Chapter 137

In director Qu's waiting, the results of Xu Ze's ECG also came out quickly.

Xu Ze looked at the graph ripple on the ECG paper. V4v5v6st segment moved down, and there was T wave inversion. The heart rate was 126 beats. Now he has definitely confirmed that it is coronary heart disease and heart failure.

At present, Xu Ze began to play the role of a truly confident doctor. He gave oral medical orders to the nurses who had been waiting for him. He said, "5% glucose 250ml, sodium nitroprusside 25mg and potassium chloride 7ml, intravenous drip started at 8 drops, and the speed was adjusted according to blood pressure; furosemide 20mg was given intravenously; 50% glucose 20ml plus cedilanide 0.4mg was given intravenously, which was limited to five minutes. In addition, blood was drawn immediately for examination Blood routine test, E4A, renal function, blood gas analysis... "

The nurse waiting for the doctor's order is Xu Ze asking Hu Xia, the little nurse in the director's office in the morning. She has been looking at Xu Ze in surprise at first. She finds that it is the young man who saw him in the morning. He is also a new doctor in our hospital?

At this time, hearing Xu Ze's medical orders, she quickly nodded to remember that after Xu Ze finished the medical orders, she nodded to show that she had confirmed. Then she turned her head and looked at director Qu on the side. After all, the handsome doctor did not know what his identity was. She had to confirm her identity before she could carry out the medical orders.

But at this time, she was a little worried. Just now director Qu let the new doctor named Xu Ze see the patient, which was obviously a test. If Xu Ze's medical advice could not be approved by director Qu, it would show that he was not experienced enough to diagnose and treat patients alone, so his position in the Department would be a little awkward.

After listening to Xu Ze's doctor's advice, director Qu felt much relieved. As an experienced emergency medicine expert, he had already determined that the patient was coronary heart disease and heart failure (heart function level 4) by first consulting Xu Ze and the patient's performance. Then he saw the ECG made by Xu Ze, which was 100% confirmed.

And Xu Ze just made the doctor's advice, sodium nitroprusside dilate coronary artery, reduce heart load; furosemide diuresis to reduce heart pressure; cedilan strong heart to reduce heart rate; also fully in line with the standard treatment of the disease; at the moment, he nodded to Hu Xia happily, saying that he agreed to carry out.

Seeing director Qu nodding, Xu Ze didn't react much. But Hu Xia, the little nurse, was relieved. She nodded with joy and went out to make medicine.

Director Qu nodded to Xu Ze with a smile, and then said, "Xu Ze is good. In the future, use more heart and exercise well in these two months. It will be good for you in the future..."

Listening to director Qu's affirmation and encouragement, Xu Ze also showed a smile. Knowing that he had finally let director Qu down, he nodded and said with a smile: "thank you, director!"

At this time, Qian Xuebin was outside the door, listening to director Qu's praise of Xu Ze, but he flashed a trace of anger. He secretly said, "this Xu Ze is really deep. The doctor who has just come to Lunke department can easily diagnose a patient with heart failure. It's not bad It seems that he should not be underestimated! "

Since the oral medical order has been issued, then naturally the next step is to open the medical order to the medical record book.

Xu Ze followed director Qu back to the office, sat down at the table, and then wrote down the following nursing standards line by line according to the common medical orders of the hospital, First level nursing, accompanying, low salt and low-fat diet, ECG monitoring, oxygen inhalation, recording 24-hour urine volume, serious illness...

then he wrote the drugs and usage needed to be used in the doctor's order book, and then made a good prescription, and handed the doctor's order book and prescription to director Qu for confirmation and signature.

Director Qu took a serious look at Xu Ze's medical orders, but after reading them, he was surprised. Xu Ze's medical orders were all in accordance with the most standardized form of hospital stay orders. At present, he couldn't help but wonder: "is this really a junior who just worked in a clinic and worked as a junior?"

After suppressing his surprise, director Qu took a close look at Xu Ze's medication. In addition to the oral doctor's advice, he continued to use sodium nitroprusside for 24 hours. Then he took orally such drugs as Xiaoxintong, furosemide, spironolactone, budaxiu, aspirin and Shujiangzhi.

At present, we can't help nodding frequently. These drugs prescribed by Xu Ze are completely in line with the latest modern treatment principles of coronary heart disease and heart failure. Starting from the aspects of coronary heart disease, strengthening heart, diuresis and improving vascular endothelium, it is the best treatment for this coronary heart disease and heart failure.

At the moment, Li Li signed on the doctor's advice book and prescription, and said with a satisfied smile to Xu Ze: "Xu Ze, you are very good. OK, send the medical records to the nurses for execution."

Xu Ze chuckled. His response to director Qu was that he had been prepared. The training he had received in the virtual space was not a fake. In addition, the case bank moved out of a super large medical research center with a knife. The treatment plan for each case in it is the most advanced and standard in the world in recent years. Of course, all the drugs prescribed according to these prescriptions are of course The best.

Unless you director Qu is really a specialist in a certain disease, there is absolutely no other better treatmentAt present, Xu Ze took the doctor's advice and sent it to the nurse station. The nurse station was the first nurse, Hu Xia. Seeing that Xu Ze sent the medical records in a few minutes after entering the office, he couldn't help laughing in surprise: "you're really fast. It's almost as fast as those old doctors. Did director Qu sign it?"

