Chapter 142

Xiao Chenguang took various measures to deal with the patients who found it difficult for them to deal with.

Analgesia, sedation, deep venipuncture, and physical cooling with fans.

Each of them was a measure they had never thought of and did not dare to implement alone.

Propofol is used as a sedative for general anesthesia surgery. While it is deeply sedated, it can easily cause respiratory depression.

That is to say, the respiratory rate slows down and irregular deep breathing occurs.

This in turn affects heart rate and blood pressure.

Therefore, extreme caution is required when using it on patients who do not have an artificial airway.

When the nurse brought the milky white propofol, Gong Liang seemed a little nervous.

"Director Xiao, can this be done?"

"certainly."

Xiao Chenguang was very calm. He visually checked the height and weight of the injured person and said, "Give him an intravenous injection of 10ml and change the dressing after a while."

"so much?"

Nurse Wang Jia was a little surprised. She held the tube of "milk" in her hand and heard the nurse in the anesthesiology department say that she only needed to push 3-5ml to numb a patient who was still talking in an instant.

But Xiao Chenguang used 10ml as soon as he started using it, which was too much.

"Burn patients have the highest pain level, so the dosage of analgesics and sedatives must be doubled."

Xiao Chenguang's mind came to mind with a variety of pain rating scales that were commonly used later, and he already had a general understanding of the current patients.

Sedatives like propofol have long since been used as an auxiliary examination for painless outpatient gastroenteroscopy.

As for the effect, everyone who has used it says it is good.

As the medicine was injected into the body, as Xiao Chenguang expected, the patient who was screaming just now was immediately numbed.

Gong Liang and Wang Jia guarded the patient nervously, for fear that something would go wrong.

But the patient seemed to be sleeping soundly, and his breathing pattern and appearance were all normal.

Upon seeing this, they hurriedly moved the patient to bed and changed dressings on his body. They were very busy, but the patient still slept soundly and did not feel any pain at all.

"Director Xiao, this is amazing!"

After being connected to ECG monitoring, the patient's vital signs were stable. Wang Jia, who was in charge of monitoring, was already in awe of Xiao Chenguang.

"Jiajia, how do you know so clearly whether my director is great or not?"

Seeing that the patient's condition improved, Gong Liang felt much more relaxed.

He put his arm on Wang Jia's shoulder and started driving the train in a familiar manner.

"Am I familiar with you?"

Originally, Wang Jia was a little shy when Gong Liang was joking about her and Xiao Chenguang.

He even took a peek at Xiao Chenguang's reaction.

Unexpectedly, the latter's attention was entirely focused on the burn patient. As for Gong Liang's car, let alone getting in, he didn't even open the door.

Just when Wang Jia was slightly disappointed, Gong Liang's hands slowly reached out. Wang Jia, who had nowhere to vent his anger, directly pressed his elbow on Gong Liang's rib wishbone.

"Cough cough cough!"

This elbow hurt Gong Liang so much that he even felt vaguely angry.

He didn't expect that Wang Jia, who was usually good at making jokes, was on the receiving end of a gun today?

Why are you so violent!

"Director Xiao, this is the puncture kit from the anesthesiology department. How can I help you?"

Just after he finished confronting Gong Liang, Wang Jia came to Xiao Chenguang respectfully, with a hint of admiration in his tone.

"It's nothing. It's just like a regular puncture. Prepare sterile iodine, gloves, and suture needles."

"Okay, I'll get ready right away."

Wang Jia listened carefully, acted quickly, and began to actively prepare according to Xiao Chenguang's request.

"Wang Jia, your different treatment is too obvious."

Gong Liang's eyes were filled with tears. He didn't know whether it was because he hadn't slept all night or because he was poked by Wang Jia's elbow just now.

"Director Xiao is capable and has methods to treat serious illnesses. When you reach this level, I will be gentle to you."

Wang Jia replied very directly.

"Then I probably won't be able to see your gentleness in this life."

Gong Liang was about to cry but had no tears. How could this be possible if he were to be on Xiao Chenguang's level?

Ever since he went home with Xiao Chenguang, Gong Liang realized that geniuses also need to practice harder.

On the wooden table in the rental house, there are half towering books and half neatly displayed sewing tools.

Xiao Chenguang maintains his feel and hone his skills all the time, whether at work or after get off work.

Gong Liang can come forward.

He can't wait to get off work with his fingers crossed, go out on a date, drink and brag with friends. Anyway, as long as it's not a hospital job, he's pretty good at it.

At this time, Wang Jia had already prepared all the items, and Xiao Chenguang opened the deep venous puncture bag and began to place a deep venous tube on the patient.

Skillful operation once again appeared in front of everyone's eyes.

This patient had extensive burns on his skin, so many positioning techniques could not be used.

Even with the most basic skin disinfection, Xiao Chenguang needs to be careful for fear of irritating the inflamed skin.

But even so, Xiao Chenguang still operated quickly.

The puncture was so precise and precise that Wang Jia, who was assisting at the side, didn't even react.

After the follow-up guidewire, needle withdrawal, and indwelling deep vein catheter, the entire process is completed in an instant.

Gong Liang stood there blankly, watching Xiao Chenguang's operation. Apart from admiration, he couldn't find any other words to describe it.

"The patient's heart rate is fast and his blood pressure is low. We should consider the volume insufficient and give him..."

Xiao Chenguang calculated based on the burn rehydration formula, based on the patient's weight in kilograms and the burn area.

Approximately 12,000 ml of fluid should be replenished.

What a concept.

Equivalent to the 330ml bottled water of Nongfu Spring that we usually drink, a total of 36.36 bottles.

This is just the amount of fluid for the first day.

"So much?!"

When Gong Liang heard the amount of fluid Xiao Chenguang gave the patient, he was stunned.

Not only him, but also Wang Jia beside him showed the same expression.

"Yes, that's right, and of the 12,000 fluids, 6000ml must be directly infused into the patient's body in the first eight hours to support his circulation."

As Xiao Chenguang explained, everyone was stunned.

"Oh my God."

"No wonder Director Xiao wanted to indwell him in a deep venous catheter. At this rate of fluid infusion, I opened five lines of fluid for him from the superficial vein, but I couldn't fill it up."

Wang Jia was shocked.

Gong Liang was the same.

No wonder the patient kept shouting thirsty in the emergency room, it turned out that his fluid infusion speed was too slow.

As Wang Jia pushed a cart of crystalloid fluid, she opened all the fluids to the maximum and directly poured them into the patient's body through the deep venous tube.

In a short while, Wang Jia had changed several bottles of liquid.

And such a speed of fluid replacement had an immediate effect.

The patient's heart rate began to gradually drop to an acceptable range, and his blood pressure was also rising steadily.

"Not bad, the effect is very good."

Xiao Chenguang nodded, and seemed very satisfied with the patient's current condition.

He looked sideways at Gong Liang: "Have you told the family about the electric fan just now?"

"Yes, they have already bought it."

Soon, the family sent the purchased electric fan to the small ICU.

"How do we do this? Blow it on him?"

Gong Liang held the electric fan, and the image of Xiao Chenguang holding a water pipe and spraying water on the patient immediately appeared in his mind.

"That's right, and it also needs to cool down a large area."

After that.

Xiao Chenguang lifted the sheet on the patient, plugged in the power of the fan, and blew it directly on the patient's exposed skin.