While Erxing Fengren was waiting, the results of the electrocardiogram performed by Xu Ze were also shocking.
Xu Ze looked at the graphic ripples on the electrocardiogram. Qing Gang's segment moved downwards, and the wave was inverted, and the heart rate was in felites and minutes. Now he was definitely diagnosed with coronary heart disease and heart failure. WWw.QuAnBen-XIaoShuo.CoM
At this moment, Xu Ze began to officially play the role of a truly confident doctor. He gave oral medical instructions to the nurse who had been waiting on the side, saying: "Add dextrose 2 plus sodium nitroprusside plus sodium chloride, intravenously infuse with 8 drops of The dripping rate is started, and the speed is adjusted according to the blood pressure; furosemide is injected intravenously in the right concave area; dextrose plus cedilin is injected intravenously, and the infusion is limited to five minutes; in addition, blood is drawn immediately to check blood routine, kidney function, and blood gas analysis.
The nurse waiting for the doctor's orders next to her was Hu Xia, the young nurse who Xu Ze asked about in the director's office in the morning. First of all, she had been looking at Xu Ze in surprise, and found that it was the young man Jin Jin whom he had seen in the morning, who was thinking I didn't expect that he actually works here now. Is he also a new doctor in our hospital
At this time, I heard the medical advice given by Xu Ze. She hurriedly nodded and remembered. After Xu Ze finished giving the medical order, she nodded to indicate that she had confirmed it, and then turned to look at Director Zhai. After all, the handsome doctor didn't know his identity yet. He had to be the director. Only after confirmation can she carry out these medical orders.
However, she was a little worried at this time. It was obviously a test for Director Zhai to let the new doctor named Xu Ze see this patient. If Xu Ze's medical advice cannot be approved by Director Zhai, it means that he is not experienced enough to diagnose and treat patients alone. Then his position in the department is a bit embarrassing.
After hearing Xu Ze's medical advice, Director Huo felt much more relieved. As a very experienced emergency medicine expert, he had already determined that the patient had coronary heart disease through Xu Ze's first consultation and the patient's performance. The diagnosis of level 4 heart failure was confirmed by the electrocardiogram made by Xu Ze just now.
And Xu Ze just made the medical advice. Sodium nitroprusside dilates coronary arteries and reduces cardiac load; furosemide diuresis reduces cardiac pressure; cidiran strengthens the heart and lowers heart rate; it is also in full compliance with the standard treatment plan for this disease. At that moment, he nodded happily towards Hu Xia to express his agreement. implement.
Seeing Director Zhai nod, Xu Ze didn't have much reaction. The little nurse Hu Xia breathed a sigh of relief, nodded happily, and went out to prepare medicine.
Director Xiao smiled and nodded to Xu Ze. Then he said: "Xu Ze is good, pay more attention in the future, and exercise well in these two months, it will be very good for you in the future.
Hearing Director Zhai's affirmation and encouragement, Xu Ze also showed a smile. Knowing that he had finally made Director Zhai feel relieved, he nodded and smiled: "Thank you, Director!"
At this time, Qian Xuebin was outside the door. Hearing Director Zhai praise Xu Ze, a hint of annoyance flashed across his face. He thought secretly: "Xu Ze is really well hidden. The doctor who came to the online rotation department can have this ability. He easily diagnosed a patient with heart failure. He is not bad. It seems that he should not be underestimated!"
Now that the oral doctor's order has been issued, the next natural step is to write the order into the medical record.
Xu Ze followed Director Zhai back to the office and sat down at the table. Then write down the next few nursing requirements line by line according to the general medical instructions in the hospital: routine first-level care according to internal medicine nursing, companionship, low-salt and low-fat diet, ECG monitoring, oxygen inhalation, and recording of urine output. seriously ill
Then he wrote down the medicines to be used and their usage in the doctor's order book, and then wrote the prescription. He handed both the doctor's order book and the prescription to Director Zhai and asked him to confirm and sign.
Director Zhai carefully looked at the medical orders issued by Xu Ze. However, after reading it, his face was full of surprise. Xu Zekai’s medical orders were all issued in accordance with the most standardized format of hospital observation orders. At that moment, he couldn’t help but thought in shock: “This is really a doctor who only worked part-time in a clinic. Was it issued by a third-year student?"
After suppressing his surprise, Director Zhai took a closer look at Xu Ze's medication. In addition to the oral doctor's instructions, he continued to use sodium nitroprusside for 24 hours, and then used cerebrospinal fluid, furosemide, and antiseptic. Drugs such as Shutong, Budaxiu, aspirin, and Shujiangzhi are taken orally.
I couldn't help but nod my head at the moment. The drugs Xu Ze prescribed were completely in line with the latest modern treatment principles for coronary heart disease and heart failure. They started from the aspects of coronary dilation, cardiotonicity, diuresis, and improvement of vascular endothelium. They were really effective in treating this, coronary heart disease and heart failure. The best treatment plan for depression.
Immediately sign the doctor's order book and prescription. He smiled with satisfaction at Xu Ze and said, "Xu Ze, you are very good. Okay, send the medical records to the nurse for execution!"
Xu Ze chuckled lightly. His reaction to Director Zhai was that he was well prepared. The training he had gone through in the virtual space was not fake. In addition, the case library that Xiaodao had moved from a certain super-large medical research center now contained every case. The treatment plans are all the most advanced and standard in the world in recent years. The drugs prescribed according to these are of course the best.
Unless you, Director Zhai, are really an expert on a certain disease. Otherwise, there is absolutely no other better treatment method that can be proposed.
