Sodium citrate is a popular drug among anesthesiologists.
We often give it to patients: it is the only of the anti-acid antacids completely liquid, without solid alkaline impurities, acts instantly and reliably, neutralizing stomach acid.
One problem is the taste.
Let’s say for the amateur.
And such lovers are rarely met, I dare to assure you.
Here is history.
Bread by pre-operative, from one of the boxes is:
“I’m not going to drink this, I can’t, I can’t, I can’t and all!
I will not!
Don’t persuade me – NO, you understand, not and all!”
The nurse is calling for help, doctor, talk, maybe you can convince her!
I must try...
I go, an old acquaintance, sodium citrate, a stack of one ounce of this disgusting drink and a patient, heavily pregnant, prepares for a cesarean, bounces and leaves in rejection.
And we must say that it is for such patients that sodium citrate is simply necessary, pregnancy greatly increases acidity, and the stomach is squeezed so that the acid is much easier to go up and pour out the lungs - and this is very dangerous, extremely, you can say, deadly.
And then she arthritis, hysterical: "aaah, ugliness, it's impossible to drink, I tried a little, chew and shit."
Well, of course, you can’t try it, you have to turn it up like a stack.
My young colleague neglected to give clear instructions and explanations of the utmost importance of this medicine.
I was distracted — later I called back the newbie and insisted her that the statutes are written with blood, that it is necessary to conduct instruction and explain the details, rather than the patient will revolt over the nonsense.
So, it is necessary to honestly say about the taste, to tell about the need, and the main thing is to explain the concept of overturning the stool and its rapid emptying, with one large throat.
But all this later. And now you need to the result - the medicine in the stomach of the patient.
It is useless to persuade, let’s try differently.
When you were in college, did you drink tequila?
- Yes, but the tequila tastes better, not to compare with this ugliness!
I don’t argue, it tastes better. How do you drink tequila?
by stakes. Eat salt and green lemon.
Are you familiar with the rapid emptying technique?
- Doctor, I know, but it is simply impossible to drink!
Everything is possible. Let me show you.
Sister, please bring me the same piece.
and silence. My sister is upset at me, not caring.
Sister, did you not understand? Please bring me the same medicine, preferably by the end of this century.
I woke up and brought.
Yes, girl, I’ll drink first, and you’ll follow.
Take your hand and do as I do.
I understood?
Kitty, I understand it.
I breathe, I open my mouth, I exhale and I throw the citrate into my throat, with one large throat — all as the loaders of the Riga-Towardy taught the green student a whole eternity ago.
The ugliness is still, but it is possible to live, my face can play poker, not disturbing - as if I drank a tequila with a high stroke...
The patient, like enchanted, repeats my actions, without saying a word, in some trance swallows the medicine, slightly rattles and smiles...
And really not scary.
I’m talking about you, good guys. And now you went to get the child, do not be afraid, the most difficult thing you have behind you...
Carried to the operational, crumbling cavalry walk, I go after the catallica, all along the way, regularly.
Behind my back I hear the nurses whisper, and something tells me: I will still hear this story, with distortions and exaggerations, as is believed by medical myths and myths.