noffsinger Chapter 341 A Favorable Internship Atmosphere
Chapter 341 A Favorable Internship Atmosphere
Without thinking much, An Xiaoyue walked towards Gao Qi, who was standing in the ward.
"Good morning, Teacher Gao."
As if the confrontation between the two of them yesterday had never happened, she greeted them in a generous and open manner.
Gao Qi hadn't expected her to be so polite, and was caught off guard by her politeness, only managing a habitual "Mm".
Then he remembered the important reason he had called her over, "Can you do arterial blood gas analysis?"
An Xiaoyue stated frankly, "Yes, I've used it in the emergency department."
Gao Qi had no doubts. "These are the three patients I'm in charge of. Now do an arterial blood gas analysis. Let me know if there are any abnormalities."
"Okay." After An Xiaoyue agreed, she went to pick up the box containing the blood gas analyzer, which was filled with all the necessary supplies for performing arterial blood gas analysis.
She thought that Gao Qi would leave after entrusting her with the task.
To everyone's surprise, after she disinfected her hands, Gao Qi also came over.
Even with a teacher watching, she remained calm and carried out each step with composure.
For arterial blood gas analysis, arterial blood is usually collected from the wrist. If it cannot be collected from the wrist, it is collected from the instep. If arterial blood cannot be drawn from either of these locations, then blood is collected from the groin artery.
An Xiaoyue collected arterial blood in the emergency department. Since most patients were in good nutritional condition, the arteries in their wrists could be felt easily.
But patients in the intensive care unit are different; they receive intravenous nutrition to sustain life, so their arteries naturally don't feel as full.
An Xiaoyue carefully touched the skin with her fingertips, feeling it with her heart. After accurately locating the needle, she pierced the skin with the tiny needle tip and withdrew it, drawing blood.
Arterial blood gas analysis requires a small amount of blood, so after drawing it out, she dripped it directly into the chip slot already inserted into the arterial blood gas analyzer.
Arterial blood gas analyzers provide results quickly and can rapidly reflect a patient's current physical condition.
When the results were printed out, she compared the values on the paper with the standard values she had memorized and immediately noticed the anomaly.
She reported to Gao Qi, "Professor Gao, this patient's serum sodium level is 160 mmol/L, which is a bit high."
"If you were his attending physician, how would you handle this situation?"
Gao Qi suddenly asked a question, and An Xiaoyue quickly recalled the patient's condition and found the cause of hypernatremia.
"The patient is using mannitol, which is an osmotic diuretic. They need to be rehydrated with normal saline and the rate of decrease in serum sodium should be monitored."
She was right about the treatment principles for hypernatremia. Gao Qi was surprised that her basic knowledge was solid, but it didn't show on her face.
He nodded and then asked, "What is the rate of decrease in blood sodium?"
This was a very small point that An Xiaoyue remembered very well; she even remembered which page and line it was on.
The standard answer is readily given: "less than or equal to 0.5 millimoles per liter per hour."
Gao Qi felt relieved by the standard answer. "You can adjust the doctor's orders in a little while and have the nurses carry them out. Also, report to the head doctor during rounds."
"Okay." An Xiaoyue noted it down.
She continued disinfecting, preparing to perform arterial blood gas analysis on the next patient.
An Xiaoyue and Gao Qi got along peacefully for the rest of the morning.
Gao Qi handed the task over to An Xiaoyue, crossed his arms, and simply kept an eye on things from the side, truly embodying the principle of mentoring interns by letting go but not letting go of their supervision.
As lunchtime approached, the teachers went to eat their own meals.
Unlike other departments, the Intensive Care Unit has dedicated staff who prepare and deliver meals for the doctors.
Because emergencies can occur at any time in the intensive care unit, doctors cannot leave the department during working hours unless there is a consultation.
It wasn't time for the interns to leave yet, so they waited idly as the clock struck twelve.
Seeing An Xiaoyue organizing the patients' examination reports, an intern came over.
"Xiaoyue, did you draw arterial blood from the patient this morning?"
An Xiaoyue looked up and saw the other person smiling. She nodded and said, "Mm."