At that moment, Xu Ze took the doctor's order book and sent it to the nurse's station. The first nurse Hu Xia was at the nurse's station. Seeing that Xu Ze had sent the medical records within a few minutes of entering the office, he couldn't help but smile in surprise: "You are really fast. It’s about the same speed as those old doctors, has Director Zhai signed it?”
Looking at Xiaohu Shi with his big eyes, Xu Ze couldn't help but smile! "Of course." Otherwise, how would I send it over?"
"Wow, you're good. Are you the new rotation doctor? You're really good!" Hu Xia seemed to be a talkative person, and she flipped through the medical records. Look at that handsome handwriting. There was also the crisp signature and the doctor's instructions that Director Zhai had not added, deleted or modified at all. I couldn't help but marvel.
She has never seen a new rotation doctor issue medical orders so quickly without any additions, deletions or modifications. Just follow one. It’s just like an experienced doctor who has been working for a year or two.
Seeing the wonder on Hu Xia's little face, Xu Ze smiled and said, "Don't look at it. Just copy the doctor's orders. I'm still waiting to write the medical records."
"Why are you so anxious?" When Xu Ze urged her, Hu Xia rolled her eyes at Xu Ze with an angry smile. However, he didn't hesitate any longer and started copying the doctor's order. Then he neatly signed his name on the doctor's order book and handed it to Xu Ze. He smiled and said, "Hurry up and write the medical records. I will also write the nursing records later."
Seeing that after he urged her, she started urging him again, Xu Ze laughed helplessly. Then he picked up the doctor's order book and walked back to the office.
However, Xu Ze wrote the medical order in just a few minutes, but he passed the test in front of Director Zhai, which shocked the female doctor Zhang Yi in the office. Director Huan is famous for being strict about prescription medication. He often waits for medical orders to be prescribed by others. He would be dissatisfied, and then ask to increase or decrease the order or reopen it. Unexpectedly, this new rotation doctor could get through the first time with the first medical order. Isn't this too powerful
Seeing Xu Ze come in at this time, he couldn't help but look at the chair twice in surprise. Xu Ze couldn't help but take a few more molds of his face. I secretly thought that I became handsome again as soon as I went online? Even a serious mature woman like Zhang Di was attracted by her
Sitting in front of the table, it also took only five or six minutes to write the first course of illness record. I read it myself and found that there were no problems, and then handed it over to Director Zhai who was reading aside for review and signature.
Not surprisingly, classmate Xu Ze, who was trained strictly by instructor Xiaodao in the virtual space. Once again, he passed the test smoothly. Director Zhai only glanced at it a few times and signed his name conveniently.
When Xu Ze went out to deliver medical records to Hu Xia to write nursing records, Director Zhai couldn't help but sigh to Zhang Suo beside him: "Young people today are not simple. This Xu Ze, if I hadn't known his situation clearly, I really want to wonder if he has stayed in our hospital before. The medical orders and medical records he wrote are no worse than yours."
"Ah?" Zhang Suo was writing down the course of his illness at this time. Suddenly, I heard a rare compliment from my director. Such a sentence suddenly appeared. He was really surprised and thought to himself: "This little guy looks young. Is he really as powerful as the director said?"
It only took a few minutes for Xu Ze. Then he sent over the medical records again, and it was obvious that he had finished writing down the first course of the disease. The little nurse Hu Xia was really convinced. After receiving Xu Ze's medical history, she looked at Xu Ze with admiration. Xu Ze felt a little embarrassed. She quickly asked her for some medical records and quickly I fled back to the office, avoiding being looked at like a giant panda.
Back in the office, Xu Ze flipped through several medical records at hand, and among them happened to be the one of Qian Xuebin, a patient with fatigue syndrome. Xu Ze took it out curiously and took a look
Look at some of the drugs Qian Xuebin used. Xu Ze shook his head slightly when he saw the laboratory tests. These drugs had a certain effect, but they were not symptomatic for Guillain-Barré syndrome. So the effect won't be very good. The most I can control is pretty good.
At this time, Director Zhai, who was sitting opposite Xu Ze, saw Xu Ze frowning and shaking his head slightly, but he couldn't help but asked curiously: "What? Xu Ze, is there something you don't understand?"
Hearing Director Zhai's question, Xu Ze hesitated for a moment. He didn't know whether he should tell Director Zhai about the patient's condition. After all, he just came online. Besides, this is not his patient. If he told me, he would definitely offend Qian Xuebin.
However, Xu Ze thought about it, as a doctor. If a problem is discovered and it is related to the patient's life, if you do not raise it in time, you will not be able to pass the test of your own conscience. And he is not a person who is afraid of getting into trouble, so if Qian Xuebin wants to hold grudges against him, then he should hold grudges against himself. Anyway, we will stay here for two months.
Xu Ze made a decision at that moment. He looked up at Director Zhai with a smile and said, "Director, have you ever heard of Guillain-Barré syndrome?"
Wang: Keep asking for monthly votes. Recently, it has been widely rumored in a group that Tian Nan is a gynecologist. Let me clarify it here. Tiannan is a pediatrician, but occasionally when the fetus is not in good condition, she goes to the delivery room to monitor delivery, which is not a gynecology...
A Little Sad Network received a call from my mother, saying that you haven’t been home for your birthday in a few years. Please come back and ask your dad to buy a chicken for you.
Tian Nan was stunned for a moment, and then he remembered, July. It’s almost our authentic lunar birthday again! It’s just that I can’t go back this year. I’m afraid that my mother will be disappointed, so I have to promise to go home after taking the professional promotion exam next month! In fact, it is July in the Gregorian calendar. I have received blessings from many brothers. So Tian Nan doesn’t have a birthday this year, so keep working hard on coding! . If you want to know what happened, please log in. There will be more chapters. Support the author and support the justice!