Contract Lover: Mr.Huo, happy every night

"For on-site rescue, adrenaline is the first choice, correct hypoxia, improve respiration, anti allergy and anti shock, correct acidosis, and observe closely." One of the girls, who seemed to be wearing glasses and learning the bully type politely, was silent for a while. She was not very sure, but she spoke firmly and weakly about the main points of book knowledge that she could still remember.

Old Liu shook his head. Today's young people are hurt by the examination system. They only remember the rigid rules in the books, and all they can remember is the key knowledge used in the examination. They don't want to read even a word, let alone remember.

"It's not detailed and vivid enough, but it's OK, to be considered." After thinking about it, Liu decided not to make a decision directly, but looked at the others again. His eyes contained a complex emotion of expectation and disappointment, and slowly opened his mouth: "do you other people have anything to add?" Words are full of earnest and kind words.

Lu Yiting only looked at all this quietly. She didn't like to be in the limelight, but she wouldn't miss her own opportunities in vain. After making sure that no one can completely and accurately answer questions that are completely basic knowledge to her, she is finally ready to speak.

The old man seemed to see that she had signs to answer, and looked at her with expectation, hoping that the girl from the city doctor could give herself a different answer, so that she could feel the hope of the younger generation. Instead of a puppet without inner fluctuation, just learning for learning, you can't see your love and enthusiasm for this major at all.

Such people have been working in this industry for a long time. Based on the fierce competition and hard work in this industry, they are not the place where people without love can stay for a long time. Although the sparrow is small, his own small clinic should have all the five internal organs, rather than really becoming an empty shell.

At least, Liu Lao, she hopes so. Even if I am in a private clinic for profit, I don't want to have no benevolence of doctors here. Only cold machinery and money transactions between people have no human touch.

Although this is an alternative and rare existence in China's medical industry, it is not that such people do not exist. They often insist on what they think stubbornly and alone, especially those craftsmen of the older generation. They often have a career they love and adhere to, which is worth fighting for, and they will never regret to devote their whole life to it.

This is the spirit and perseverance that modern young people lack, but it can only make people sigh. There are fewer and fewer such people, and the society is indeed more and more impetuous.

"At this time, we should immediately stop taking medicine, make the children lie flat, pay attention to keeping warm, acupuncture people, and notify the doctor for rescue at the same time. Then immediately inject 0.5 ~ 1ml of 0.1% adrenaline hydrochloride subcutaneously. This amount is adjusted according to the age of the child, and there is no rigid standard. " Lu Yiting's crisp female voice suddenly sounded, which brightened Liu's eyes.

"If the symptoms are not relieved, 0.5ml can be injected subcutaneously or intravenously every half an hour until it is out of danger. At the same time, oxygen inhalation shall be given immediately. When breathing is inhibited, mouth-to-mouth breathing shall be carried out immediately, and respiratory stimulants such as nicothamide or lobeline shall be injected intramuscularly. When laryngeal edema affects breathing, endotracheal intubation should be prepared immediately or tracheotomy should be performed in cooperation. "

When Lu Yiting said this, her eyes were thinking. It seemed that she was recalling her understanding of a small clinic in recent days and her observation when she entered the clinic for an interview. This small clinic is indeed a sparrow. Although it is small and has complete liver and gallbladder, and there are basic oxygen tanks, she is not sure whether other things can be found and put into use in time.

"Well, Dr. Liu, a digression. I'm not sure whether there are respiratory stimulants such as nicothamide and lobeline in our clinic. Moreover, in terms of environment, after endotracheal intubation and tracheotomy, we should immediately transfer the child to a superior hospital for monitoring and treatment. After all, it's not sterile enough, the flow of people is large and miscellaneous, and there is a risk of infection. "

Liu nodded admiringly to Lu Yiting, admiring her deeply. The little girl was thoughtful and observed carefully enough. For the first time, she saw the oxygen tank in the corner. The rescue plan and follow-up plan can also be put forward appropriately. It is a real material in the stomach, not a vase.

Sure enough, I was right. People who came out of the city doctor have never been ordinary. At least it can be compared with these young people who have just left the campus and some little nurses who have been mixing in third-class medical institutions. With more knowledge and a wide range of understanding, it is natural to look at problems at different levels.

"Go on, little girl." She answered softly to avoid embarrassment. After all, those little girls around are a little stunned. They don't understand why Lu Yiting, a seemingly weak girl, can say so much at one breath. It's like she has experienced it personally. She can squeeze it easily.

But what they don't know is that in the city doctor, Lu Yiting has experienced many storms, but what is always remembered is only shortcomings and black spots. Those shining points are always remembered by close people and will be remembered only after great success.

Ignoring the consternation of the people around her, Lu Yiting nodded to Liu, who was smiling in front of her, and continued to talk about the relevant operation processes she could remember, which were in line with the reality at the same time.

"The next step is to give dexamethasone 5 ~ 10mg intravenously or hydrocortisone 200mg plus 500ml of 5% or 10% glucose solution intravenously according to the doctor's advice, and give pressor drugs and antihistamines according to the condition. If the child is found to have cardiac arrest, extrathoracic cardiac compression should be performed immediately. "

After talking so much at once, Lu Yiting was also a little tired. She paused, changed her breath and continued to finish the rest“ Nurses should make detailed records and closely observe the patient's temperature, pulse, respiration, blood pressure, urine output and other clinical changes. Make nursing records for the dynamic state of the disease. The child is not out of danger and should not be moved. "

Looking at Liu Lao and the other candidates who haven't moved for a long time, Lu Yiting is a little uneasy, but a little puzzled. Did you say something wrong?

No, these are the real process of rescuing a case of penicillin anaphylactic shock in children with Chen Shaoyang when he was in the municipal doctor at that time. It is reasonable to say that there will be no mistake, otherwise the child would not have been rescued in a very short time.