I'm really an intern

Chapter 240 Knowing to change positions as soon as you slap your butt (please ask for a monthly ticket)

The air seemed to stagnate.

When the two looked at each other, a special effect of crackling and electrifying light appeared in everyone's minds.

"Gudu"

Brother Guipei, who was sandwiched between the two, swallowed hard.

He took a step back carefully, slowly, and gently.

Then, take another step back.

The moment he withdrew from the midpoint of the two people's sights, he instantly felt relieved.

At the center of everyone's attention, the director of ICU stared at Zhang Tianyang, who was facing him with a calm face, and his heart was full of emotions.

Sure enough, he is the student that Lao Liu is showing off everywhere!

There is a brush!

It seems that some more basic questions that may be answered by other small doctors can be given up directly.

So, let's start with the side door problem first!

The ICU director regrouped and launched another offensive.

"In the routine examination of cerebrospinal fluid, what is the normal white blood cell count? In the biochemical examination of cerebrospinal fluid, what is the normal protein and sugar content?"

As soon as this question came up, the attending doctor next to him couldn't help frowning slightly.

These data are not required to be recorded by clinicians.

Because on the inspection report, the scope will be marked directly, so you can just compare it directly.

It's kind of hard to ask this kind of question.

Zhang Tianyang squinted his eyes and realized the other party's deliberation.

But when the soldiers came to block the water and earth, he paused and spoke directly.

“脑脊液常规检查的正常白细胞数为0-5*10^6/L，升高提示脑脊髓膜、脑实质的炎性病变；脑脊液生化检查的蛋白质正常范围为为0.15-0.45g/L，升高提示，糖的范围为2.5-4.4，升高和减低分别提示”

The answer this time is very long and detailed. It not only correctly answered the range, but also answered the significance of the increase or decrease of the result.

Over the top answer again!

Out of [-] points, [-] points!

Even though the ICU director came here with the purpose of finding fault, he couldn't help but be amazed.

This classmate Xiao Zhang is really solid in terms of basic knowledge!

If Zhang Tianyang was still a free man, he might as well break his head and grab him.

It's a pity that there is a mentor who likes to show off like Old Liu!

Since the off-the-wall questions won't bother him, let's move on to those questions that require clinical experience!

This tone must be fought back.

The director of the ICU narrowed his eyes, and suddenly waved his hand, "The new classmate is very good, everyone should learn from him! Alright, the next patient!"

Is this the end?

Brother Guipei, who was hiding on the side with a half bucket of water, didn't even dare to breathe. He finally breathed a sigh of relief when he watched the director of the ICU actually bypass the hospital bed and go to the next patient.

In the next second, he cast his grateful eyes on Zhang Tianyang.

Although I don't know why this buddy seems to be targeted by the director, but thanks to him, I saved my life!

The onlookers in white coats also seemed to realize something, looked thoughtfully at the director of the ICU, and then at Zhang Tianyang.

Involuntarily, their feet slowed down a step.

Before the bed of the second patient, the ICU director listened to the report step by step, did a physical examination, and guided the treatment.

After finishing the business, his eyes turned and fell on Zhang Tianyang again.

"Xiao Zhang, do you know why this patient needs sodium valproate?"

Zhang Tianyang cast a glance at the patient, and replied casually, "Control epilepsy."

"Do you know why you use Copic?"

"To relieve bronchospasm."

"Do you know why nebulization is required after endotracheal intubation?"

"Moisturize phlegm and avoid coughing."

"Xiao Zhang's answer is very good, everyone should learn from him. The next patient!"

If it seemed familiar, a kind of white coat followed in a trance, and came to the third patient's bed.

Subconsciously, they didn't get too close.

In the center, apart from the chief attending doctor and the bed doctor, there is only one Zhang Tianyang.

The other white coats, including the three residents, subconsciously retreated to the periphery, forming a circle from afar.

They all obviously realized who is the protagonist today.

Sure enough, after some medical history report, physical examination and medication guidance, the ICU director found Zhang Tianyang again.

"What is the possibility of elevated C-reactive protein?"

"Lung infection or gout."

"What does a high PCT indicate, and what does a value of a hundred indicate?"

"PCT is too high to indicate Gram-negative bacteria, and hundreds of highly suspected Pseudomonas aeruginosa."

"This patient has mold and conjunctiva, what are we to consider?"

"Consider whether there is bone destruction."

"What are the specific drugs for Gram-positive and Gram-negative bacteria?"

"The commonly used drugs for G+ are Vanguard, Teixo, and Kedu. The commonly used drugs for G- are Tezhixing, Meiping, and Teixao."

"Do you know how many ratings?"

"I don't know if you are asking about the NIHSS score, the GCS score, or the MRS score?"

Questions like a cannonball, answered without thinking.

The whole process produced a strangely pleasing feeling.

The three residents who didn't know about Zhang Tianyang's deeds developed from being slightly surprised at the beginning to respecting Zhang Tianyang.

The doctor in charge looked at Zhang Tianyang with increasingly scorching eyes.

The eyes of a group of white coats looking at Zhang Tianyang changed from gratitude, to pity, to surprise, to shock, to bewilderment, and changed again and again.

And the ICU director who was in it felt a subtle sense of refreshment.

This feeling, like it is.

As soon as you slap your butt, you know to change your position, as soon as you lie down, you know to sit up, as soon as you stand up, you know to kneel down, as soon as you kneel down, you know to poke up

It's not like other little doctors who just yell "Why did you hit me" when you slap him down.

For a simple question, Zhang Tianyang not only knew how to answer the question, but also quoted from many sources, and answered beyond the outline, saying everything in his mind, even what he didn't expect, all at once.

Really is a cool word!

Zhang Tianyang was still able to handle this big feeding technique in disguise, but the director of the ICU squinted his eyes comfortably.

Almost forgetting my purpose.

Fortunately, after all, he is an experienced and stable ICU director, and he suddenly found himself amidst the strong sense of refreshment.

After waking up, he was afraid for a while, and a thin layer of cold sweat broke out on his back instantly.

This classmate Xiao Zhang almost got him in!

No wonder several professors wanted to rob him, it turns out that Xiao Zhang's skills are so terrifying!

No, I can't forget the purpose of my surprise teaching rounds.

The director of the ICU was chattering in his heart to build himself up mentally, but after such a series of questions and answers, he could no longer be cruel to Zhang Tianyang.

Vaguely, there is even some meaning of pity.

Forcing himself to calm down, the ICU director came to bed 78, drove away the little nurse who was operating on the patient, and listened to Song Changkong's report on his condition.

Heaving a sigh of relief, the director of the ICU decided to burn the boat.

Since the questions he had prepared could not trouble Zhang Tianyang.

So, just ask yourself a question that you can't figure out!

"Student Zhang."

He nodded at Zhang Tianyang, "This patient is your teacher Song's patient, you should be familiar with his condition, right?"

Zhang Tianyang nodded slightly.

His eyes were a little erratic, intentionally or unintentionally, always drifting to the side, on the little nurse who was changing the water for bed 79.

He always felt that something seemed to catch his attention.

The director of the ICU cleared his throat and looked serious.

"Ahem, the evidence of this patient's blood infection is solid, but where did the blood infection come from? Do you have any ideas?"

He stared at Zhang Tianyang with piercing eyes.

If this kind of question, Xiao Zhang can also answer it.

he just

He knelt down and begged Zhang Tianyang to stay in the neurology department!

　Sapo rolls and asks for a monthly pass

　　

　

(End of this chapter)