Tao Le nodded. She is seeking truth from facts. Without her just now, this child really doesn’t know what would have happened!
"Well done!" Gao Yuan gave her a thumbs up: "Consider it and come to our PICU in the future."
Before he could finish his words, Bai De interrupted him with a sullen face.
"Lao Gao, stop nagging, the child is still waiting for treatment!"
"Hey, okay, the patient is the most important, but I will keep my words here today, Xiaotao, we need you in the PICU."
Until no one can be seen anymore, and the lingering sound of the plateau can still be heard.
Bai De said to Tao Le: "Director Gao looks easy-going, but in fact he has high standards and strict requirements. He rarely likes young people, and you are an exception."
Tao Le smiled: "Director Gao just wants to encourage me. I don't have enough experience now, so how can I be qualified to go to the intensive care unit?"
Bai De nodded. Indeed, whether it is ICU or PICU, the doctors and nurses inside are all experienced in many battles and are fighting against death all the time.
Solid medical skills, rich clinical experience, keen observation ability, ability to cope with complex situations, and strong psychological quality are all indispensable. No matter how excellent Tao Le is, he is only a trained doctor and is still in the learning stage.
Thinking of this, he asked Tao Le: "Xiao Tao, you also understand the situation of this child. If you were in the PICU, how would you deal with it?"
He asked exactly what Tao Le had been thinking about, so he answered without thinking:
"Oxygen was given, anti-inflammatory drip was given to reduce the fever, and Smecta and Mommy's Love were taken orally."
"How are you going to solve the problem of hyperosmolaremia?"
This was actually the question he wanted to ask. Hypertonic dehydration and hypernatemia, as usual, just need to replenish a large amount of saline intravenously to lower the blood sodium concentration.
However, if you really do this, and your blood level drops too quickly in a short period of time, it is very likely to cause cerebral edema.
Especially since the child is so young, the brain may have suffered some damage due to hypertonic dehydration and high fever. Coupled with cerebral edema, the prognosis is extremely poor.
He never thought that Tao Le could answer this question correctly.
But she certainly can't be blamed, because hypertonic dehydration is relatively rare, and because clinical experience needs to be accumulated slowly, no one can be born knowing it and be omnipotent.
Naturally, Tao Le was not born with this knowledge, but he really knew a lot about this disease.
At this time, she thought of Tang Wanhe, her mentor in her previous life. If it hadn't been for his teachings bit by bit, she would not have become the experienced person she was later.
"Today, I will continue to inject 5% glucose 250ML + 10% potassium chloride 5ML during the day. At night, I will give 5% glucose 250ML + 10% potassium chloride 5ML + 5% sodium bicarbonate 15ML, and physiological maintenance solution + 5% sodium bicarbonate 15ML. .”
"There is no rush and we will try to reduce the child's blood intake to normal levels within two to three days."
".Oh?" Bai De never expected such a standard answer from Tao Le.
Do you really understand this, or did you happen to see a similar treatment method somewhere and use it to deal with yourself?
"Tell me, what did you think about it?" he asked again.
"In the treatment of hypertonic dehydration, one-quarter to one-third of the tension should be used when rehydrating fluids to avoid a rapid drop in blood sodium and causing cerebral edema." Tao Le talked eloquently, confidently and calmly.
Come on, I wanted to use this case to teach Xiao Tao, but it turned out that others already knew about it.
How did this child learn to treat such a rare disease?
He suddenly felt a desire to win:
"The electrocardiogram shows sinus tachycardia. How should we deal with this?"
"The causes of tachycardia and hyperglycemia are due to fever, hypertonic dehydration, and insufficient intracellular water capacity. As long as the inflammation and fever are successfully suppressed, and the hypertonic dehydration is corrected, the heart rate will naturally drop."
Bai De suddenly felt helpless. It seemed that he was lying on the beach now, and the huge waves behind him had hit him, making him dizzy.
"That's right. The basic skills are very solid. Let's go back to the outpatient clinic. There are still many patients waiting in line!" He sighed.
The new issue of "Neurosurgery Medical Research" arrived. Yang Ruixue received the text message and immediately went to the mailroom to get it back.
There is new spiritual food! This excitement slightly washed away the haze that had enveloped her all morning.
She walked through the lobby on the first floor of the inpatient department and saw a steady flow of people.
It was almost noon, and there were more people at the door. Most of them were family members who came to deliver meals to hospitalized patients.
At this time, a couple came in from outside, with anxious expressions on their faces. The man was also carrying large bags and small rolls on his body: bedding and pillows, bowls, chopsticks and basins, counting everything.
Yang Ruixue had seen a lot of people like this. It must have been a relative who had just been hospitalized and came to deliver things.
The elevator arrived, a group of people came down, and a group of people went up.
Yang Ruixue did not crowd with them. The hospitalized patients were in a hurry to eat, but she was not in a hurry.
No, another elevator arrived soon, and besides herself, the couple stood up, very relaxed.
She pressed the seventh floor, and the couple pressed the ninth floor.
Oh, the ninth floor, the ninth floor is the pediatric ward, and there seems to be a small area designated as the PICU. From this point of view, these two should be the parents of the child.
As the elevator went up, the couple started talking.
"You just mentioned why Xiaobo stopped breathing. This scared me so much that I grabbed my things and came over quickly - what happened?" asked the husband.
"I'm still scared to this day. At that time, Xiaobo's face was purple, and I looked like I was out of breath - I was so scared that my hands and feet were cold, and I couldn't move even while standing there."
"Thanks to a female doctor from our pediatric department, she directly inserted a needle into Xiao Bo's chest. Guess what, he took a long breath and then woke up. His breathing was smoother than before!"
"Wait a minute, aren't the needles used to pierce the arms and buttocks? Why did they also pierce the chest?" the husband asked in confusion.
"I didn't make it clear. She probably studied Chinese medicine and used acupuncture needles!" the wife recalled.
"It turned out to be a Chinese medicine doctor. I didn't expect first aid to be so powerful at critical times. When Xiaobo is cured, we have to go and thank him properly." The husband said with a face filled with joy.
"This is what it should be, it's necessary!" his wife agreed.
Yang Ruixue listened to the conversation between the two and guessed the identity of the pediatrician.
Who else could it be, but Tao Le, who obviously studied clinical Western medicine, but just liked to show off acupuncture when he had nothing to do?
