v3 Chapter 2649： Love

"Preparing the lower gastric tube, it can be temporary, and we will take the clonidine gastric tube for administration." Zheng Ren arranged.

"Oh."

Director Wang was a little confused, but he didn't ask, but began to get busy.

This is the least respect for Boss Zheng, and it is not a controversial drug, but only clonidine. Can 0.2 mg of clonidine be lethal? Definitely not.

It is not accurate to say so, there is no problem that there is a great probability. After all, clonidine itself has certain side effects, and the clinic is on the verge of elimination.

Whatever Boss Zheng is thinking of, let's talk about Cola first. There was no time to explain during the emergency, Director Wang knew this.

Soon, a doctor of circulatory medicine ran to deliver clonidine, and the stomach tube went down, and was administered through the stomach tube. 0.2 mg of clonidine was given in.

"Look at it, wait 20 minutes." Zheng Ren said lightly.

"Boss, clonidine ... what does it mean?" Su Yun couldn't help but ask first.

"According to the medical history described by Director Jiang and Director Wang, the patient is a bipolar disorder caused by continuous nightmare." Zheng Ren looked at the patient's system panel color. "Nightmare usually occurs during REM sleep, and can be caused by many factors. Induction, including stress, anxiety, trauma, sleep deprivation, drugs, etc. "

"Bupropion belongs to NE and DA reuptake inhibitors and can affect sleep structure by increasing REM sleep and density." Zheng Ren continued, "Some studies have suggested that prolonged oral bupropion may cause nightmares."

"Amphetamine causes nightmares?" Director Jiang took a moment's attention, and he had been doing psychiatry for decades. Why didn't he know this?

"Related research in" PrimCareCNSDisord "is not very common, and it is more common in patients taking oral bupropion sustained-release tablets." Zheng Ren said with confidence when he looked at the system panel where the patient's color had begun to fade. " Antidepressants such as bupropion can prolong the sleep and incubation period of REM, increase the activity and density of REM. "

"This is the basic principle of drug action." Zheng Rendao, "Clonidine is an adrenergic α2 receptor agonist, which can be used to treat attention deficit hyperactivity disorder and hypertension. The mechanism is to reduce sympathetic nerves from the central nervous system. Out. "

This is a public class without a preview.

There is no light, no microphone, and no such value as Su Yun's popular flow. Only Zheng Ren, and a calm and confident manner.

Zheng Ren stood next to the patient, without 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 weaker with the effect of the drug, and a cheerful smile appeared unconsciously at the corner of his mouth.

"This clonidine mechanism of action can inhibit or reduce REM sleep, and may to some extent antagonize the effect of bupropion on REM sleep, thereby improving nightmares."

"..."

Director Jiang is stupid.

If other clinical diseases were misdiagnosed as mental illness before, you can also argue that the diagnosis and treatment specialty is different, and it is reasonable to have your own misdiagnosis.

But now we are talking about the diagnosis and treatment of pure mental illness. Boss Zheng has not used any new medicine that he has not heard of, but only used an old-fashioned antihypertensive drug that has been clinically exhausted-Cola. set.

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

"Clonidine is inherently dangerous. Patients engaged in hazardous activities such as operating a machine or driving a car should be aware of the possible sedative effects of clonidine. Such sedation can be caused by concurrent use of alcohol, barbiturates or other sedatives. And enhanced. "

"So clonidine cannot be bought in general pharmacies because it has a calming effect and requires professional doctors' guidance when the drug is stopped."

Watching the patient's restlessness gradually cease, Zheng Ren smiled and said, "It seems to be working."

"Boss, what are you doing with clonidine?" Su Yun asked in confusion.

"I have encountered similar patients in Haicheng." Zheng Ren casually perfunctoryly.

Su Yun poked his lips, and his boss was willing to use this excuse. He went to the emergency department himself a few days ago, how embarrassed he was to say so every time! Just this cheek, how thick it is.

After waiting for another ten minutes, the manic state of the patient had been completely relieved, and he began to fall asleep and snored loudly.

"Take a look at CT." Zheng Ren smiled and said, "Director Jiang."

"Well!" Director Jiang answered immediately, with a deeper waist.

"This time the drug dose is a bit large. In order to reduce the recurrence of nightmares, patients were given clonidine 0.1mg every night." Zheng Rendao, "The condition of nightmares can be alleviated in about 3 days, and normally disappears completely in about 10 days .Please pay attention to the patient's condition. When the nightmare completely disappears, clonidine can be taken orally every other day, and the drug can be discontinued one month later. "

"Hmm, shit." Director Jiang nodded in agreement, desperately remembering Boss Zheng's medical order in his head. 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 improve this situation. But if you prescribe clonidine to the patient in the future, pay more attention to the patient's blood pressure." "Well, if this side is okay, then I will leave."

After speaking, Zheng Ren looked around and said to Dean Wu with a smile: "Dean Wu, Director Wang, you can't have dinner. It's still early, and promised my girlfriend to go home to eat."

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

Boss Zheng is at this age when he is in love with his girlfriend ~ www.novelhall.com ~ No wonder he usually doesn't go out to eat. It turns out that he is also a kind of love.

"Boss Zheng, you see that this is a trouble." Director Wang is still a little embarrassed. He keeps saying sorry, "You come to lecture, and you haven't eaten even with a mouthful of warmth with Professor Su, it's really embarrassing."

"It's okay, if there's something going on in the future, WeChat contact." Zheng Ren smiled and stepped out of People's Hospital with Su Yun.

Feng Xuhui has been waiting at the door for a long time. Zheng Ren opened the door, waved his hand back, and then got into the car.

Director Wang sighed as he watched the off-road vehicle that disappeared quickly disappeared into the misty night.

Boss Zheng is really powerful, especially when standing by the flat car explaining the diagnosis and treatment of the condition. The background is a patient whose agitation is gradually weakening, and his words did not feel anything at the time. In retrospect, it was like a thunderstorm.

He seems to be able to perform general surgery. He must find an opportunity to invite a few operations in the future, and observe the scene. Director Wang thought to himself.

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