#irubin

[minwooks-moved]

280123 ⟩⟩ jehyun’s full tattoo via @/tattooer_colin (irubin)’s instagram page !

[oabeks-blog]

1team icons;; like or repost if you use

[oxwinha]

🚗🚗 🚗🚗

[thewildwaffle]

Friends With Monsters - Part 1

Requested by a user on ao3. I’m putting “Part 1″ on this because I already know I’m coming back to revisit this crew in the future. ***

One would perhaps think that as the first mate, the captain might deign to give Geta the slightest hint of reasoning for their latest addition to the crew. Or at least, that’s what First Mate Geta Erenti thought.

Adding an arzhi?! To the crew?! Did the captain want everyone to die a gruesome death?! The incidents at the Oshe’al Belt weren’t so long ago that they’d been lost to memory, and the arzhi had played a major part in the brutal battle, both in space and planetside warfare. They were large and imposing, on average standing head, shoulders, and chest above even the tallest biet, human, or thrishal. They were covered in short fur, spikes, and dense muscle that tore relentlessly through ground troops, and reacted quickly with any manner of weapons or at the control of a fighter ship. There were members of this very crew that had been part of the battle. There were even more members of this very crew that had lost people they knew in that battle. And yet when Captain Stern Bauer sent her the updated ship roster, there was an arzhi on the list of new recruits. Not only that, but they were listed as a new ship medic! Geta went immediately to find the captain. He was on break in the mess hall, eating a bowl of brenntar like he hadn’t a care among the stars. “Captain Stern, sir, do you have a moment that I could speak with you?” The Captain sighed and put down his eating utensils. “I think I already know what you’re here to talk to me about and I would like to point out that the roster has already been posted and the new recruits are already en route to our coordinates. No, there is nothing I can do to change that, and even if there were, I wouldn’t.” Geta held her beak shut tightly before a few words escaped that she’d regret saying. She’d served under Captain Stern long enough to know to hear and recognize the tone of his voice. He’d made a decision and that was that. “But why?” Geta finally said once she felt she could contain herself once again. “Why would you put together the roster with… with them on it without at least consulting me?”

“I’ve made plenty of rosters on my own before. You and I both know you would have taken issue with Arzhi Fehl’s inclusion.”

