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Chapter 387 Clinical Pharmacist

Chapter 387 Clinical Pharmacist
Dean Song only took 2 minutes to solve Liu Tangchun's obsessive revenge, and he also added some obstacles to the Second Court by the way.Although this was not Dean Song's original intention, it is naturally a good thing to achieve such an effect without having to bear any serious consequences.Not only can it divert Secretary Chen's attention from "informal doctors participating in the rescue", but he can also get two ECMOs that are shamelessly wanted by the second hospital. This win-win situation makes President Song very happy.

"Go and keep an eye on it. After the person leaves, hurry up and call the HR department." Seeing Secretary Chen leave, Dean Song lowered his voice and said to Director Zang beside him, "Get that Yankee's job done quickly. You can’t make mistakes in this kind of thing.”

Director Zang sighed. He bought five big lamb kidneys online, and they arrived today.Originally, I was planning to go back and make some preparations. Today, I lived a two-person world with my wife-the child was sent to my grandfather's house, and I will be back tomorrow.But President Song's instruction... I'm afraid I will have to work overtime at the hospital again tonight.

After [-] years, Director Zang felt the malice from life.

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"The condition is okay, at least it looks stable for now." In the emergency room, the conditions of the three patients are all okay.Although there is still a long way from "health", at least it is not to the point of needing rescue.Sun Lien sucked the coffee into his mouth, looked at the data of the three cardiopulmonary monitors through the glass wall of the clean room and nodded.As long as it doesn't deteriorate too quickly, as long as it can be delayed until the antibiotics start to work, there is still cure.

Some patients with pneumonic plague progress very rapidly.It is often the doctors who have just diagnosed the plague, and the patient will die.But as long as it lasts until the treatment starts to work, there is at least hope.

This is indeed a race against death.

"The blood gas results came out, and all three of them have acidosis to varying degrees." Yuan Ping'an wiped his mouth with a napkin, walked up to Sun Lien and whispered, "Sodium bicarbonate has been used for all three of them, but Zhou Ce It is recommended to give them dialysis to reduce the burden on the kidneys."

"Does the nephrology department agree with this suggestion?" Sun Lien looked at the blood gas analysis report, and it was indeed metabolic acidosis. "Will going on dialysis affect the effectiveness of antibiotics?"

"The pharmacists from the Department of Nephrology and Pharmacy discussed it, and they came up with a comprehensive plan." Like Doraemon, Yuan Pingan took out a piece of paper from another pocket, "While maintaining the intravenous drip of antibiotics Dialysis. After dialysis, an additional infusion of 0.74 grams of cefpiramide can reduce acid-base disturbance and serum creatinine (SCr) levels while ensuring blood drug concentration.”

The clinical pharmacist in the pharmacy department is a new profession, which originated in the United States, and is currently a relatively scarce new profession in China.Unlike pharmacists in general pharmacies, the main job of clinical pharmacists is to assist doctors in clinical treatment to choose more suitable drugs.In terms of occupational nature, clinical pharmacists have the same nature as transfusion medicine and anesthesiology.They are all important positions to assist clinicians in their work.In addition to ordinary licensed pharmacists, the pharmacy of the Fourth Hospital currently has three clinical pharmacists.

"Understood." Sun Lien thought about it for a while. Sun Lien could understand the principle of the suggestions given by the clinical pharmacists, but he couldn't understand how the 0.74 grams of cefpiramide was calculated—not to mention the 0.5 grams of dosage How should the cefpiramide injection be divided into 0.74 grams.However, professional issues should be handled by professionals. Since both the nephrology department and the pharmacy department feel that there is no problem, then there should be no problem. "Then let's get started."

The doctors wearing P4 protective suits have changed from hospital infection doctors to doctors and nurses in the dialysis room of the Department of Nephrology.It can be seen that the nurses in the Department of Nephrology should be wearing P4 protective clothing for the first time, and the tense expression even carried the meaning of seeing death as home.And they arrived at the emergency room together with three hemodialysis machines.

"Don't be nervous." Hu Jing, the head nurse, was checking the equipment for these young nurses, "It's the same as usual, except that you're wearing two extra clothes—those patients are not monsters, they also need your help Ordinary people. Don’t be nervous, just follow the usual operating procedures.”

"Everything else is easy to talk about." The leading nurse touched the gloves on her hand a little anxiously, "But with such thick gloves, the blood vessels can't be felt out, so if you don't pinch the needle firmly when inserting the needle..."

"You don't have to worry about this." The doctor from the CDC suddenly said aside, "If you are worried about this, we can do the needle injection - you are responsible for commanding and operating the machine, we really don't care about the hemodialysis machine. will use."

The best way to control the spread of disease is to minimize contact with other people and patients.Plague can be transmitted through blood. If these nurses slipped their hands and were pierced by needles containing Yersinia pestis, it would be another case of occupational exposure to plague.The risk is too great, so it's better to let the doctors of the CDC do it. Anyway, they have done things like blood collection while wearing protective equipment.

"Then let them come." The head nurse Hu Jing directly agreed on behalf of the nurses in the dialysis center, and at the same time she whispered to the nurse in front of her, "Xiao Liu, this doctor is very handsome, are you interested? Aunt Hu Can you inquire about it for me?"

The sudden joke dispelled Nurse Liu's nervousness. She patted Hu Jing on the shoulder with a smile, and then picked up the medical bag at her feet - which contained the prepackaged tubes needed for dialysis, "Girls, let's go!"

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"It's done here." In the clean room, three machines were turned on one by one, and the nurses in the dialysis center finally breathed a sigh of relief.With the help of doctors from the CDC, they successfully completed the dialysis intubation and fixation of the three people, and began to perform dialysis treatment on the three people according to the scheduled procedures.The entire dialysis treatment is expected to take about two hours.

"Thank you, everyone." Seeing that the dialysis had started, the doctors from the CDC began to chase people away with a polite sentence, "Please pass through the airtight door one by one and wait in the airtight door for 2 minutes. You can go out."

"The machine needs to be guarded, and you can't handle it." Nurse Liu directed her little nurses into the airtight door one by one, and then said to the doctor at the CDC, "I'll just stay here—two Turn off the phone in an hour and I'll go out again."

The doctors from the CDC exchanged glances with each other, then nodded, "There is a stool next to it, you can sit there - just wearing P4 protective clothing, some people may feel a little claustrophobic If you feel uncomfortable, you can tell us loudly, no matter what, don't open the protective clothing here."

"Understood." Nurse Liu nodded. She glanced at her colleagues who looked worried outside, and then smiled and said to the doctor at the CDC, "If you feel uncomfortable, I will shout to you."

(End of this chapter)

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