Chapter 136 Surprised Director Qu
Chapter 136: The Surprised Director Qu
While Director Qu was waiting, the results of the electrocardiogram done by Xu Ze were soon revealed.
Xu Ze looked at the graphic ripple on the electrocardiogram. The v4v5v6st segment moved downward, and the t wave was inverted, with a heart rate of 126 times per minute. Now he has clearly confirmed that he has coronary heart disease and heart failure.
Now Xu Ze has officially started to play a truly confident doctor role, and has issued an oral doctor's advice to the nurse who has been waiting by the side, saying: "5% glucose 250ml plus sodium nitroprusside 25mg plus potassium chloride 7ml, and 8 drops in vacuo
Dripping speed starts, blood pressure is regulated; furosemide 20mg static push; 50% glucose 20ml kacidilan 0.4mg static push, limiting to five minutes to push; in addition, blood is drawn immediately to check blood routine, e4a, renal function, blood gas analysis...
”
The nurse waiting for the doctor's advice next to her was Hu Xia, the young nurse in the director's office in the morning. She was looking at Xu Ze in surprise and found that it was the young man she saw in the morning.
, I didn’t expect that he was working here now. Is he also a new doctor in our hospital?
At this time, she heard the doctor's advice from Xu Ze, and she hurriedly nodded and remembered. After Xu Ze gave the doctor's advice, she nodded and said that she had confirmed it. Then she turned to look at Director Qu on the side. After all, this handsome doctor is not yet
If you know what your identity is, you must confirm that the director can only execute these medical instructions.
But at this time she was a little worried. It was obviously a test for Director Qu to ask this new doctor named Xu Ze to see this patient. If Xu Ze's medical advice cannot be recognized by Director Qu, it means that his experience is not enough
If the patient cannot be treated alone, his status in the department will be a bit embarrassing.
Director Qu listened to Xu Ze's medical advice, and now he felt much more relieved. As a very experienced emergency medicine expert, he had already determined that the patient had coronary heart disease through Xu Ze's consultation and the patient's symptoms.
The diagnosis of weak (level 4 cardiac function), and the electrocardiogram produced by Xu Ze just now was 100%.
The medical advice made by Xu Ze just now is that sodium nitroprusside expands the coronary artery and reduces the heart load; diuresis reduces heart pressure; Xidilan strengthens the heart rate and lowers the heart rate; it also fully meets the standard treatment plan for this disease; I am relieved at the moment
He nodded to Hu Xia and agreed to implement it.
Seeing Director Qu nodding, Xu Ze did not react much, but the young nurse Hu Xia breathed a sigh of relief, nodded happily, and went out to dispense medicine.
Director Qu nodded to Xu Ze with a smile, and then said, "Xu Ze is good. Please use more effort in the future. Exercise well in the past two months. It will be very beneficial for you in the future..."
After hearing Director Qu's affirmation and encouragement, Xu Ze also smiled. He knew that he had finally relieved Director Qu, so he nodded and smiled: "Thank you, Director!"
At this time, Qian Xuebin was outside the door. When Director Qu's praise for Xu Ze, a hint of annoyance flashed through his eyes and said to himself: "This Xu Ze is indeed hidden deep. A doctor who has just arrived in the rotund department can have this ability.
It was pretty good to easily diagnose a patient with heart failure... It seems that he should not be underestimated!"
Since the oral medical advice has been issued, the next step is to issue the medical advice onto the medical record.
Xu Ze followed Director Qu back to the office, sat down at the table, and then wrote down some of the following needs in line with nursing standards according to the commonly used medical instructions in the hospital: according to the routine of internal medicine nursing, first-level nursing, accompanying, low salt and low salt
Fat diet, electrocardiogram monitoring, oxygen inhalation, 24-hour urine output, serious illness...
Then, the medicines and usages that need to be used were written on the doctor's order book, and then the prescription was prescribed. The doctor's order book and prescription were handed to Director Qu and asked him to confirm the signature.
Director Qu looked at the medical orders issued by Xu Ze carefully, but after reading them, he was full of surprise. The medical orders issued by Xu Ze were all issued in the format of the most standardized hospital medical orders. He couldn't help but think of him in shock: "
Is this really a junior student who just worked part-time in the clinic?"
After suppressing his surprise, Director Qu took a closer look at Xu Ze's medication. In addition to the oral medical advice just now, he continued to use sodium nitroprusside for 24 hours, and then used to relieve heart pain, furosemide, and hygiene.
Take oral drugs such as Shutong, Budaxiu, aspirin, Shujiangzhi and other drugs.
He couldn't help but nodded frequently. The drugs prescribed by Xu Ze are completely in line with the latest modern principles of coronary heart disease and heart failure treatment. Starting from the aspects of enlargement, strengthening the heart, diuresis, improving the vascular endothelium, etc., it is really a treatment for coronary heart disease and heart failure.
The best treatment option.
He immediately signed the doctor's order book and the prescription, and smiled at Xu Ze with satisfaction: "Xu Ze, you are very good, okay, send the medical records to the nurse to perform!"