“Of course I do! And for good reasons! At least then I could have perhaps pointed out that having an arzhi aboard this ship could lead to a multitude of issues with the rest of the crew.” Captain Stern stared at her with a gray/green striped face that did not betray any emotions. “I am aware. It was not a decision I made lightly, but I have my reasons for accepting their application to the crew.” He paused to return to his meal briefly to take another bite and chew as Geta looked like she was on the verge of bursting. He’d served with her long enough to recognize the expressions she made when she was trying to hold back her rather… lively emotions. He smiled and finished what was left of his meal. “As captain of this ship, I have full authority to reject or accept new recruits to this crew. I realize you have every right to be upset with me for breaking protocol by not involving you with this last round of recruits, and for that, I do apologize. Although,” he broke his stoic expression to smile mischievously, “one might say I could blame my upbringing on that.” Geta’s tail twitched as a mixture of amusement and annoyance broke through her formal demeanor. He always did that when she caught him bending rules like this. It was a very human thing to do, and while Captain Stern was no human, he had been raised by one. “With all due respect, you can’t keep using that as an excuse to ignore protocol, sir.” “That’s probably true, Geta,” Captain Stern began calmly gathering his things and cleaning up his eating area. “But my ‘bending of the rules’ in deciding the arzhi onto our crew by myself isn’t the only reason you’re here, is it?” Geta clenched her clawed hands so tightly, she almost cut into her calloused pads. She struggled against the swirling torrent of emotions she felt, but she knew it was becoming a losing battle. “Why an arzhi?” She kept her volume down at a reasonable level, but the anger leaked through her voice more than she’d like when talking to a superior, even one as familiar and close to her as the captain. “Why bring such a monster in among our crew?” Having gathered all the mess from his meal, Captain Stern paused and sat silently looking at her expectantly. Geta knew the look. She sighed and slowly unclenched her fists. Her shoulders, she realized were also pulled in tightly and she took a moment to release the tension she’d been holding. The captain smiled ever so slightly and gestured to an empty chair and waited for her to sit before responding. “This is not a decision I’ve made lightly. And again, I must, perhaps less jokingly this time, partially blame my upbringing. You’re aware that when humans first arrived on the galactic scene, they caused quite a stir.” After a few tiks, Geta realized he was waiting for a response. “I’ve heard the stories, yes.” Of course, she had. Everyone knew the stories. Humans, with all their terrifying strength, conquering tendencies, and devious innovations had become somewhat of a power force after making their debut to the galactic community generations ago. Captain Stern continued. “Their ferocity and curiosity scared many at first, but for all that, one of the most curious of their abilities was their capacity of pack bonding. As dangerous as their potential seemed, they wanted to make friends and they were very good at doing so. They could form bonds with anyone from any race after being in close proximity for any length of time.” Geta sat back in her chair and sighed. “Sir, if I am understanding what you’re getting at here, do you mean to say that you’re letting an arzhi aboard the ship because you were adopted by big scary humans and turned out alright?” Captain Stern smiled and stood from his seat with his meal tray. “Something like that.” With a slight nod of dismissal, he left her to stew in his words. Geta watched him leave the mess hall and continued staring long after he disappeared from sight. The captain may biologically be a rerlut, but he certainly had the human stubbornness and charm down to an art. She had to admit though, there were a lot of his strange human traits he’d picked up that made him a fantastic captain. She trusted him completely, but she’d be hard-pressed to say that she wasn’t at least a little apprehensive of this latest decision. The captain seemed to be heavily relying on making connections between the humans’ past with the arzhi. She shook her head. Perhaps she could help and be sure to assign a few of the humans on the crew to help the new recruit get acclimated. *** Captain Stern followed the sound of yelling toward the med bay. The ship’s new recruits had arrived only four solar cycles ago and there’d already been two incidents on report. He was on his way now to make sure there wasn’t a third made. Medical Officer Arzhi Fehl had been just as big and as imposing as everyone expected him to be. When he first stepped out of the shuttle he’d arrived on, everyone was sure to give him plenty of space. That lasted for the first solar cycle. The first altercation hadn’t involved any physical blows, but it would have if Geta had not been there to break it up as quickly as she did. Afterwards, his First Mate had made sure there was a rotation of human crew mates accompanying