The nurse's hand holding the needle trembled slightly, but she concealed it very well. Instead, she looked at Tanglou with a senior attitude and said with a straight face: "Doctor Tang, I have participated in more surgeries than you think.

Duo. This kind of injection work is extremely skillful, and it is impossible to make mistakes."

As she spoke, the nurse held the needle upright with her hand steadily, and presented the liquid level to Tang Lou: "Inject furosemide intravenously, and the dose is controlled between 35-80 mg. Maybe my control is more accurate. You see,

In fact, it reaches the minimum standard of 35 mg. It may be because of the angle just now that you misunderstood that I did not meet the minimum standard."

After the nurse finished speaking, she naturally prepared to continue the injection.

"Who told you that the dose should be controlled at 35-80 mg? In the chapter on sterilants and sterile preparations and the preparation of injections in "Pharmacology", it is clearly stated that intravenous furosemide is the preferred diuretic and the dose is 40-80 mg.

mg, usually in patients who have not previously taken diuretics, and if there is no effect, the dose can be doubled."

"The minimum dose is also 40 mg. If it has no effect, it will only be doubled. How can it be said to be 35 mg?"

Tanglou looked at the nurse with a smile. If it were another intern who was not so sure, he might have been fooled!

Emergency Comprehensive (three stars, 9) is certainly convinced about the simple diuretic dosage range.

The nurse's face turned red. She could accept being exposed, but it's a bit scary for you to tell me exactly where you came from.

"If there are no other questions, just re-inject at the dose of 40 mg."

Tanglou ordered in a serious tone.

"Okay, Doctor Tang."

The nurse nodded hastily. After all, in the operating room, as long as you have the ability and can convince everyone, everyone will follow your lead.

Tanglou glanced around and continued to explain and give instructions to the medical staff: "The patient's electrolyte abnormalities are hyponatremia, hyperkalemia, and metabolic acidosis. The latter two are due to renal tubular damage.

Caused by reduced renal potassium and acid excretion."

"Hyponatremia has been resolved by injecting diuretic fluids, but hyperkalemia must be treated immediately with insulin, glucose and potassium resin preparations."

After talking about the reagents, Tang Lou looked directly at the medical staff, who immediately went to get the corresponding reagents and controlled the dosage under Tang Lou's gaze.

"Can."

After getting Tanglou's approval, everyone continued the simulated injection.

"Symptoms of acidosis can be treated with bicarbonate."

"Okay, Doctor Tang."

A nurse carefully prepared bicarbonate and then simulated infusion to the patient.

Tanglou looked at the nurse patiently, staring at her face until he saw that the other person was feeling confused.

"What's wrong, Doctor Tang?"

The nurse said humbly, but thinking that she was the examiner, she puffed up her chest and continued the infusion unwilling to be outdone: "Is there a problem, Doctor Tang?"

"Is there a problem?"

Tanglou paced, walked closer, picked up the bottle, and looked at it: "The dosage, technique, and dripping speed are all just right, and the technique is very good."

"No, I'm very experienced."

The nurse proudly boasted that she was indeed a very experienced nurse in the emergency department and had pricked more patients than Grandma Rong had pricked the palace maids!

"Since you are a senior, why can't you even do the most basic test of acid-base balance? If you continue to inject bicarbonate, you don't know that the pH will be imbalanced. Do you want to inactivate all enzymes and other biomolecules in the patient's body? Are you a rescuer?

People or murder?”

Tanglou scolded her head and face, trying to show off her acting skills?

Looking at the aggressive and noisy tenement house, the nurse wanted to protect the dignity of the middle-aged woman, but what she said was absolutely correct.

If Tanglou had been a few years older and dared to be so cruel to her, she would have just laid down!

"I..."

"What are you doing? Do you know how to test acid-base balance? Do you want me, the attending doctor, to ask everyone to stop so that I can teach you how to swing the instrument?"

...

...

Looking at Tanglou going crazy in the ward, for some reason, all the directors in the room saw their own figures training their juniors.

After all, in hospitals, it is very common for superior doctors to scold junior doctors for making mistakes.

Tanglou has been very polite!

"hehe."

Several directors looked at each other, as if several large mobile watering cans were saying "Long time to see you! Nice to meet you!"

"This kid is quite interesting."

Diao Xiwen pointed at the screen: "In a busy emergency room, you can find that a nurse's infusion dose is wrong, and you can accurately pinpoint the source of the correct dose. I think everyone here may not be able to do it, right?"

"Yes, Tanglou is really powerful. The most difficult dose of diuretic in this round, as well as the pH test during the bicarbonate injection process, are enough to show that he has a solid knowledge reserve, his calm mind on the spot, and his observation skills are even more amazing. This

The round is worth 10 points.”

"Wouldn't it be great if he scored 10 points?"

Sure enough, a few minutes after these words were spoken, the real-time rankings were updated:

The first tenement house 6+9+8+8+10+10+10=61

Second place Yang Ming 10+9+8+10+7+8+8=60

...

There was silence in the judging room, and in the contestants' preparation room, the remaining contestants were also dumbfounded.

Since the start of the game, the most incredible thing has happened.

Yang Ming occupied the first place for two days and was surpassed by Tanglou with three perfect scores in a row!

"Awesome!"

There was an explosion in the judging room.

"Good boy, good boy."

Shen Jun didn't even care about his identity and clapped his hands vigorously. The corners of his wrinkled eyes were even a little sparkling.

Tenement House! Tenement House!

Shen Jun clenched his fists and silently recited Tanglou's name in his heart.

After dozens of seconds, everyone woke up from the surprise.

Cheng Jian also calmed down the clouds of these days. He was very satisfied and proud of looking at the Tanglou. His eyes were still as vicious as ever.

"Director Shen, your county hospital really has a great talent!"

Cheng Jian praised him sincerely.

"Qianli Ma also needs Bole. If Director Cheng hadn't come back to personally name Tanglou after observing the operation that day, maybe he really wouldn't be here today."

Shen Jun whispered to Cheng Jian commercially.

"You're welcome, you're welcome, it's Xiao Tang who deserves his own credit!"

Cheng Jian laughed, his face beaming with joy.

Just then his cell phone rang, he picked it up and listened:

"Hey, what, you said Xiaoya started to have abdominal pain?... Are the detection electrodes ready? Okay, okay, you guys will start detecting epileptic waves right away, I'll come over now!'

Cheng Jian put down his cell phone and stood up quickly. Everyone realized something from his few words.

"The little girl started having abdominal pain again. If the epileptic wave is successfully detected, her illness that has lasted for several years can be diagnosed!"

Cheng Jian said loudly to everyone, and then began to squeeze out: "Everyone, continue, I will come back as soon as I go, wait for my good news!"

Cheng Jian didn't wait for anyone to respond, and rushed out. As he walked, his cell phone, with its screen still on, flickered with his arms.
Chapter completed!