Auto chess in the operating room

Chapter 66 Tenement House No. [-]!

The nurse's hand holding the needle trembled slightly, but she hid it well, and looked at Tang Lou with a senior attitude, with a straight face: "Doctor Tang, I have participated in more operations than you think. Many. This kind of injection work is extremely skilled, and it is impossible to make mistakes."

As she spoke, the nurse steadily held the needle upright, and showed the level of the liquid to Tang Lou: "Intravenous injection of furosemide, the dose is controlled between 35-80 mg, maybe I can control it more accurately, you see, In fact, it reached the minimum standard of 35 mg, and it may be because of the angle just now that you misunderstood that I did not meet the minimum standard."

After the nurse finished speaking, she was naturally ready to continue the needle injection.

"Who told you that the dose should be controlled at 35-80 mg? In the section "Pharmaceuticals" on sterilizing agents and sterile preparations, preparation of injections, it is clearly recorded in the section that intravenous furosemide is the preferred diuretic, and the dose is 40-80 mg. mg, usually in patients who have not previously used diuretics, and if not effective, the dose can be doubled."

"The lowest dose is also 40 mg. If there is no effect, it will only be doubled. How can there be 35 mg?"

Tang Lou looked at the nurse with a smile on his face. If he changed to an intern who was not sure, he might really be bluffed!
ER Syndrome (three stars, 9) is certainly convinced by the simple diuretic dose range.

The nurse's face was blushing. She can accept being exposed, but it's a bit scary for you to tell the source in detail.

"If there is no other doubt, follow the dose of 40 mg and re-inject."

Tang Lou ordered with a serious tone.

"Okay, Doctor Tang."

The nurse nodded hastily. After all, in the operating room, as long as you have the ability to convince the crowd, everyone will follow suit.

Tang Lou glanced around, and continued to explain and give instructions to the medical staff: "The patient's electrolyte abnormalities are hyponatremia, hyperkalemia, and metabolic acidosis. The latter two are due to renal tubular damage. resulting in decreased renal potassium and acid excretion."

"Hyponatremia, which has resolved with diuretic drainage, but hyperkalemia must be treated immediately with insulin, glucose, and potassium resin preparation."

After talking about the reagents, Tang Lou looked directly at the medical staff, who all went to get the corresponding reagents immediately, and controlled the dosage under Tang Lou's watchful eyes.

"can."

After getting Tang Lou's approval, everyone continued to simulate the injection.

"Symptoms of acidosis that can be treated with bicarbonate."

"Okay, Doctor Tang."

A nurse prepares the bicarbonate seriously, and then simulates infusing the patient.

Tang Lou looked at the nurse patiently, staring at her face until he saw the fury in her heart.

"What's wrong, Doctor Tang?"

The nurse said modestly, but thinking that she was the examiner, she puffed up her chest and continued the infusion not to be outdone: "Is there a problem, Dr. Tang?"

"Questions?"

Tang Lou walked up and down, picked up the bottle, and looked at it: "The dosage, technique, and speed of dripping are all just right, and the technique is very good."

"No, I'm very experienced."

The nurse proudly boasted that she is indeed a very experienced nurse in the emergency department, and has pierced more patients than Sister Rong has pierced maids!

"Since you are a senior, why don't you even know how to check the most basic acid-base balance? If you continue to inject bicarbonate, you don't know that the pH will be out of balance. Do you want to inactivate all the enzymes and other biomolecules in the patient's body? Are you a rescuer? Man or murder?"

Tang Lou scolded his head and covered his face, trying to show off his acting skills?

Looking at the aggressive and snotty Tang Lou, the nurse wanted to protect the dignity of the middle-aged woman, but what they said was not wrong at all.

If Tang Lou was a few years older and dared to be so aggressive with her, she would just lie down!

"I"

"You what you, will it be possible to test the acid-base balance? Would you like me, the attending doctor, to tell everyone to stop, and I will teach you how to swing the instrument!"

Seeing Tang Lou furious in the ward, for some reason, all the directors in the field saw him training his younger brothers.

After all, in the hospital, it is very common for a superior doctor to scold a subordinate doctor for making mistakes.

Tang Lou is already very polite!

"Ha ha."

Several directors looked at each other, as if a few mobile watering cans were saying a long time ago!Nice to meet you!

"This kid, it's interesting."

Diao Xiwen pointed to the screen: "In the busy emergency room, you can find a nurse's infusion dosage error, and you can accurately find the source of the correct dosage. I don't think everyone here may be able to do it, right?"

"That's right, Tang Lou is really powerful. The dose of the most difficult diuretic in this round, as well as the test pH during the bicarbonate injection, are enough to show that he has solid knowledge reserves, calm mind on the spot, and amazing observation skills. This time The round is worth 10 points.”

“Wouldn’t it be great if he scored 10 points?”

Sure enough, a few minutes after this sentence fell, the real-time leaderboard was updated:
No.1唐楼 6+9+8+8+10+10+10=61
No.2杨铭 10+9+8+10+7+8+8=60
There was silence in the judging room, and in the contestants' preparation room, the remaining contestants were also stunned.

Since the start of the game, the most incredible thing has happened.

Yang Ming occupied No.1 for two days, and Tang Lou got three perfect marks in a row, miraculously surpassing him!

"Amazing!"

There was an explosion in the judging room.

"Good boy, good boy."

Shen Jun clapped his hands vigorously, regardless of his identity. The corners of his wrinkled eyes were even glistening.

Tenement!Tenement!
Shen Jun clenched his fists and silently recited Tang Lou's name in his heart.

After dozens of seconds, everyone woke up from the surprise,

Cheng Jian also cleared away the dark clouds these days, and he was very satisfied and proud to see Tang Lou, but his eyes were still as vicious as ever.

"Director Shen, your county hospital has produced an amazing talent!"

Cheng Jian praised sincerely.

"Qianlima also needs Bole. If it wasn't for Director Cheng who came back to name Tang Lou after watching the operation that day, maybe it really wasn't him who was here today."

Shen Jun whispered to Cheng Jian commercially.

"You're welcome, you're welcome, it's Xiao Tang who deserves it!"

Cheng Jian laughed, his face beaming with joy.

At this moment, his cell phone rang. He picked it up and listened:
"Hey, what, you said that Xiaoya started to have abdominal pain? Are the detection electrodes ready? Okay, okay, you guys will start the detection of epilepsy waves right away, I'll come over now!"

Cheng Jian put down his cell phone and stood up quickly. Everyone realized something from his few words.

"The little girl started having abdominal pain again. If the epileptic wave is successfully detected, her illness that has lasted for several years can be diagnosed!"

Cheng Jian spoke loudly to the crowd, and then began to squeeze outside: "Everyone, go ahead, I'll go back as soon as I go, and wait for my good news!"

Cheng Jian didn't wait for the crowd to respond, and rushed out. As he walked, the mobile phone with the screen still on was swinging with his arm, blinking.

It's like cheering for someone, cheering!
(End of this chapter)