Fehl at all times. It was a good idea. The humans had stayed out of the Oshe’al Belt battles for the most part, so they held no inherent animosity to the arzhi. What’s more, the humans also held a lot of influence and respect aboard the ship. Having them associated with Fehl’s presence seemed to have an effect on both the new and veteran crew mates. The next report had been less serious, but threats had been made and duties disturbed. As he rounded the final turn to the med bay, he could make out voices. He noted that none of the angry yells were in Fehl’s deep tone. That was something at least. It took the reception room’s occupants a few tiks to notice his presence, but once they did, everyone fell silent. “What is the meaning of this?” He kept his voice low and even. It was the same voice his mother used when he would get caught getting into big trouble. He was told it was slightly terrifying, so he only used it when he really needed to. No one answered at first. He gave them a moment to realize he was expecting an answer. Finally, someone, an older ehot engineer named Irubin spoke up. “It’s not right.” Captain Stern shifted to better look at the crew mate. Irubin’s scales were weathered with age, but not so old that they had lost their rich, dark orange color. A few scales were missing here and there. Especially along his scars. Scars that the Captain knew had been inflicted on Irubin when he was a young soldier fighting planet side at Oshe’al. “Would you care to elaborate, Ehot Irubin?” The engineer looked uncomfortable. “It’s not right that he’s here,” he pointed at Fehl as if everyone didn’t already know who ‘he’ was in reference to. “He’s a monster. They’re all monsters and we shouldn’t be subjected to sharing a ship with them. He’s probably planning on killing us all once we’re not expecting it.” In the corner of his eye, Captain Stern saw one of the humans, Victoria step forward. “You can’t know that? How could you-! Why would you even-?! You don’t know him! Fehl is a sweetheart, which you’d know if you took five minutes to try to talk to him like a civilized-” Captain Stern held up a hand. Victoria, paused in mid-rant, dipped her head and stepped back again. He noted that she stood a little closer to Fehl this time as if she was moving to put herself in between the arzhi and everyone else. “I know what you’re trying to do, Captain, sir,” Irubin said with much less vitriol in his voice this time. “And what is that?” Irubin looked uncomfortable like he’d maybe wished he hadn’t said that aloud. “You… you’ve been assigning humans to be with him so they’ll pack bond and get the rest of us to… to just… be okay with having him here.” Captain Stern hummed a moment and scratched his chin. “Of course I have. I figured it was the most obvious and sensible thing to do in this case. Humans are capable of forming bonds and friendships with almost anyone, but,” he paused to look over at Fehl and Victoria and then returned his gaze to Irubin, “they only do so with those they feel safe with. Humans are famously intuitive on these sorts of matters. Do you mean to tell me that you’re questioning the humans’ judgment?” Irubin’s short ears bent back. “No, of course not, I-” “And what’s more,” Captain Stern continued, “are you questioning my judgment? Do you think me an incompetent captain of this crew?” His ears went all the way back against his bent neck. “I, I would never, sir. Of course not.” “Good.” Captain Stern straightened his posture and let his shoulders casually drop. “If you and your companions would be so kind as to meet me in my office for a few mentiks. I’d like to discuss the matter here a little more in depth. Perhaps we could brainstorm some ideas together to make sure that understanding is something the rest of the ship shares.” Although he kept his voice lighthearted and level, it was clear that the invitation was in fact an order. The engineer nodded respectfully and was followed out by two other very sheepish looking crew mates. After a moment, only he, Fehl, Victoria, and a small booka sitting on a bench remained in the room. As Captain Stern finished watching the others leave, he turned to look at the fiery cat-like alien expectantly. “Uh, I, I have an appointment with medic Fehl, but if this is a bad time, I can reschedule.” Captain Stern smiled and shook his head. “That shouldn’t be necessary, Churra. I do hope you’ll allow me to delay Medic Fehl just a few more mentiks though?” With a dip of the booka’s head and a slight darkening of fur, Captain Stern returned his full attention back to Fehl. The arzhi medic stood a good head and shoulders above the captain, and a voice in the back of Stern’s mind reminded him that the fears that some on the crew had for the new crew mate were most certainly founded. Not only were arzhi large, powerful, and quick, but they seemed to exude an air of dangerous predator around them. That was, Stern realized, until you got to the eyes. While the rest of them seemed deadly, the eyes were soft and kind. And in Fehl’s case, a little apprehensive and unsure. “Captain, sir, I apologize for this whole mess, and that you had to get involved. I know you’re busy and-” “Don’t worry about me, keeping crew mates