important positions that support clinicians. In addition to ordinary licensed pharmacists, the pharmacy of the four hospitals currently has three clinical pharmacists.

"Understood. Sun Lien pondered for a while, for the suggestions given by clinical pharmacists, Sun Lien could understand the principle, but he didn't understand how the 0.74 grams of cefpimide were calculated—let alone how the 0.5 grams of cefpimide injection had to be divided into 0.74 grams. However, professional problems should be left to professionals, and since both the nephrology and pharmacy departments feel that there is no problem, then it should be no problem. "Let's get started. ”

Doctors in P4 suits have been replaced by doctors and nurses in the nephrology dialysis unit. It can be seen that the nurses in the nephrology department should be wearing P4 protective clothing for the first time, and the nervous expression even carries the meaning of seeing death as home. And they arrived at the emergency room with three hemodialysis machines.

"Don't be nervous. Hu Jing, the head nurse, was checking the equipment of the young nurses, "It's the same as usual, it's just two extra clothes—those patients are not monsters, they are also ordinary people who need your help." Don't be nervous, just follow the usual operating procedures. ”

"Everything else is fine. The nurse who took the lead touched the gloves on her hands with some worry, "But with such thick gloves, the blood vessels can't be felt, don't say it, if you don't pinch the needle when you insert the needle......

"You don't have to worry about that. The doctor from the CDC suddenly said on the side, "If you are worried about this, we can do the work of needle pricking - you are responsible for directing and operating the machine on the side, and we really won't use the hemodialysis machine." ”

The best way to control the spread of the disease is to minimize contact with other people and sick people. Plague can be transmitted through blood, and if the nurses slipped their hands and their gloves were pierced through their gloves by needles containing Yersinia pestis, it would be another case of occupational exposure to plague. The risk is too great, and it is better to let the doctors at the CDC do it, and they have done things like wearing protective equipment to collect blood anyway.

"Then let them come. Nurse Hu Jing directly agreed for the nurses in the dialysis center, and at the same time she whispered to the nurse in front of her, "Xiao Liu, this doctor is very handsome, are you interested?"

The sudden joke dispelled Nurse Liu's nervousness, she smiled and patted Hu Jing on the shoulder, and then picked up the medical bag at her feet, which contained the pre-packaged tubing required for dialysis, "Girls, let's go!"

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"That's it. In the clean room, the three machines were turned on one after another, and the nurses in the dialysis center finally breathed a sigh of relief. With the help of CDC doctors, they successfully completed the dialysis intubation and immobilization of the three people, and began to administer dialysis treatment to the three according to the predetermined procedure. The complete dialysis treatment is expected to take about two hours.

"Everyone's done a great job. When the doctors from the CDC saw that dialysis had begun, they immediately began to rush people with a polite sentence, "Please go through the airtight door one by one, wait in the airtight door for two minutes, and then go out after completing the decontamination." ”

"The machine needs to be guarded, you can't handle it. Nurse Liu instructed her little nurses to walk into the airtight door one by one, and then said to the doctors at the CDC, "I'll just stay here - I'll go out after two hours." ”

The CDC doctors exchanged a look and nodded, "There's a stool next to it, you can just go and sit over there - just wearing a P4 suit, some people may feel a little claustrophobic." If there's anything uncomfortable, just say out loud to us, no matter what, don't open your suit here. ”

"Got it. Nurse Liu nodded, she glanced at her colleagues outside with worried expressions, and then smiled and said to the CDC doctors, "If there is anything uncomfortable, I will shout at you." ”