Zhou Ce came quickly. He looked at Sun Lien who was locked in the clean room with surprise. After a long time of stunnedness, he asked, "Did you steal the little nurse's underwear?"

"Ah?" Sun Lien looked confused, "What?"

"Oh, it's okay." Zhou Ce waved his hand calmly, "That's a story from a long time ago."

Sun Lien looked at Zhou Ce skeptically, and then frowned for a long time and asked, "Doctor Zhou, I want to ask, how to install this dialysis device..."

"Dialysis?" Zhou Ce thought for a while and shook his head, "What are you asking this for? Wouldn't it be enough to let the nurses do it?"

"It's suspected to be avian flu." Sun Lien pointed to the hospital bed behind him, regardless of whether Zhou Ce could see it. "The three gas cylinders for the hospital infection were used, and it took some time to inflate it. The patient's condition... is not very good."

"Is there a test report?" Zhou Ce quickly understood the current situation, and did not say much nonsense, and asked directly, "How much is the urination volume?"

"The examination report has not come out yet. It has been two hours since I was admitted to the hospital, and the urination volume is about 15 ml." Sun Lien squatted down and picked up the urine bag hanging beside the bed and took a look. "After I was admitted to the hospital, I have supplemented the patient with more than 500 ml of liquid."

"The urine volume is a little small, but you have to read the report before you can confirm whether there is any acute kidney injury." Zhou Ce thought for a while, "I will teach you how to connect first."

Dialysis machines have actually become quite easy to use after several generations of evolution. Unlike peritoneal dialysis, the basic principle of a dialysis machine is to "filter blood". Blood is extracted from the artery, then filtered through ultra-permeable membrane, and then the blood that removes impurities is re-entered back into the vein. Peritoneal dialysis uses more of the structural characteristics of the human body, using the semipermeable membrane properties of the peritoneum to absorb and filter impurities by injecting and extracting dialysate.

Although DIC itself is one of the scope of application of peritoneal dialysis, after all, it is necessary to place a dialysis tube in the peritoneal dialysis to use. In the current situation, Sun Lien alone will definitely not be able to complete this operation. Therefore, Zhou Ce did not consider peritoneal dialysis at all, but directly chose to let Sun Lien learn to connect the dialysis device.

"The dialyzer will come with such an operation pack, which contains two transparent hoses." Zhou Ceyang Yangyang held the transparent pack in his hand. "After opening it, you will find two thick tubes with needles inside, one with a blue label and the other with a red label."

Sun Lien opened an operation pack in the room, "What about?"

"Then, tighten all the channels on the machine and inject normal saline from the red port." Zhou Ce threw away the operation bag in his hand, grabbed a pack of normal saline, and explained like a big horse monkey, "It is not possible to connect normal saline directly with intravenous infusion pipes! The intravenous infusion pipes are not thick enough, so you need to use a connecting pipe!"

"Okay, okay, I understand." Sun Lien signaled Zhou Ce to calm down, "I remember it."

"Brother is helping you deepen your impression. If you forget to pre-rush and hit the bubble in, the fun will be great." Zhou Ce said seriously, "Shut up and listen before I think you remember it, don't interrupt my thoughts!"

Sun Lien responded with a wry smile, and took out the record book from his pocket and wrote notes.

"The machines in our yard require a pre-flush of 1,000 ml, so you just rush it honestly. Don't reduce the amount of impulse in order to save time. Once there are bubbles, it will cause death." Zhou Ce emphasized again, and then continued to explain.

"The saline in the flushing tube will be discharged from the waste liquid port, and you can collect it with the waste liquid collection bag in the operation bag. Then, use the syringe to extract the normal saline and inject it into the red-labeled tube. After disinfecting the injection position of the patient, put it in. Remember, this red-labeled tube is inserted into the artery."

"Use red label tube to perform vein puncture..." Sun Lien wrote a few quick strokes, "And then the blue label tube to puncture the vein?"

"Smart!" Zhou Ce praised Sun Lien with a expressionless face, "This sentence is to express encouragement, and it doesn't matter if you can ignore the content."

Sun Lien nodded with a wry smile. He was really not used to Zhou Ce's surprise and occasional indifference.

"After both canals have blood recovery, pump heparin into the tube to anticoagulation." He looked through the test report in his hand, "Generally we inject low-molecular heparin with a standard of 60 to 80 IU/KG, but since this patient is already undergoing anticoagulation treatment, then inject it according to the standard of 30 IU/KG. You can estimate her weight yourself."

"After flushing the tube, the red label tube is connected to the red artery approach, and the blue label tube is connected to the blue vein way out. If you make a mistake in this kind of basic thing, you can consider resigning." Zhou Ce waved his hand, as if he also felt that this sentence was unnecessary. "Then the dialyzer turned on, and I will give you the operating data later. The point is, when the filtering starts, the ultra-transmissive tube has the vein way out, and the filter flow rate is 100ml/min. Don't adjust it too high at the beginning."