in line is part of my job,” Captain Stern waved his hand dismissively. “Another important aspect of what I do is make sure crew mates are adapting well to their new positions. Is there an empty med room available that we can talk alone for a moment?” There were plenty, and the captain and the medic took the first one they found. It was a simple check-up room. A bit small with Fehl’s bulk inside, but not so much that it was uncomfortably cramped. “I’ll keep this quick Fehl, since I know you’re busy,” Stern began. “First off, and I know I said this to you in your arrival interview, but thank you for coming here and being part of this crew.” Captain Stern noticed how Fehl shifted a bit uncomfortably and paused. He waited as the arzhi medic mentally worked to put his words together. “Sir, I… I don’t mean to sound ungrateful, but… well I put in many applications to… I don’t even remember how many ships. I know why I was denied so many times, but I wanted this position so badly I just kept trying. And then you… I never expected a Coalition crew... I mean, after the war…” “The war has been over for solar cycles. There’s been peace and trade between our governments. There certainly were no rules that said I couldn’t hire you to my crew.” Captain Stern took a seat and motioned for Fehl to do the same. “That being said, I am not ignorant to the fact that my feelings on the matter are not a popular take with everyone aboard.” “So why accept me on board? My kind has a well-earned reputation of violence, even amongst ourselves. I’m sure most captains threw out my application as soon as they saw my species listed.” “Well for starters, let’s not forget you are quite a skilled medic with an impressive record. Anyone with half a brain would be foolish to ignore that,” Stern chuckled before he quieted into a thoughtful look. “I was always taught to see individuals as they were, not as stereotypes given to a lump sum. As for Ehot Irubin and the others, I’m hoping this will be a teaching experience for them. It’s high time they got over their fear.” “Their fear, sir? Fear of me, I assume?” Captain Stern gave a slight nod. “Of you, partially. Though mostly, I think it’s their fear of facing the future without the prejudices the past has given them.” Fehl thought about it a moment and nodded. “Is that why you assigned humans to help, what was the saying they used... ‘show me the ropes?’” “I put together your schedule since you got here and I know for a fact you’ve had more than just humans as chaperones while you get settled.” “No, but it’s mostly been, humans.” He looked up sharply, “Not that I mind, of course, they’ve been great and I really appreciate them! I’d heard stories about them before, but I’d never been around them before.” He lowered his head and voice slightly as if worried Victoria might hear them from the waiting room down the hall, “Are they always so nice, or is that just part of their duties?” Captain Stern laughed. It seemed to break some shell of apprehension that Fehl had been feeling as a smile broke out over his face and his eyes lit up. Stern noticed that the arzhi smiled like humans and he himself did, with exposed teeth and wide grins. It gave the captain a small swell of affirmation that his decisions to this point had been right. “Medic Fehl, I can’t speak for how all humans are, but I can assure you that the humans aboard this ship are just like that. I wasn’t kidding earlier when I said humans have a great sense of intuition. If they like you, the rest of the crew will come around in their own time and way as well.” Fehl dipped his head low. “Thank you, Captain.” “You’ll do fine, Arzhi Fehl. I’m glad you’re here and am expecting great things on this ship. Aller anfang ist schwer.” Fehl blinked in confusion. Noticing, Captain Stern sighed, “That last part didn’t translate for you did it?” “No sir.” “It means all beginnings are hard. Your translator’s database doesn’t have Earth German integrated. It’s the language I was raised with. Sometimes it fits a situation better than my own native Nort Rerlutti. You must have Earth English, Hindi, and French integrated already, otherwise you wouldn’t be able to understand the humans on the crew.” “You’re bilingual?” “I actually learned several Earth languages before I was old enough to be fitted with my first universal translator. My mother was insistent on that being part of my education.” The captain stood and smiled at the medic who was still taller even while seated. He took in the expression on the medic’s face and smiled. “Do you have any more questions, Medic Fehl? I do need to get back to my office to have a conversation with a few of your crew mates that are waiting for me.” “Captain, if I may ask… you were raised on Earth by humans. Is… is that why you gave me a chance? Are you hoping I can help my people lose our stigma as the humans did theirs? I’m worried… it’s a lot to... I’m not sure if I can.” Captain Stern rested a hand on the medic’s tall shoulder reassuringly. “You worry about your duties as a medic, I’ll worry about the rest. Remember, aller anfang ist schwer.” “All beginnings are hard?” “That’s the way. Now, back to work. I believe you’ve got a booka out in the waiting room to see.”

