"Boss Zheng?" Dean Wu shouted softly.
"Director Jiang, is this the patient mentioned in the emergency call we just received?" Zheng Ren asked.
"Well, the patient had a nightmare, and he always thought that he could not get out of the dream." Director Jiang said, "He has been to our mental hospital three times, and the diagnosis is relatively clear, it is depression. This manic episode is so dangerous. He died under the wheels of the car, but fortunately some police comrades pulled him back."
Just as he was speaking, the patient suddenly opened his eyes, a tragic scream sounded, and then he began to struggle with all his strength.
While struggling, he said something vaguely. No one could hear clearly what he said specifically.
After a chaotic meal, the examination could not be performed, so the patient had to be sent back to the emergency department. It is not easy for such manic patients to get injections, and the nurse looks worried. However, they had long forgotten the grimaces and glanced at Su Yun secretly, feeling that the shift was well worth it and that their hard work was not in vain.
"Boss Zheng, let's go eat." Dean Wu said, "Thank you for your hard work."
"If you don't want to eat, we'll leave in a minute." Zheng Ren said, "Take a look at the patient first."
A smile appeared at the corner of Su Yun's mouth. All the deans in the imperial capital have known about their boss's temper for a long time. Do the hospitals in Nanshan City also want to know now
Dean Wu was a little embarrassed. He didn't know whether it was due to his poor hospitality or some other reason. Why didn't Boss Zheng even eat
"Dean Wu, my boss's temper is like this." Su Yun explained with a smile, "When I was in the Imperial Capital, every time I went to the Brothers Hospital for rescue, I wouldn't eat after the surgery."
"This...how embarrassing."
Dean Wu wanted to extend a warm invitation, but Zheng Ren was already striding towards the emergency department.
"Boss, do you think there's a problem?"
"Take a look first. This patient said it was a nightmare. Uh... If it's such a severe nightmare, Director Jiang, what medicine has he been taking recently?" Zheng Ren asked.
Director Jiang immediately became serious. He was not as perfunctory as when talking to Director Wang, but like a young clinical doctor. He followed Boss Zheng half a step behind, with his waist slightly bent, and reported: "The patient 3 months ago He went to our hospital and was diagnosed with depression, and was treated with escitalopram."
"Later, because the oral treatment with escitalopram was not effective, I went to the doctor again one and a half months ago and switched to oral bupropion."
"Twelve days ago, the patient reported that his symptoms worsened and his nightmares were severe, so he visited the outpatient department of our hospital again." Director Jiang said seriously: "The outpatient doctor of our hospital recommended hospitalization or treatment at a higher-level hospital. The patient decided to go to Imperial Capital, but did not go I don’t know yet.”
"It started with escitalopram, but then changed to bupropion? What dosage form?" Zheng Ren asked.
Director Jiang suddenly felt embarrassed.
Isn’t oral bupropion enough? Also ask what dosage form? If this were more than ten days ago, Director Jiang would definitely think that Boss Zheng was deliberately making things difficult.
But after a medical record analysis and a public class, he could never bring up this idea again. If you don’t know what dosage form it is, then you haven’t done your job well enough.
Unknowingly, Director Jiang has dwarfed Boss Zheng and truly turned into a little doctor.
"I..." Director Jiang was about to say that he wanted to ask, but suddenly he remembered the plastic-sealed oral medicine, and he immediately went to the patient's pocket to take out the medicine.
"Boss Zheng, this was found in the patient." Director Jiang said.
Dean Wu followed behind and saw Director Jiang, who usually looked unruly, running forward and backward like a little doctor under Boss Zheng.
Boss Zheng is really powerful. Did he convince Director Jiang in such a short time? Dean Wu followed silently. He just couldn't understand how a depressed patient in front of him could be more important than himself, the dean!
Although he didn't think he was very important, he always met twice. This time, we can also invite Boss Zheng from the Imperial Capital to give lectures to everyone at the expense of his rest time. It's human nature to have a meal.
Compared with an unfamiliar patient... there is really no comparison, so Dean Wu didn't understand what was going on with the black line on his forehead.
Could it be that he offended Boss Zheng somewhere? He thought about it with some anxiety.
"Ordinary dosage form, not sustained release type." Zheng Ren said softly, and then pondered for a few seconds.
Several male caregivers held down the patient to prevent him from falling off the flat cart. No one spoke except for the constant roars and screams of the patients.
Everyone's eyes fell on Boss Zheng.
What does he want to do
"What are the adrenergic α2 receptor agonist drugs in the emergency department?" Zheng Ren suddenly asked.
“…”
“…”
A bunch of things rose around...
The professional terminology of the circulatory department is rarely used in clinical practice. Even if you can think of it, you have to turn it around in your mind.
"Uh... are there any old drugs like Clonidine still available?" Zheng Ren asked in a deep voice.
Clonidine? I don’t know about other drugs, but both Dean Wu and Director Jiang know about clonidine.
It is an old blood pressure-lowering drug that is rarely used now. Clonidine is generally not available in ordinary pharmacies. People with special needs also need a doctor's prescription to prescribe this drug in hospitals. Mainly used to treat moderate and severe hypertension.
Because clonidine can inhibit the central nervous system and lower blood pressure, large doses can cause shock, slow heart rate, and death from respiratory and circulatory failure, so it is rarely used clinically. There are safer medicines available now, so there is no need to take risks.
Does the patient have high blood pressure? The first thought that came to Director Jiang's mind was this. He tried to recall that the last time he saw the patient's blood pressure was 152/87 mm Hg.
The blood pressure is slightly high, but it is considered to be related to the patient's agitation. It should not be judged as malignant hypertension, and it needs to be treated with clonidine.
"Director Wang, ask if there is clonidine in the emergency department." Su Yun greeted.
"Oh, oh." Director Wang immediately ran to the emergency room of the emergency department and asked the doctors and nurses if they had this old medicine.
The emergency department didn't have it. He didn't go back and tell Boss Zheng, but called the circulatory department.
Fortunately, the circulation department had medicines on hand, and Director Wang immediately told Boss Zheng and Su Yun about it.
"Is it the 0.1mg tablet? Let me borrow 0.2mg first." Zheng Ren came to the emergency room of the emergency department, stood beside the patient, and began to preside over the treatment.
One was the operating room and the other was the emergency room of the emergency department. As long as Zheng Ren stood inside, he didn't even realize that he had unknowingly changed.
The usually gentle words became affirmative and firm, leaving no room for doubt.
Even Su Yun, who was always willing to criticize his boss, would not raise any questions at this time.
This is accumulated through successful rescues time and time again.