"Prepare to insert the gastric tube. It's just temporary. I will get the clonidine gastric tube for administration later." Zheng Ren arranged.
"oh."
Director Wang was a little confused, but he didn't ask and started to get busy.
This is the most basic respect for Boss Zheng, and the drug he was given was not a controversial drug, just clonidine. Can 0.2 mg of clonidine be fatal? Definitely not.
It's not accurate to say that. There is a high probability that there will be no problem. After all, the drug clonidine itself has certain side effects and is on the verge of clinical elimination.
No matter what Boss Zheng is thinking, let’s put in the coladine first. There is no time to explain during emergency treatment, and Director Wang knows this very well.
Soon, a doctor from the Department of Circulation Medicine rushed over to deliver clonidine and put a gastric tube into it. He administered the medicine through the gastric tube and administered 0.2 mg of clonidine.
"Just observe and wait 20 minutes." Zheng Ren said calmly.
"Boss, what's the point of clonidine...?" Su Yun couldn't help but ask first.
"According to the medical history described by Director Jiang and Director Wang, the patient suffered from bipolar disorder caused by continuous nightmares." Zheng Ren looked at the color of the patient's system panel. "Nightmares usually occur during REM sleep and can be caused by a variety of factors. Triggers include stress, anxiety, trauma, sleep deprivation, drugs, etc.”
"Bupropion is a NE and DA reuptake inhibitor that can affect sleep structure by increasing REM sleep and density." Zheng Ren continued, "Some studies have shown that long-term oral administration of bupropion may cause nightmares."
"Bupropion causes nightmares?" Director Jiang was startled. He had been practicing psychiatry for decades, so why didn't he know about this
"There are related studies in "Prim panion S Disord". It is not very common. It is generally more common in patients who take oral bupropion sustained-release tablets." Zheng Ren looked at the patient's system panel that had begun to fade in color, and he was confident Said: "Antidepressants such as bupropion can prolong REM sleep and latency and increase REM activity and density."
"This is the basic principle of drug action." Zheng Rendao, "Clonidine is an adrenergic α2 receptor agonist that can be used to treat attention deficit hyperactivity disorder and hypertension. The mechanism is to reduce sympathetic nerves from the central nervous system. Outgoing."
This is an open class without rehearsal.
There are no lights, no microphones, and no Su Yun’s popular appearance. There is only Zheng Ren, and his calm and confident demeanor.
Zheng Ren stood next to the patient, not looking at the people around him, but staring closely at the patient's system panel and monitor.
The color of the system panel became lighter and lighter as the drug took effect, and a cheerful smile appeared at the corner of his mouth unconsciously.
"This mechanism of action of clonidine can inhibit or reduce rapid eye movement sleep, which may antagonize the effect of bupropion on rapid eye movement sleep to a certain extent, thereby improving nightmares."
“…”
Director Jiang was dumbfounded.
If other clinical diseases were misdiagnosed as mental illnesses in the past, I can still argue that the diagnosis and treatment specialties are different, and my misdiagnosis is excusable.
But what we are talking about now is the diagnosis and treatment of pure mental illness. Boss Zheng did not use any new drugs that he had never heard of, but only used an old antihypertensive drug that has become outdated in clinical practice-clonidine. .
Can it really be effective? Director Jiang was a little confused.
"The drug itself is dangerous, and patients who engage in hazardous activities such as operating machinery or driving should be aware of the possible sedative effects of clonidine. This sedative effect may be caused by concurrent use of alcohol, barbiturates, or other sedatives. And enhance.”
"That's why clonidine cannot be purchased in ordinary pharmacies because it has a sedative effect, and you need the guidance of a professional doctor when you stop taking it."
Seeing the patient's agitation gradually subside, Zheng Ren smiled and said, "It seems to be working."
"Boss, why are you studying this clonidine thing?" Su Yun asked doubtfully.
"I encountered similar patients in Haicheng." Zheng Ren said casually.
Su Yun pouted, his boss was willing to use this excuse. He went to the emergency department on his own within a few days. How dare this guy have the nerve to say that every time! Just be as thick-skinned as you want.
After waiting for another ten minutes, the patient's manic state had completely eased and he began to fall asleep, snoring loudly.
"Let's do a CT scan to take a look." Zheng Ren smiled and said, "Director Jiang."
"Hey!" Director Jiang responded immediately, bending deeper.
"The dose of the drug this time was a bit high. In order to reduce recurring nightmares, the patient will be given 0.1 mg of clonidine every night." Zheng Rendao said, "The nightmares can be relieved in about 3 days, and normally disappear completely in about 10 days. . Pay attention to asking the patient’s condition. After the nightmare completely disappears, the clonidine can be taken orally once every other day and stopped after one month.”
"Eh, eh." Director Jiang nodded in agreement hurriedly, trying hard to remember Boss Zheng's medical advice. Fortunately, this set of medical instructions is not complicated, and Director Jiang is not worried that he will forget it.
"Nightmares may be a side effect of bupropion treatment; clonidine may help improve this condition. But if you prescribe clonidine to patients in the future, you should pay more attention to the patient's blood pressure status." Zheng Ren warned, "Well, if there's nothing wrong here, I'll leave."
After saying that, Zheng Ren looked around, smiled and said to Dean Wu: "Dean Wu, Director Wang, we don't have time to eat. It's still early. I promised my girlfriend to go home to eat."
After moving out his girlfriend, Dean Wu had nothing to say.
At Boss Zheng's age, it's the right time for him to fall in love with his girlfriend. No wonder he doesn't usually go out to eat, it turns out he is also a love interest.
"Boss Zheng, look at what happened." Director Wang was still a little embarrassed. He kept apologizing and said, "You came to give a lecture, and Professor Su and I didn't even have a hot meal. It's really embarrassing."
"It's okay. If anything happens in the future, I'll contact you via WeChat." Zheng Ren smiled and strode out of the People's Hospital with Su Yun.
Feng Xuhui had been waiting at the door for an unknown amount of time while driving. Zheng Ren opened the car door, turned around and waved, and then got in the car.
Director Wang sighed as he watched the off-road vehicle disappear into the misty night.
Boss Zheng is really powerful, especially when he stands next to the flat car and explains the diagnosis and treatment of the disease. In the background is a patient whose agitation is gradually weakening, and his words do not sound like anything at the time. Looking back now, it's like thunder.
He seems to be good at general surgery. He must find opportunities to invite him to do a few surgeries in the future and observe them on the spot, Director Wang thought to himself.