[xenhyun]

Fave teaser so far is jinwoo’s #2 he is king of pretty🥺🥺 -irubin

bro sAME. i dont wanna be disloyal to king bc but also i gasped when i saw his teaser #1, like literally out loud i was speechless he looks amazing

[fy1team]

@1team_twt: [#1TEAM #RUBIN] #Hi #Recording #Working #Irubin

translation by fy1team

[moon--jehyun]

190510 1team twitter update!

[#1TEAM #진우 #JINWOO]

의도치 않은 커플룩🌺

#irubin

[itsyaboybc]

@TeamLWZ

[#루빈 #RUBIN] #Irubin #제현이 #옷이 #노랑색이었으면 #신호등룩 #아깝다 #루빈 #BC #제현 #삼총사 2018년 마지막 주말입니다 즐거운 연말 보내세요!

[#Rubin #RUBIN] #Irubin #Jaehyun-ie #Outfit #IfItWasYellow #LooksLikeTrafficLights #SuchAPity #Rubin #BC #TheThreeMusketeers It’s the last weekend of 2018 Have a great end of the year!

[darlinghongin]

180829 -  irubin_: #Irubin #이루빈 #이루이루#180829

[khamgiodau]

CVVHDF) TRONG SUY ĐA T ẠNG

I. ĐẠI CƯƠNG Kỹ thuật lọc máu liên tục (LMLT) tĩnh m ạch-tĩnh m ạch là kỹ thuật lọc máu cho phép đào th ải ra khỏi máu người bệnh một cách liên tục (> 12 giờ) nư ớc và các chất hòa tan như ure, creatinin, acid uric, bil irubin, các gốc acid hòa tan, các cytokine và một chất khác tan trong mỡ có trọng lư ợng phân dư ới 50000 dalton, tùy phương pháp l ọc cụ thể thì cơ ch ế có khác nhau sự đào th ải các chất trên có khác nhau. Phương pháp l ọc máu thẩm tách liên tục tĩnh m ạch-tĩnh mạch (continuous veno- venous heamodia filtration – CVVHDF) tác đ ộng đi ều trị thông qua hai cơ ch ế là đ ối lưu và th ẩm tách liên tục, phương pháp này cho phép th ải loại các chất có trọng lượng phân tử trung bình nhiều hơn trong phương th ức lọc máu liên tục CVVH Mục đích c ủa kỹ thuật nhằm đi ều chỉnh các rối loạn nư ớc, đi ện giải, thăng bằng toan kiềm và an toàn cho các người bệnh có huyết đ ộng không ổn đ ịnh như sốc nhiễm khuẩn. Trong suy đa t ạng (SĐT) n ặng các đáp ứng viêm hệ thống xảy ra mạnh mẽ giải phóng vào máu các cytokine, chính các cytokine gây tổn thương t ạng thứ phát và gây vòng xoắn bệnh lí suy đa t ạng bao gồm các hậu quả; rối loạn nư ớc, điện giải và thăng b ằng toan kiềm và tụt huyết áp… Kỹ thuật lọc máu liên tục CVVHDF đã đư ợc áp dụng cho người bệnh SĐT và đã đư ợc chứng minh qua các nghiên cứu ngoài nư ớc là có hiệu quả và an toàn cho các bệnh sốc nhiễm khuẩn. II. CHỈ ĐỊNH Suy đa t ạng III. CHỐNG CHỈ ĐỊNH Không có chống chỉ định tuyệt đ ối, tuy nhiên cần thận trọng chỉ định trong các trư ờng hợp sau: - Không nâng được huyết áp tâm thu ≥ 90 mmHg b ằng các biện pháp truyền dịch và thuốc vận mạch. - Rối loạn đông máu n ặng - Giảm tiểu cầu nghi ngờ do heparin trong các trư ờng hợp dùng chống đông heparin 637 IV. CHUẨN BỊ 1. Người thực hiện - Một bác sỹ được đào t ạo về kỹ thuật lọc máu liên tục và kỹ thuật đ ặt cathter 2 nòng theo phương pháp Seldinger. - Hai đi ều dư ỡng đã đư ợc đào t ạo về kỹ thuật lọc máu liên tục, trong đó một ngư ời phụ đặt catheter tĩnh m ạch chuẩn bị đường vào mạch máu, đi ều dưỡng còn lại chuẩn bị máy lọc máu. 2. Phương tiện, dụng cụ 2.1. Vật tư tiêu hao Bộ dây quả lọc máu liên tục Túi đ ựng dịch thải Dịch thay thế bicarbonate hoặc Citrate (túi 5 lít) Kaliclorua (ống 0,5g/5ml) Heparin 25 000 UI (5ml) Natri cloride 0,9% 1000 ml, natribicarbonate 0,14% Canxi Clorua 10% (nếu dịch thay thế là Citrate) Găng vô trùng, găng khám Bơm tiêm các lo ại 1ml, 5ml, 10ml, 20 ml, 50ml, Kim lấy thuốc, dây truyền Gạc N2, băng dính b ản rộng, Iodine 10%, mũ và kh ẩu trang phẫu thuật 2.2. Dụng cụ cấp cứu - Bộ đặt nội khí quản - Hộp cấp cứu sốc phản vệ 2.3. Các chi phí khấu hao khác Máy lọc máu liên tục, bộ làm ấm, băng chun cố định, cầm máu , panh có mấu, không mấu , kéo thẳng nhọn , hộp bông c ồn, k hay quả đậu inox nhỡ , ống cắm panh inox , săng lỗ vô trùng , áo mổ , dung dịch Anois rửa tay nhanh, xà phòng rửa tay, cồn trắng 90 0 . Lắp hệ thống giây, quả vào máy lọc máu, mồi dịch và tét máy (xem thêm quy trình lắp giây quả, mồi dịch và tét máy lọc máu liên tục). 3. Người bệnh - Giải thích cho người bệnh và ngư ời nhà người bệnh. - Người bệnh nằm đ ầu cao 30 o nếu không có chống chỉ định - Đặt catheter 02 nòng tĩnh m ạch bẹn hoặc catheter tĩnh m ạch cảnh trong (xem quy trình đ ặt catheter tĩnh m ạch trung tâm) - Đảm bảo hô hấp và huyết đ ộng trư ớc lọc máu 4. Hồ sơ b ệnh án Giải thích về kỹ thuật cho người bệnh, gia đình người bệnh và kí cam kết đồng ý kỹ thuật. 