Perhaps she has come to terms with things and no longer cares about the thoughts and opinions of strangers. Now, she speaks the truth and lives a relaxed life.
Once her mindset changed, it seemed like everyone around her became easier to get along with.
The interns I encountered in the ICU this time were all very polite.
"I've never had arterial blood drawn before, and I don't even know how to use the machine. Could you share your experience with me? I'm on duty with my teacher tonight, and I'm afraid he'll ask me to draw blood tomorrow morning."
Another student joined in, saying, "Me too, I want to hear it too, we've never been taught this in school."
After a period of internship, An Xiaoyue had contact with many interns in each department.
They come from different schools and have different educational backgrounds, so naturally the curriculum is also different.
Over time, An Xiaoyue has become the interns' savior.
Just like when she was in the obstetrics and gynecology department, her information became a resource for everyone.
Now, compared to the unfamiliar teachers, An Xiaoyue, who is also an intern, is obviously easier to communicate with.
"Can all your phones be airdropped?" An Xiaoyue asked.
"can."
"Xiaoyue, are you going to share your secret manual?" The intern who said this had a classmate who had interned in the obstetrics and gynecology department with An Xiaoyue last month.
He was really envious of those materials, videos, and study notes.
He offered to buy it, but his classmates were unwilling to share it with him.
Now that An Xiaoyue suddenly asked if there was any airdrop service, he immediately came over, determined to have a hot meal.
"I can share all my information with you. See if you need anything."
She also collected and organized this information from other places, and we are happy to share it if anyone needs it.
"Great, I want them all."
Another intern laughed at her, "Don't be so greedy, you might not even understand it."
"Can't I just look at it for a lifetime? Do you think I'll never understand it even if I spend my whole life trying to figure it out?"
The interns crowded around, noisily surrounding An Xiaoyue.
An Xiaoyue smiled, this was more like the atmosphere of an intern.
"The intensive care unit performs many procedures, such as endotracheal intubation, arterial blood gas analysis, cricoid cartilage incision, etc. The video data requires a lot of memory. Can you check if your phone has enough memory? If it does, I can send it directly via AirDrop."
As soon as she spoke, a medical student immediately said, "I'm deleting all my entertainment apps right now, I want to focus on my studies!"
An Xiaoyue was amused by her cute words and inexplicably thought of Hua Lan.
Everyone turned on their airdrop to receive An Xiaoyue's data.
"If there's anything you don't understand, you can ask me. I made the materials myself, and sometimes I make them simple for convenience."
"Thank you, Xiaoyue, you're so kind."
"Xiaoyue, I love you, I love you."
Hearing these words, An Xiaoyue's smile deepened.
After sharing the information, it was time for lunch.
They all left together, feeling a little embarrassed that they had taken An Xiaoyue's information for nothing.
Many of the text materials and mind maps inside were clearly made by An Xiaoyue herself.
A classmate wanted to buy her a drink, "Xiaoyue, do you prefer coffee or milk tea? I'll bring you some when I come to work later."
An Xiaoyue shook her head, "No need, I'm controlling my weight recently."
It's just some information; it's not worth making them spend money.
"Oh, I see." The student was clearly disappointed.
An Xiaoyue knew her feelings and said frankly, "Don't feel burdened about the information. I'm happy to share it with everyone."
"I will definitely read and study diligently, and I won't let the information take up memory on my phone."
After parting ways with everyone, An Xiaoyue went to the pediatrics department to find Hua Lan and had lunch together.
Hua Lan was so engrossed in taking care of the newborn that she forgot to eat and sleep until An Xiaoyue appeared, at which point she realized it was already lunchtime.
She quickly took off her white coat and looked at An Xiaoyue apologetically.
"Hehe, sorry to have kept you waiting for so long, let's go."
"You really like children that much?"
Hua Lan smiled, her eyes crinkling, "Yes, they have beautiful eyes, they sleep when they're full, and they cry when they're uncomfortable. They're so easy to get along with and so cute."
An Xiaoyue had nothing to say.
"By the way, Xiaoyue, did you have something to say to me yesterday? I didn't feel anything at the time, but after I got home, the more I thought about it, the more I felt that your behavior yesterday was not right."