The temperature is in place. The second step is to adjust the bed where the newborn is lying on. Like the adult patient bed, it is best to adjust the height of the bedside head and tail. For children with ARDS, the bedside head needs to be slightly adjusted. At that time, the gas injected by a high-frequency ventilator reaches the bottom of the lungs, which will help open the alveoli.
For example, if you want to diagnose the child with ARDS, it is best to take an X-ray film to help the doctor make a clear diagnosis. It is unrealistic to carry the child to the X-ray room and run back to make trouble. After all, even adult filming now has an X-ray machine that can be selected. The newborn rescue table can be equipped with such equipment, so that the child can take the film directly without leaving the rescue table, which is fast and good.
Now, take a movie first.
After filming, Nie Jiamin hung up the earplugs of the stethoscope and placed the earring head on the child's small chest wall for auscultation. Many capable big men dared not give the patient a physical examination and directly read the auxiliary examination report to diagnose it. No, that is definitely not the spirit of medical care and seeking truth.
Adult big listening heads look very big than young children, and the doctor needs to listen with concentration. Nie Jiamin listens very attentively, and at the same time, he just listens and immediately gives instructions in contrast to the normal state of chronicity: "Get on the ventilator."
None of the big guys is really chronic. Only the patient's condition is prioritized, and the doctor can be allowed to allocate how much time to arrange medical measures before and after. If there is no hurry, the doctor can slowly figure out the patient's treatment plan and find measures. If the patient's condition does not allow it, he can only help first.
Regarding the lungs of the children now, the alveolar breathing sounds almost weakened to the point where they almost seemed to disappear, so they could not wait.
High-frequency ventilators are too important for children with ARDS, and are more important than applying medicine. Get it first.
The ventilator prepared in advance was pushed over. The child temporarily had self-respiration without intubation. As mentioned before, he used a nasal catheter to connect the ventilator. How to adjust the parameters of the ventilator. Xie Wanying remembered the summary that Teacher Xin Yanjun said in the Department of Respiratory Medicine that the best parameter for always adjusting the ventilator is to adjust it at the patient's bedside. The doctor carefully and slowly adjusts the patient to the best according to the changes in the patient's condition. All other guidelines and dogmas can only be used as reference.
All patients have individual differences. No matter how powerful the machine is, it cannot achieve the empirical calculation of the human brain. The foolish model of the machine cannot deal with individual differences in patients, so it can only rely on doctors.
Now, Nie Jiamin is standing next to the ventilator and helps the child adjust the parameter values ​​step by step.
The speed of the appropriate parameters is adjusted and the technical ability of the doctor to see a doctor.
The boss was a boss, and he only pressed a few buttons. The others quickly noticed that the child's small chest was fluctuating in a regular manner.
While Xie Wanying observed how the teacher adjusted the parameters, she learned from Senior Brother Luo how to prescribe medicine.
After Xie had counted before, Luo Jingming glanced at the child's weight and then calculated the dosage. A weight scale was installed at the bottom of the rescue table of the newborn, which directly measured that the child's weight was 2205g, which was almost the same as that of Xie Wanying's visual test.
"Is Shang Guersu?" Luo Jingming asked his superiors for their opinions and could finalize the medication plan.
Children should not give medicine to the vein casually.
Chapter completed!