638 V. CÁC BƯ ỚC TIẾN HÀNH 1. Kiểm tra hồ sơ: kiểm tra lại chỉ định, chống chỉ định và giấy cam kết đ ồng ý tham gia kỹ thuật. 2. Kiểm tra lại người bệnh: các chức năng s ống xem có thể tiến hành thủ thuật được không. 3. Thực hiện kỹ thuật 3.3. Kết nối và vận hành các bơm - Kết nối hệ thống tuần hoàn của máy lọc máu liên tục với tĩnh m ạch của người bệnh thông qua catheter 2 nòng đã đư ợc chuẩn bị trước - Vận hành các bơm: + Bơm máu: trư ờng hợp huyết đ ộng ổn đ ịnh bắt đ ầu tốc đ ộ 100ml/h tăng dần mỗi 5 phút 20 ml đ ến khi đ ạt tốc đ ộ đích, trư ờng hợp huyết đ ộng không ổn đ ịnh bắt ở tốc đ ộ 60 ml/phút, tăng d ần mỗ 5 phút 20 ml đ ến khi đ ạt tốc đ ộ đích (chú ý n ếu huyết áp tụt sau mỗi lần tăng ph ải chờ cho huyết áp ổn đ ịnh mới tăng ti ếp). + Bơm d ịch thay thế và bơm siêu l ọc chỉ bắt đ ầu vận hành khi bơm máu đã đ ạt đích. + Các thông số đích c ần cài đ ặt: tốc đ ộ máu 180 - 200 ml/phút, tốc đ ộ dịch thay thế ≥ 35 ml/kg/phút, t ốc đ ộ bơm th ẩm tách 35 ml/kg/giờ, tốc đ ộ bơm siêu lọc phụ thuộc vào mức đ ộ thừa dịch của người bệnh (0 – 500ml/h). - Sử dụng chống đông trong su ốt quá trình lọc máu liên tục (xem thêm quy trình dùng chống đông trong l ọc máu liên tục). - Thời gian lọc máu lọc máu 1 quả lọc: từ 18 – 22 giờ. - Tiêu chuẩn ngưng l ọc máu: tùy theo từng chỉ định lọc máu trong bệnh cảnh cụ thể (xem thêm quy trình lọc máu cho từng bệnh cảnh cụ thể). 3.4. Kết thúc lọc máu - Ngừng chống đông (n ếu có) 30 phút trư ớc khi kết thúc - Ngừng các bơm d ịch thay thế và siêu lọc - Giảm dần tốc đ ộ máu về 100 ml/giờ - Dồn máu trả lại cơ th ể bằng cách kết nối đư ờng hút dịch vào máy với dịch natriclorua 0,9%. VI. THEO DÕI Theo dõi trong quá trình lọc máu: theo dõi thông số máy lọc máu như áp lực hút máu, áp lực máu trở về, áp lực xuyên màng TMP, áp lực đ ầu và cuối quả lọc 1giờ/lần; theo dõi các dấu hiệu sống và cân bằng dịch vào ra 3 giờ/lần, cân người bệnh 1 ngày 1 lần; các xét nghiệm thư ờng quy theo dõi lọc máu liên tục 6 giờ 1 lần: đông máu cơ b ản, đi ện giải đ ồ, theo dõi công thức máu 12 giờ 1 lần 639 VII. XỬ TRÍ TAI BIẾN VÀ BIẾN CHỨNG - Chảy máu: có thể do rối loạn đôn g máu trong bệnh cảnh nhiễm khuẩn hoặc do quá liều thuốc chống đông ho ặc phối hợp, xử trí truyền thêm các chế phẩm máu nếu có chỉ định, nếu do quá liều chống đông ph ải đi ều chỉnh lại liều chống và dùng protamin sulfate nếu cần. - Tắc quả lọc: thư ờng do sử dụng chống đông chưa phù h ợp cần đi ều chỉnh liều thuốc chống đông và thay qu ả lọc nếu có chỉ định. - Rối loạn đi ện giải: tuân thủ đúng quy trình theo dõi xét nghi ệm đ ịnh kỳ để phát hiện các rối loạn về điện giải đ ể điều chỉnh kịp thời. - Tan máu: do cô đ ặc máu, tốc đ ộ dòng máu quá cao hoặc do nguyên nhân dị ứng màng lọc, cần đi ều chỉnh tốc đ ộ dòng máu hoặc thay loại màng lọc khác nếu do dị ứng màng lọc. - Hạ thân nhiệt: do dịch thay thế có nhiệt đ ộ thấp hơn nhi ệt đ ộ của máu và máu ra khỏi cơ th ể bị mất nhiệt. Khắc phục bằng làm ấm dịch thay thế và máu trư ớc khi máu trở về cơ th ể. - Các biến chứng khác nhiễm khuẩn: nhiễm khuẩn tại vị trí đ ặt catheter, tại các đ ầu kết nối với các thiết bị đặt trong mạch máu… Kh ắc phục bằng cách tuân thủ các nguyên tắc vô khuẩn khi làm thủ thuật và theo dõi sát các dấu hiệu nhiễm khuẩn, tháo bỏ ngay các dụng cụ đặt trong mạch máu và cấy tìm vi khuẩn khi có biểu hiện nhiễm khuẩn. - Các biến chứng khác như: v ỡ màng lọc, tắc màng lọc, khắc phục bằng cách thay quả quả lọc. TÀI LIỆU THAM KHẢO 1. B.Braun Inc, Continuous Renal Replacement Therapy (CRRT), document for training. 2. Thomas AG, Continuous Renal Replacement Therapies: Overview, uptodate version portable 17.3 3. Anselmo. A, Castellanos .R and et al, Continuous venovenous hemodiafiltration in patients with multiple organ dysfunction syndrome in an Intensive care unit, Medic review, July 2012, Vol 14, No 3. 640 QUY TRÌNH KỸ THUẬT.Bài viếtCVVHDF) TRONG SUY ĐA T ẠNG xuất hiện lần đầu tại website http://khamgiodau.com

