Chapter 54: The Role of Dialysis Fluid
Translator: 549690339
Ordinary dialysis fluid configuration is generally not difficult.
However, against different diseases, it is actually necessary to configure different dialysis fluids, which is the key to dialysis fluid configuration!
It is not as simple as just rinsing and disinfecting it with dry powder!
In the central dialysis fluid preparation room, Chen Cang looked at the large barrels and various instruments and dry powders in front of him, feeling an inexplicable sense of familiarity.
He never expected that what he thought was a trivial skill in dialysis fluid configuration could become his forte!
Just like the ready-made dialysis solution used at the Second Provincial Hospital, Chen Cang didn’t need to make many adjustments, but actually, there are better methods, such as some proportional control in the dialysis solution, that can achieve a relatively good dialysis effect.
The main components of the dialysis solution are sodium, chloride, calcium, magnesium, sodium lactate, and glucose, which maintain a relatively balanced dialysis environment with the human body, so the constituents do not differ that much.
For patients with methanol poisoning who need peritoneal dialysis to improve their blood condition, it is also necessary to correct the poisoning!
Wang Xiangjun became somewhat anxious, “Chen, hurry up!
Chen Cang shook his head, “Director, I need to take a look at the patient’s lab report before making the mixture. Different patients have different conditions, and the specific values for mixing the dialysis solution also need to be adjusted, and even some additional drugs may need to be added.”
The people present were stunned at these words!
This is the work of an expert!
Although they didn’t understand, this did not stop them from being amazed.
There’s a term called “incomprehensible but impressive.
All this time, everyone was using the standard dialysis solution, who would have thought of “personal customization”!
Wang Xiangjun was also bewildered by Chen Gang’s words, thinking to himself, has the emergency department of the Second Provincial Hospital become so formidable? Where did they bring in such an expert? So young, could he be… a returnee from abroad?
With this thought, Wang Xiangjun felt he needed to strengthen talent acquisition this year. Recruitment for the Provincial Direct Hospital was about to begin, and he decided to ask the leaders for a few more slots to solidify the status of the First Affiliated Hospital of East University.
Wang Xiangjun nodded and signaled for someone to bring the medical records.
Chen Cang spent a few minutes familiarizing himself with the patient’s condition and then began to think immediately!
A few minutes later, he started the proportioning work!
After cleaning up, Chen Cang entered the clean area and began configuring the first person’s dialysis solution!
First was the preparation of the concentrated B solution. He prepared the necessary dry powder and, after cleaning the B dialysis barrel with dialysis water, began to pour the B powder into the barrel.
The First Affiliated Hospital of East University uses Fresenius, so the ratio is done according to Fresenius’s proportions.
A: B: Dialysis is at a ratio of 1:1.225:32.75.
For the concentration of potassium ions, Chen Cang chose i.25-i.75mEQ/L and after hesitating slightly, decided to add an acetate-free buffer solution.
Time passed by, minute by minute, with the people behind watching Chen Cang nervously.
It wasn’t much later when Chen Cang turned around and said to everyone, “This is the dialysis solution for patient in bed 5, it’s ready to use.
It must be said, Chen Cang discovered that preparing dialysis solutions requires a systematic, medical thinking.
Because you have to consider many aspects of the patient’s situation!
For example, the patient just now has heart disease, which requires a low- calcium mix to reduce the cardiac burden; otherwise, methanol poisoning combined with increased heart stress can have quite serious consequences.
And glucose comes in three concentrations: 1.5%, 2.5%, and 4-25%. The higher concentration of glucose in the dialysis solution, the greater its osmotic effect.
As time ticked away, people did not dare to disturb Chen Cang.
When Chen Cang had finished configuring the last person’s peritoneal dialysis solution, a medical staff member ran in!
“Director, patient in bed 5 has woken up!”
Wang Xiangjun was completely stunned!
Was the effect so remarkable???
“Awake? Come, let’s go check on the patient!”
Not long after, Wang Xiangjun hurriedly ran back!
By this time, the patient’s condition had noticeably improved. Although still somewhat confused, at least they had woken up.
Seeing the patient awake, Director Wang Xiangjun was naturally ecstatic! “Dr. Chen! I can’t thank you enough, the solution you prepared was incredibly effective. The patient has regained consciousness, and the symptoms of poisoning have begun to alleviate. I’m really grateful to you!” At this moment, Wang Xiangjun was extremely excited, since, as a doctor, nothing made him happier than seeing a critically ill patient successfully treated!
Just then, Wang Xiangjun’s phone rang, and it was still Tian Kai! “Director Wang, I’ve had the dialysis fluid delivered by the manufacturer. It’s now in the hospital courtyard; please have someone collect it. I’ll be at the hospital shortly. We must ensure this rescue operation goes well!” Wang Xiangjun snorted coldly. This Dean Tian really was a bully when you showed weakness and a coward when you stood firm!
However, since it had been delivered, it was time for Chen Cang to head back.
Wang Xiangjun looked at his watch, it was already half-past twelve!
He was suddenly taken aback!
He apologized with a smile, “I didn’t notice it was so late… Dr. Chen, you’ve worked hard. Go back and rest!”
“Thanks to you for today’s work, I still have things to do here and can’t leave. How about this, I’ll visit your hospital tomorrow to personally express my gratitude and have a good talk with your director!
Chen Cang smiled, waved his hand and to be honest, he was really tired today! First, he had sutured 65 patients, then he rushed to perform two peritoneal dialysis catheter insertions, and after that, he rushed here to prepare the dialysis solution. From six o’clock until twelve, he hadn’t stopped for a moment.
He was truly exhausted…
Chen Cang felt like his back wasn’t his own anymore.
Maybe he also needed to take some time to “nourish the kidneys”?
“You’re being too polite, Director Wang. You’ve worked harder than I have, this is all part of our job.”
Chen Cang looked at this middle-aged man with a bald head, unremarkable in appearance, yet containing a fervent power in his being, shining and radiating warmth at every moment.
This was the spirit of the old generation of Nightingales!
The medical profession is easily influenced by the atmosphere.
Heroes always need a background to highlight them, but doctors only leave behind silhouettes, not backgrounds.
Chen Cang turned around and saw Wang Xiangjun, over fifty years old with a clearly balding head, hunching over as he ran into the emergency room. He couldn’t help but sigh.
Life, there are always some people who have to bear the burdens others cannot! This is what is called the unbearable weight of life, isn’t it?
For the health and safety of everyone’s life, there are always some people who press on despite the heavy load!
Chen Cang walked out of the hospital and saw the little yellow bike he had parked there still waiting, and a sense of happiness filled his heart. Immediately he cheerfully scanned the QR code to unlock it and pedaled hard towards the hospital.
Actually, feeling excited is really simple.
As simple as not wanting to walk when you step outside and finding a shared bike right there.
As simple as the relief that comes from helping others solve problems.
As simple as looking forward to a good sleep once you return…
In the night, Chen Cang unconsciously hummed a tune as he slowly made his way toward the Second Provincial Hospital.
The moonlight of August scattered over his shoulders, but what illuminated the path ahead was just an ordinary streetlight.
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