Chapter 2649

"Prepare the gastric tube. Just temporarily. Take clonidine gastric tube for administration later." Zheng Ren arranged.

"Oh."

Director Wang had some doubts, but he didn't ask, but began to get busy.

This is the minimum respect for boss Zheng, and it's not controversial medicine, just clonidine. Can 0.2mg clonidine be fatal? Definitely not.

That's not accurate. There's no problem with the great probability. After all, clonidine itself has certain side effects, and the clinic has been on the edge of elimination.

No matter what boss Zheng is thinking, give clonidine in first. There was no time to explain during the emergency treatment. Director Wang knew this well.

Soon, a doctor in the Department of circulatory medicine ran to bring clonidine, and the stomach tube was also put in. The drug was administered through the stomach tube, and 0.2mg clonidine was given in.

"Watch and wait 20 minutes." Zheng Ren said lightly.

"Boss, clonidine... What's the meaning of giving?" Su Yun couldn't help asking first.

"According to the medical history described by director Jiang and director Wang, the patient is manic depression caused by continuous nightmares." Zheng Ren looked at the patient's system panel color. "Nightmares usually occur during REM sleep and can be induced by a variety of factors, including stress, anxiety, trauma, sleep deprivation, drugs, etc."

"Bupropion is a ne and Da reuptake inhibitor, which can affect sleep structure by increasing REM sleep and density." Zheng Ren continued, "studies have shown that taking bupropion orally for a long time may lead to nightmares."

"Bupropion causes nightmares?" Director Jiang was stunned. He had been a psychiatrist for decades. Why didn't he know about it.

"There are relevant studies in prim care companion CNS disord, which are not very common, and they are generally seen in patients with oral bupropion sustained-release tablets." Zheng Ren looked at the system panel whose color had begun to fade and said confidently: "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 Ren said, "clonidine is a kind of adrenaline α 2 receptor agonists can be used to treat attention deficit hyperactivity disorder and hypertension by reducing sympathetic efference from the central nervous system. "

This is an open class without rehearsal.

There is no light, no Mike, and no su Yun's appearance as popular as traffic. Only Zheng Ren, and calm and confident bearing.

Zheng Ren stood beside the patient, not looking at the people around him, but staring at the patient's system panel and monitor.

The color of the system panel became lighter and lighter with the effect of drugs, and a happy smile appeared at the corners of his mouth.

"This mechanism of clonidine can inhibit or reduce REM sleep, which may antagonize the effect of bupropion on REM sleep to a certain extent, and then improve nightmares."

“……”

Director Jiang was silly.

If other clinical diseases were misdiagnosed as mental diseases before, I can also argue that the diagnosis and treatment specialty is different, and my misdiagnosis is excusable.

But now we are talking about the diagnosis and treatment of pure mental diseases. Boss Zheng didn't use any new drugs he hadn't heard of, but only used clonidine, an old antihypertensive drug that has passed out in clinic.

Can it really work? Director Jiang was a little confused.

"Clonidine itself is dangerous. Patients engaged in dangerous activities such as operating machines or driving should pay attention to the possible sedative effect of clonidine. This sedative effect can be enhanced by the simultaneous use of alcohol, barbiturate or other sedatives."

"So clonidine can't be bought in ordinary pharmacies because it has a calming effect. It also needs the guidance of a professional doctor when stopping the drug."

Watching the patient's agitation gradually stop, Zheng Ren smiled and said, "it seems to be working."

"Boss, why do you study clonidine?" Su Yun asked suspiciously.

"I have encountered similar patients in Haicheng." Zheng Ren said perfunctorily.

Su Yun tilted his lips, and his boss was willing to use this excuse. He went to the emergency department within a few days. How interesting is this product? He says that every time! Just how thick you have to be.

After waiting for more than ten minutes, the patient's manic state has been completely relieved and began to fall asleep with loud snoring.

"Take a head CT and have a look." Zheng Ren smiled and said, "director Jiang."

"Ah!" Director Jiang immediately replied, bending deeper.

"The drug dose is a little large this time. In order to reduce recurrent nightmares, patients will be given clonidine 0.1mg every night." Zheng Rendao said, "the nightmare can be relieved in about 3 days. Normally, it will completely disappear in about 10 days. Pay attention to asking the patient about the situation. After the nightmare completely disappears, clonidine can be taken orally every other day and stopped after a month."

"Ah, ah." Director Jiang nodded and agreed, desperately remembering boss Zheng's medical advice. Fortunately, this set of medical orders is not complicated, and director Jiang is not worried that he will forget.

"Nightmare may be a side effect of bupropion treatment; clonidine may help to improve this situation. But if you prescribe clonidine to the patient in the future, you should pay more attention to the patient's blood pressure." Zheng Ren told, "well, if this side is okay, I'll go."

With that, Zheng Ren looked around, smiled and said to President Wu, "president Wu, director Wang, can't eat. It's still early. He promised his girlfriend to go home to eat."

President Wu had nothing to say when he moved out his girlfriend.

At his age, boss Zheng is in love with his girlfriend. No wonder he doesn't go out to dinner at ordinary times. It turns out that he is also a lover.

"Boss Zheng, look at this." Director Wang was still a little embarrassed. He kept saying, "you didn't even have a hot meal with Professor Su when you came to give a lecture. It's really embarrassing."

"It's all right. If you have something to do in the future, please contact wechat." Zheng Ren smiled and strode out of the people's hospital with Su Yun.

Feng Xuhui has been waiting at the door for a long time. Zheng Ren opens the door, waves back and gets on the bus.

Director Wang sighed as he watched the off-road vehicle disappear into the misty night.

Boss Zheng is really powerful, especially when standing by the flat car to explain the diagnosis and treatment of the disease. The background is a patient whose agitation is gradually weakened. His words didn't feel anything at that time. In retrospect, it's like thunder.

He seems to have done a good job in general surgery. In the future, he must find a chance to invite him to do some surgery and observe it on the spot. Director Wang thought in his heart.