[oabeks-blog]

[#제현 #JEHYUN] Profile filming day!! As I’m the next in line, I’m monitoring the hyungs’ pictures!! Our Jinwoo hyung is really serious..  

[oxwinha]

Hello to all my new followers I’ve gotten recently, just changing my url ♡

irubin————>oxwinha

time to get hype for omega x debut 🤪🥳🤩

[thewildwaffle]

Friends with Monsters - Part 2

A continuation of Part 1

Kind of short, but gives a bit about the captain's past. To come: helping to incorporate Medic Fehl in with the rest of the crew! How? Spoilers: large use of humans. ***

The translation of the word “stern” was interesting. In the Captain’s case, the universal translators categorized it as a proper name with relative background connotations added. Normally, the word itself might have some complications with translators since it was an Earth word with different meanings in different Earth languages. It usually depended on the speaker’s meaning. That was the beauty of the universal translators, after all. To the captain, his name was both a gift and a reminder. It was given to him as a small, anxious child, hardly old enough to fully remember the events that led to him being orphaned and being found and adopted by a human named Adalene Bauer. She had raised him with love, as her own child, making sure he had everything he could ever need. She had been married once when she was younger, but death had stolen her spouse away and she had never remarried. She raised Stern alone and helped him learn that his fears and his feelings of loss weren’t weaknesses, but could be a source of strength and compassion. In Adalene’s native tongue, stern translated to star. She always said that he was her little Sternenkind, her little star child. Another translation of stern in another of Earth’s languages was an adjective for being firm or strict. Years later, he’d been made captain of a small star-freighter at a remarkably young age. It certainly wasn’t the most glamorous ‘captain’ job, but he was still one of the youngest rerlut captains in history, and that was a lot to be proud of. He was fully qualified for the position, or at least, he was on paper. He was certainly lacking in experience, but he learned quickly and did his best with what was an admittedly raucous crew. His inexperience came into harsh reality, however, when his ship was attacked. He’d been too soft, too lenient with his crew, and they were caught unprepared. Almost half the freight was stolen, but more importantly, several crew members were seriously injured. He and his Chief Officer, a charming red biet named Marit fought off the pirates as valiantly as they could. For one short moment, it looked like they were going to drive their attackers back. But then the tide of the fight took a turn for the worst. They got as much of the crew to safety as they could, but then… Chief Officer Marit didn’t survive. They’d jumped in front of Stern and took a shot intended for him during the fight with the pirates.