"When the machine is running for more than two minutes, then remove the super-transmissive tube from the machine rack and change it to red, upper and blue, and turn off the machine when the vein pot is almost three-quarters full, and adjust the filter flow to 200ml/min." Zhou Ce quickly explained, "Don't ask me the specific principle of why you need to operate this way, and I don't know. This is required in the manual of the machine."

Sun Lien was speechless by this explanation. He opened his mouth for a long time before nodding, "I understand..."

"Finally, when the machine is running, shut down, and then use the clamps on the label tube to close the label tube. Remember to just close the artery." Zhou Ce said, and directly intercepted the blood report sent by Xiao Guo. He quickly scanned his eyes and continued, "After closing the artery label tube, use normal saline to connect it to the arterial end of the machine, adjust the machine operation rate to 100ml/min. When the saline flushes the pipes in the machine until they are no color, you can turn off the machine. Then close the venous tube."

After this series of sequences, Sun Lien was a little confused. After finishing writing all, Sun Lien simply read the content he recorded again, and he was relieved until Zhou Ce nodded and nodded in approval.

"A DIC patient, after receiving anticoagulation treatment, she will be able to stop bleeding after dialysis and anticoagulation. After the tube is extracted, the cotton block is put on and tied with a pressurized belt for half an hour." Zhou Ce finished the emergency training and asked Sun Lienyang the examination report in his hand, "The blood creatinine concentration is 486μmol/L, and this patient does need renal dialysis."

"No need to be so troublesome." As soon as Zhou Ce finished speaking, a woman's voice came from behind, "I'll do it."

Sun Lien followed the voice and looked closely, his eyes widened. "Why are you here?"

"My boyfriend is going to be quarantined. I must have come at this time." Hu Jia was not wearing a white nurse's uniform, and she was wearing her own clothes. Her hair looked a little messy, and she seemed to have just taken a shower. "You have done such a big thing, but you didn't think about telling me? If Sister Xu hadn't called me, I wouldn't know what happened yet."

Hu Jia's expression was very calm, but Sun Lien seemed to feel a little numb on the back of his head... as if it was the instinctive fear of the little rabbit after being targeted by a tiger.

"You go in?" Zhou Ce didn't think Hu Jia's expression had any other meaning. He just turned his body and blocked the door of the clean room, slowly shook his head, "If you can be exposed, you will lose one risk. If you run in so straightforwardly, will Xiao Sun take no sense at all?"

"I am a nurse, and it is my job to assist the doctor to save the patient's life." Hu Jia put on a mask and raised her head to stare at Zhou Ce, "Please let me go."

"Sister Hu, calm down." Xiao Guo looked at the scene and felt that his calves were almost cramping. He gritted his teeth and moved to the door of the clean room and blocked the door with Zhou Ce. "It doesn't make sense for you to go in now..."

The two of them persuaded Hu Jia not to do anything randomly, but Hu Jia was still standing at the door persistently, and no one could do anything. The sound in the rescue room gradually became noisy, and finally the noise attracted Liu Tangchun's attention.

Comrade Liu hurried back to the rescue room after learning about the situation, but after opening the door, he suddenly calmed down. The old man held his hands behind his back and shook his legs, looking relaxed and contented as if he was a retired cadre taking a walk after dinner. He slowly swayed behind Hu Jia before he spoke. But he was not directed at Hu Jia.

"Look." Liu Tangchun grinned at Sun Lien, "Have you caused trouble for yourself?"

Sun Lien was almost crying, "Teacher Liu, don't make trouble if you don't help..." He waved his hand at Hu Jia and emphasized, "I'm really fine!"

"If you don't do a good doctor, you have to learn from the old man in Zheng Guoyou." Liu Tangchun laughed and said a little louder. "How many times have I told you, don't worry about finding a girlfriend, it's best not to find the little nurse in our hospital. You know, do you know that the disciples and grandchildren under Xiao Lirong are all good at it! If you want to squat on the balcony, you have to squat on the balcony, and if you want to squat on the food, you have to squat on the food."

Zhou Ce blinked his eyes and suddenly understood what Liu Tangchun wanted to do, so he followed suit and said, "That's it! Our director's wife teaches Chinese in elementary school, which is gentle and virtuous."

"What do you... mean?" Hu Jia, who looked calm on the outside but was almost crazy on the inside, was immediately fooled, "What's wrong with the nurse?"

Zhou Ce and Liu Tangchun exchanged their eyes and continued to talk bad things about nurses. The content is rich and colorful, mainly through Zheng Guoyou's tragic life experience and compared with the director of nephrology who had a very successful life after "marrying a female teacher". In order to achieve the purpose of "criticizing Sun Lien for being careful in choosing a spouse."

These two people were trying hard to attract firepower, but the nurses standing next to them all looked a little bad. Although they also knew that Director Liu and Dr. Zhou had no malice, in this scenario, everyone was always injured by stray bullets twice.
Chapter completed!