Chapter 209 Clinical Pharmacist
Liu Tangchun's unforgettable revenge was solved in just two minutes. Not only did President Song solve it, but he also added some confusion to the Second Hospital. Although this was not President Song's original intention, it would be a good thing to achieve such an effect and not have to bear any serious consequences. Not only could Director Chen's attention to "informal doctors participating in rescue", but he could also get two ecmos that were to be taken away by the latter of the Second Hospital. This win-win situation made President Song feel very happy.
"You go and stare. After the person leaves, hurry up and call the personnel office." Seeing Secretary Chen leave, Director Song lowered his voice and said to Director Zang on the side, "Take the American's entry into the company quickly. You can't make trouble in this kind of thing."
Director Zang sighed. He bought five big sheep waists online and arrived today. He was originally planning to go back and prepare well. Today he had a two-person world with his wife. The child was sent to his grandfather's house and would come back tomorrow. But with this instruction from Director Song... I was afraid that he would work overtime in the hospital again tonight.
After being over forty years, Director Zang felt the malice from life.
·
·
·
"The condition is OK, at least it is still stable at present." In the emergency room, the three patients were all OK. Although they are still far from "health", at least they are not at the point of needing rescue. Sun Lien held the coffee and sucked into his mouth. Through the glass wall of the clean room, he nodded at the data of the three cardiopulmonary monitors inside. As long as it does not deteriorate too quickly, as long as it can be dragged until the antibiotics start to take effect, there will be treatments.
Some patients with pneumoplague have a very fast course of disease progression. Often, the doctors have just diagnosed with plague and the patient is unable to do so. But as long as they can survive until the treatment begins to take effect, there is at least hope.
This is indeed a race against death.
"The blood and energy are coming out, and all three of them have different degrees of acidosis." Yuan Ping'an wiped his mouth with a napkin and walked to Sun Lien and whispered, "The three of them have used sodium bicarbonate, but Zhou Ce suggested dialysis for them to reduce the burden on the kidneys."
"Does the nephrology department agree with this suggestion?" Sun Lien looked at the blood gas analysis report. It was indeed metabolic acidosis. "Does dialysis affect the effect of antibiotics?"
"The pharmacists from the Nephrology Department and the Pharmacy Department discussed it, and they combined a plan." Yuan Ping'an took out a piece of paper from another pocket like Doraemon, "maintaining the intravenous drip of antibiotics while taking dialysis. After the dialysis is over, an additional 0.74 grams of cefiperamine is injected, which can also reduce acid and alkali disorders and serum creatinine (scr) levels while ensuring the concentration of blood drugs."
Clinical pharmacists in the pharmacy are an emerging profession, originated in the United States and are currently relatively scarce in China. Unlike pharmacists in ordinary pharmacies, the job of clinical pharmacists is mainly to assist doctors in clinical treatment to choose more suitable drugs. In terms of occupational nature, clinical pharmacists, blood transfusion medicine and anesthesia are the same. They are important positions to assist clinicians in their work. In addition to ordinary practicing pharmacists, there are currently three clinical pharmacists in the pharmacy of the Fourth Hospital.
"I understand." Sun Lien thought about it for a while. Regarding the suggestions given by clinical pharmacists, Sun Lien could understand the principle, but he couldn't understand how to calculate the 0.74 grams of cefopiptamine - he didn't understand how to divide the 0.5 grams of cefopiptamine injection into 0.74 grams. But professional issues must be left to professionals to deal with. Since both nephrology and pharmacy think there is no problem, it should be fine. "Then start quickly."
The doctor wearing P4 protective clothing has changed from a hospital infection doctor to a doctor and nurse in the dialysis room of the nephrology department. It can be seen that it is the first time that the nurses in the nephrology department are wearing P4 protective clothing, and that nervous expression even has a sense of looking at death. And three hemodialysis machines are also present at the rescue room with them.
"Don't be nervous." Head nurse Hu Jing was checking the equipment for these young nurses. "It's the same as usual, but I just wore two more 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 easy to say." The nurse in charge touched the gloves on her hand with some worries. "But with such thick gloves, I can't touch the blood vessels. If I didn't pinch the needle firmly when I inserted it..."
"You don't have to worry about this." The doctor from the CDC suddenly said, "If you are worried about this, we can do the acupuncture work - you are responsible for directing and operating the machine next to you, and we really won't use the hemodialysis machine."
The best way to control the spread of the disease is to minimize contact between other people and patients. The plague can be transmitted through blood. If the nurses slipped their hands and were pricked with gloves by needles containing Yersinia plague, it would be another case of occupational exposure to plague. The risk is too great, so it is better to let the doctors of the CDC do it. Anyway, they have also done the work of wearing protective equipment to collect blood.
"Then let them come." Nurses Hu Jing agreed directly for the nurses in the dialysis center. At the same time, she whispered to the nurse in front of her, "Xiao Liu, this doctor is quite handsome, are you interested? Aunt Hu will ask you for inquiries?"
The sudden joke dispelled Nurse Liu's nervousness. She smiled and patted Hu Jing on the shoulder, then picked up the medical bag at her feet - it contained the pre-packaged pipes required for dialysis, "Girls, let's go!"
·
·
·
"It's done here." In the clean room, three machines were turned on one after another, and the nurses at the dialysis center finally breathed a sigh of relief. With the help of the doctors of the CDC, they successfully completed the dialysis intubation and fixation of the three people, and began to perform dialysis treatment on the three people according to the scheduled procedures. After the entire dialysis treatment, it is expected that it will take about two hours.
"Thank you all." The doctors from the CDC saw that the dialysis had begun, and then politely started to drive people. "Please wait for two minutes through the airtight door and wait in the airtight door after finishing the cleaning."
"The machine needs someone to guard it, you can't handle it." Nurse Liu directed his young nurses into the airtight door one by one, and then said to the doctor at the Centers for Disease Control and Prevention, "I'll just stay here - I'll turn off the phone in two hours and I'll go out again."
The doctors at the CDC exchanged glances and nodded, "There is a stool next to you, just sit there - just wearing P4 protective clothing, some people may feel claustrophobic. If you feel uncomfortable, just tell us loudly, never turn on protective clothing here."
"I understand." Nurse Liu nodded. She glanced at her colleagues who looked a little worried outside, and then smiled at the doctor at the CDC, "If you have any discomfort, I will shout to you loudly."
Chapter completed!