"The first four parameters to look at when adjusting the ventilator are tidal volume, respiratory rate, respiratory ratio, and peak airway pressure PIP. Further adjustment parameters include airflow magic, inspired oxygen concentration, alarm settings, ventilator penalty sensitivity, and positive end-expiratory pressure. These parameters need to be adjusted at any time according to the patient's weight, respiratory symptoms and causes, and changes in biochemical indicators such as blood gas analysis. Once the parameters are not adjusted properly and mechanical ventilation is improper, the most likely damage to the patient caused by the ventilator is barotrauma."
"Once an alarm is sounded, we must first distinguish the alarm content of the ventilator, whether it is high or low airway pressure, insufficient or excessive ventilation, or even whether the patient has stopped breathing or is suffocating directly. Is there something wrong with the ventilator itself that is giving random alarms? Some problems can be solved by checking whether the ventilator is operating normally and the pipeline is unobstructed, some can be solved by adjusting the ventilator parameters, and some require other treatment measures for the patient. Using a ventilator alone probably cannot solve the problem."
A group of people gathered at the door of the ward. There were nurses, patients and their families, other medical students who came to work, and doctors passing by. Everyone listened to the clear female voice in the ward and looked at Xie Wanying's face, thinking: Is this person a teacher? Is she teaching students?
Xin Yanjun looked back and saw the expressions of the onlookers at the door, and smiled. I can only say that what the new student Xie said was very good, it was like giving a lecture in class.
"Let's go. It's time for the handover meeting." Xin Yanjun took Xie Wanying's arm and walked back to the doctor's office. "When we have time later, I'll let you adjust the ventilator parameters for the patient yourself."
Teacher Xin let go of her so quickly.
There is no need to think too much about the fact that such a talented student was placed in their department for internship. The hospital leaders must want them to give her more opportunities to practice. If she were to go to a large department, there would be too many students and she might not get a chance to practice, after all, she is a surgical student. Xin Yanjun and the doctors in the respiratory department understood the hospital leaders' calculations very well, and they happened to have the same plan.
Why hide a good student? Wouldn't it be stupid not to employ him properly?
The shift handover meeting of the Department of Internal Medicine is much more detailed than that of the Department of Surgery. Unlike the Department of Surgery, which is not constrained by the daytime surgery schedule, the meeting time can be relatively longer.
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After the meeting, if there is no surgery, it is normal for the internal medicine department to check the ward for more than one or two hours if there is an old professor to guide. Ask the patient carefully, ask the students directly at the bedside, and the students answer and discuss. Go back to the doctor's office to receive guidance from the senior doctor to prescribe medicine. There is plenty of time to slowly study the patient's medical history.
Compared with surgery, internal medicine is much more relaxed. Except for those on duty in the afternoon, if there is no departmental assignment, the teachers can arrange their time freely.
This slow-paced environment made Xie Wanying feel that her typing speed on the department's computer keyboard had slowed down. She unconsciously reached for the stethoscope in her white coat pocket to check if it was there.
Internal medicine is different from surgery. Internal medicine doctors often carry stethoscopes with them, which is considered standard equipment. For surgery, it depends on the specific department. For example, Teacher Tan, who specializes in gastrointestinal surgery, rarely uses his stethoscope. If he needs to use it, he can't remember where it is, and when he is in a hurry, he asks the person next to him for it. Brother Tao, who is in hepatobiliary surgery, has a stethoscope that is crooked in the pocket of his white coat. He is not often seen taking it out to try it on. Brother Cao is in neurosurgery, and it seems that a flashlight is more important than a stethoscope.
These specialist surgeons do not often use stethoscopes because they often have to do the work themselves, and for many specialist diseases, palpation is more effective than auscultation for them.
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