Looking at this little nurse with a pair of beautiful big eyes, Xu Ze couldn't help laughing and said, "of course, it's signed. Otherwise, how can I send it over..."

"Wow You're good. You're the new Rotarian, aren't you? It's very good! " It seems that Hu Xia is a very talkative master. She looks through the medical records, looks at the beautiful handwriting, the crisp signature and the doctor's advice that director Qu has not added or modified. She can't help but exclaim.

She had never seen a new Rotarian prescribe orders so quickly, and without any change, it was just like an old doctor who had worked for one or two years.

Looking at Hu Xia's small face full of wonder, Xu Ze laughed and said, "don't look, don't look Copy the doctor's order quickly. I'm still waiting to write the medical record... "

"What's the rush..." Being urged by Xu Ze, Hu Xiachen gave Xu Ze a white smile, but he did not hesitate. He copied the medical order sheet, and then signed his name on the doctor's advice book, and then gave it to Xu Ze with a smile: "write the medical record quickly. I'll write the nursing record later..."

Seeing that she finished urging her, she urged herself again. Xu Ze laughed helplessly, then picked up the doctor's advice book and went back to the office.

But Xu Ze only a few minutes to open the doctor's order, and in front of director Qu was actually a pass, but also let the female doctor in the office Zhang Qi was shocked. Director Qu is famous for his strict prescribing and medication. Many times, he would not be satisfied with the doctor's orders that he and others prescribed, and then asked to increase or decrease or reopen. Unexpectedly, the new Rotarian doctor could pass the first prescription at one time, which is too strong.

At this time see Xu Ze come in, this Qi is also can't help but be surprised to see two more eyes, let Xu Ze can't help but multimode two of his own face, secretly said that he just went out on a long handsome? Even Zhang Qi, a serious mature girl, was attracted by herself?

Sitting in front of the table, it took only five or six minutes to finish writing the first course record. After reading it, he found that there was no problem, and then he handed it to director Qu, who was reading at the side, for review and signature.

Without any accident, Xu Ze, who was strictly trained by the Xiaodao tutor in the virtual space, successfully passed the test again. Director Qu only took a few glances and signed his name conveniently.

When Xu Ze went out to send medical records to Hu Xia to write nursing records, director Qu could not help but sigh at Zhang Qi: "it's not simple for young people now This Xu Ze, if I didn't know his condition, I would really doubt whether he had been in our hospital before. The medical orders and medical records written out by him are no worse than those of you... "

"Ah?" Zhang Qi was writing a record of the course of the disease. Suddenly, he heard the director who was rarely praised by himself. He suddenly said this sentence, but he was really surprised. He secretly said, "this little guy looks so young. Is he really as powerful as the director said?"

For Xu Ze, only a few minutes later, he sent the medical record to him again. Obviously, he finished writing the first course record. Hu Xia, a little nurse, really took it. After taking xuze's medical record, she looked at Xu Zeman with admiration, which made Xu Ze feel embarrassed. At the moment, she asked for some medical records from her and fled back to the office to save herself from being seen as a giant panda Yes.

Back in the office, Xu Ze flipped through several medical records in hand, which happened to be rich Xuebin, who was weak in checking the cause of the patient. At the moment, Xu Ze took it out curiously.

Looking at some of the drugs used by Qian Xuebin, as well as those laboratory tests, Xu Ze shakes his head slightly. These drugs have certain effects, but they are not suitable for this kind of Guillain Barre syndrome, so the effect will not be very good. It can be controlled at most

At this time, director Qu, sitting opposite xuze, saw Xu Ze frowning and shaking his head gently, but he could not help but wonder: "what? Xu Ze, is there anything you don't understand? "

Listening to director Qu's question, Xu Ze hesitated for a moment. He didn't know whether he should tell director Qu about the patient's condition. After all, he had just come here. Besides, this is not his own patient. If he said that, he would certainly offend Qian Xuebin.

However, Xu Ze thought about it for a moment. As a doctor, if he finds a problem and it is related to the patient's life, if he does not put it forward in time, he will not be able to pass the test of his conscience. And I'm not afraid of anything. If Qian Xuebin wants to hate himself, I'll stay here for two months

Xu Ze then made a decision. He looked up at director Qu with a smile and said, "director, have you heard of Guillain Barre syndrome?"

PS: continue to ask for monthly tickets, sweat one... Recently, Tiannan is a gynecologist. To clarify, Tiannan is a pediatrician, but occasionally when a fetus is in a bad condition, she goes to the delivery room to supervise delivery. It's not Gynecology...

I'm a little sad... I just received a call from my mother saying that you haven't been home for your birthday for several years. Come back on the 20th and ask your father to go for you Buy a chicken.Listen to Tiannan is a Leng a Leng, this just remembered, July 11 is coming again... Our authentic lunar calendar birthday! But I can't go back this year. I'm afraid my mother will be disappointed, so I have to take part in the practice promotion examination next month, and I will go home! In fact, July 11 of the solar calendar has received many brothers' blessing, so this year Tiannan is not a birthday, continue to work hard! (to be continued, please visit www.qidian.com , more chapters, support authors, support legitimate reading! )

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