After he’d woken up in the hospital a week later, he found out he was to be awarded some medal for his bravery. So was Officer Marit, posthumously. Honestly, the whole aftermath was a detached blur in his memory. He returned home to Earth to aid in his recovery. It took months to break out of the mental fog he’d felt so lost in after the attack. It was his mother who helped him decide to go back at all. “Sternenkind,” she had called him as she wrapped him in her arms one night as he sat outside staring blankly at the sky. Even even though he’d been a fully grown rerlut for years, his mother was and would always be large enough to hold him comfortably. They sat like that a while before either of them said anything. Stern had always been able to confide in his mother, but this time his words came only with great difficulty. When they did finally come, they were heavy with his regret, his sadness, and his guilt. His mother listened patiently to it all, crying with him and letting him get all he needed to say said. When he finally ran out of words, she began to recount the day he’d been promoted to captain. She’d been so proud. And then when she’d heard of the attack, how afraid she’d been. Her arms wrapped a bit tighter around him then. “Es hätte jedem passieren können,” she’d said. It could have happened to anyone. But it had happened to him, and he’d done the best he could with what he knew. No, he hadn’t done everything perfectly, but he was an imperfect being. He now had a choice, either stay and rust in his regret or get back out there and grow from this. “Aller anfang ist schwer,” she had told him. All beginnings are hard. His was especially, but she hoped that whatever he did, he’d do his best to honor Chief Officer Marit and always remember one thing: “Ich werde immer stolz auf dich sein, mein Sternenkind” I will always be proud of you, my Sternenkind. *** His past and the path he took since that time was on his mind as Stern returned to his office to deal with Ehot Irubin and the others involved in the incident in the med bay. A crew deserved and needed a captain who could be firm and strict, and whose commands were obeyed without question. He had to make sure he stayed that type of captain. As he approached his office, the quiet chatter between the three crewmates in question cut off. They shuffled away from the door as their captain approached and opened the door, entered, and motioned for them to follow. “Take a seat.” He sat as well and sighed, staring at them for a moment. Just long enough to make them squirm uncomfortably in their seats. “I do hope you understand just how inappropriate your behavior towards Medic Fehl was.” “Yes, captain,” the three of them responded in unison. All three of them were doing their best to look as dejected and contrite as possible, but Stern knew he had to push just how serious he was through their thick skulls. “Good,” Stern sighed. “Now, convince me why I shouldn’t end your careers and drop you all off at the nearest inhabited planet with dishonorable releases.” All three crewmates looked up and stared dumbstruck at him. “S-sir?” Ehot Irubin stammered out. Stern held their gaze with his own for a moment as he let his words sink in. “Let me tell you about this ship,” he said to break the stunned silence. “The HWSS Concordia. As an Ergeen Class liner, it’s one of the largest ships in the Galatea Trade Alliance fleet. Six warp engines, two synced hyperdrive cores, and a hauling capacity of nearly three hundred standard atmospheric liters of cargo.” He took a breath, making use of the small break to indulge in a bit of pride that this was the ship of which he was the captain. “As impressive as she may be,” he continued, his voice went low and dark, “this ship is nothing in comparison to the rest of the galaxy and all the dangers it holds. When the moment comes that it’s us against creation’s terrors, it’s the crew that will be standing at your side. I am the captain, and I have selected each crew member aboard this ship for a reason, whether they be ehot, human, or even arzhi. There is no room for debate, mistrust, or bigotry. Those will get us all very dead very quick. Do you understand?” Irubin and his companions nodded sheepishly. A subdued chorus of “Yes captain,” filled the office. “Good.” Captain Stern leaned back in his chair and sighed. “Now, unless you do want to be dropped off at the nearest inhabited planet, I’ve got some additional assignments for you.” The three crew members looked up, listening intently. “I want and need to eradicate any remaining hostility within this crew. You three are going to help me do just that.”

[xenhyun]

Okay so Im new into 1team (I mean I guess everyone is lol but still) and I wanted to know if you know more other 1team blogs I DEFINITLY NEED MORE ON MY DASH im head over heels for them!!! Also Im so happy I found your blog. Keep up the good work🌸🌼💌

ah thank you! that is so sweet and totally made my whole day 😊💕  welcome to the fandom by the way xx

in terms of blogs the main ones you’ve probably seen already (but are all fantastic) are: @irubin (top quality rubin content), @junqhoon (a god at gifmaking), @itsyaboybc (bc bias blog so im obviously all over that), @1teamedits (really fit icons), @1team-1love (just all round solid 1team content), @bout-u (the CUTEST drabbles)

there are also a bunch of multi-fandom-but-a lot-of-1team blogs that i love and i totally reccomend: @boy-woojin (fab gifs and all content is just peng), @vanntrbl (really really cute icons), @1tteam (1team aND nct?? yes please), @yongkwon (the ultimate rookie group blog), @yooyonqha (just a cool blog in general?? such a nice vibe), @sunwooloveclub (top quality gifs)

also you’re kinda obligated to follow @fy1team , for some quality fan-takens, run by the so dedicated @different-difficulty (who i cant tag??)  and @jihyeong (who ive tagged twice but is so so sweet) and i totally recommend both they mains x

i probably missed a bunch, but these so far are my favourite 1team blogs💕 

[fy1team]

@1team_twt: [#1TEAM #JUNGHOON] D-5 fancon 🔥🔥 #FANCON With #Irubin

translation by fy1team