Xu Ze chuckled. His reaction to Director Qu was prepared for his long time. The training he had received in the virtual space was not fake. In addition, Xiaodao moved out of a super-large medical research center now.
In the case library, the treatment plan for each case is the most advanced and standard in the world in recent years. Of course, the drugs prescribed according to these are the best.
Unless you, Director Qu, is really an expert who specializes in a certain disease, you will definitely not be able to propose any other better treatment methods...
Xu Ze received the doctor's advice and sent it to the nurse station. The nurse station was the first young nurse Hu Xia. Seeing Xu Ze entered the office and sent the medical record in just a few minutes, he couldn't help but smiled in surprise: "You are so fast,"
It's about the same speed as their old doctors, has Director Qu signed it?"
Looking at the little nurse with beautiful big eyes, Xu Ze couldn't help but smile and said, "Of course I signed it, otherwise why would I send it here..."
"Wow... Then you're not bad, are you a new rotator? You're really amazing!" Hu Xia seemed to be a very talkative person, and she looked through the medical record while looking at the handsome face.
The handwriting, the neat signature and the doctor's orders that Director Qu had no additions and modifications at all, couldn't help but exclaim.
She had never seen a new rotary doctor give a doctor's order so quickly, and there was no need to add or modify it at all. She was like an old doctor who had been working for one or two years.
Looking at Hu Xia's little face full of exclamation, Xu Ze smiled and said, "Stop reading, don't read... copy the doctor's advice quickly, I'm still waiting to write the medical record..."
"What's the hurry..." Hu Xia smiled and gave Xu Ze a blank look, but she didn't hesitate anymore. She took the doctor's order form and then signed herself neatly on the doctor's order book.
After his name, he smiled and said, "Write the medical record quickly, I will write the nursing record later..."
Seeing that she had urged her, she urged herself again. Xu Ze smiled helplessly, then picked up the doctor's book and walked back to the office.
Xu Ze gave a medical order in just a few minutes, but it actually passed the test in front of Director Qu, which also shocked the female doctor Zhang Qi in the office. Director Qu is famous for his strictness in prescription medication, many
When he was not satisfied with the doctor's orders he had issued, he would ask for the increase or decrease or re-open. He did not expect that this new rotator could pass the first time he issued the doctor's orders. This was too powerful.
Seeing Xu Ze come in at this time, Zhang Qi couldn't help but look at him in surprise, which made Xu Ze even more imitate his face, and thought to himself that he had become handsome again as soon as he went out.
Is a serious mature woman like Zhang Qi also attracted by herself?
I sat at the table and only took five or six minutes to finish the first course of the disease. After reading it myself, I found that there was no problem, so I handed it over to Director Qu who was reading the book aside for review and signature.
Without surprise, Xu Ze, who was strictly trained by Xiaodao Tutor in the virtual space, passed the test smoothly again. Director Qu only glanced a few times and signed his name conveniently.
When Xu Ze went out to send medical records to Hu Xia, Director Qu couldn't help but sigh to Zhang Qi beside him: "Young people are not simple now... If this Xu Ze wasn't clear about him, I would have known him.
In the situation, I really have to doubt whether he has been in our hospital before. The doctor's orders and medical records he wrote are not bad compared to you..."
"Ah?" Zhang Qi was writing a record of the illness at this time. Suddenly, he heard the director who was a rare praise from his family. He suddenly said something like this. He was really surprised and said to himself: "This little guy looks young."
Light, is there really what the director said so well?"
After a few minutes, Xu Ze sent his medical record again. It was obvious that he had finished writing the first medical record. The young nurse Hu Xia was really convinced. After taking Xu Ze's medical record, she looked at Xu Ze with admiration.
Xu Ze felt a little embarrassed when he saw it. He quickly asked her for a few medical records and quickly fled back to the office, saving him from being read like a giant panda.
Back at the office, Xu Ze looked through several medical records at hand, among which Qian Xuebin, who was so weak to check the patient, Xu Ze curiously took it out and looked at it.
Looking at some of the drugs used by Qian Xuebin and the tests performed, Xu Ze shook his head slightly. These drugs have certain effects, but they are not symptomatic for this Guillenbaril syndrome, so the effect will not be very effective.
OK, it's good to be able to control at most...
At this time, Director Qu, who was sitting opposite Xu Ze, saw Xu Ze frowning and shaking his head slightly, but he couldn't help but say curiously: "What? Xu Ze, do you have anything to understand?"
After hearing Director Qu's question, Xu Ze hesitated for a moment. He didn't know whether he should tell Director Qu about the patient's situation. After all, he had just arrived, and he was not his patient. If he said that, he was afraid he would definitely be.
I want to offend Qian Xuebin.
However, Xu Ze thought about it. As a doctor, if he found a problem, and it also concerns the patient's life, if he did not raise it in time, he would not be able to get through the level of conscience. And he was not a person who was afraid of trouble.
If Qian Xuebin wants to hold a grudge, just hold a grudge. Anyway, we will stay here for two months...
Chapter completed!