Chapter 2016: Milk, instructions

Zheng Ren thought for ten minutes and still had no conclusions.
Large pig hooves are generally very reliable, but so far, there have been several incidents that did not give a diagnosis.
The most critical one was the incident of eating the animal's thyroid gland. It turned out that the big pig's hoof still had some internal logic.
And this time? Why is the big pig hoof not diagnosed? Is it that people can't eat live video?
Zheng Ren looked at the patient's steady state, the ventilator and the monitor operated smoothly, and began to suspect that the patient itself was not sick.
Just to say so, you must have a strong diagnosis.
"I went to see the medical record." Zheng Ren Shen Shen, then returned to the workstation from his own, began to look at the medical record.
The patient's condition is relatively simple, as was the case with the previous iu hospitalization. Just because of his age, he only observed a few days after iu.
This is also a very cautious approach.
Surgery, from the record of the surgical record, there is no problem.
Zheng Ren then began to look at the test list.
While looking at the various materials that Zheng Ren turned over, Su Yun asked: "Yang, you didn't touch the gallbladder and the liver when you were operating."
"No, the colon position, if you touch it, you can't touch it." Yang always said with certainty.
"That's strange." Su Yun did not understand.
From the patient's test return, the condition improved a little, and today it can be transferred out of the IU ward.
Before the transfer, there was a problem with green urine.
After reading all the test sheets, Zheng Ren began to see the doctor's advice.
"Boss, suspected to be caused by drugs?" Su Yun asked.
"It can only be so skeptical that other medical treatments are okay. If there is a problem, it can only be a drug problem." Zheng Rendao.
Iu's medication is not much, unlike other intensive care units in other small hospitals, as long as there are some wrong places, several groups of drugs at the same time, and even many patients are aggravated by medication.
After taking the stage, only 24 hours of antibiotics were used, and the rest were nutritional support.
Strange, where is the problem?
A little bit of medical advice, Zheng Ren did not even miss a lot of drugs that have been stopped.
This time, he didn't see things very quickly, but it was slower than when he saw the test list and medical records.
Others don't know what Zheng boss is doing, but Su Yun suspects that his boss is recalling the instructions for each drug.
"Su Yun."
In the silence, Zheng Ren suddenly screamed.
"Ok?"
"Look for the milk instructions." Zheng Rendao.
The original boss did not remember everything. When he thought of it, Su Yun felt much happy.
Just what about the instructions for finding milk?
Milk, the milk that Zheng boss said, is not the milk that is usually consumed at home, but the nickname of propofol.
Propofol, also known as propofol, is a milky white liquid that anesthesiologists call "milk."
Its main function is the induction and maintenance of general anesthesia, often combined with spinal anesthesia and epidural anesthesia, and with the usual pre-anesthesia administration such as neuromuscular blockers, inhaled anesthetics and analgesics.
When used clinically, no contraindications were found, and there were almost no side effects.
Even if it is used for a long time, the patient's body can accept it. Some patients with a ventilator are for a month, and there is no side effect of propofol.
Is there a problem with milk?
Su Yun tried hard to remember while looking for a nurse to ask for propofol.
Can't you, how many general anesthesia operations in the operating room every day? Not to mention that at 912, when I was a graduate student, I was mixed in the operating room every day, and I have never seen any green urine.
After taking the drug instructions handed over by the nurse, Su Yun couldn't wait to start squinting and looking for drug contraindications and side effects in a line of small prints.
Soon, he found six small characters in the side of the drug side effects, a small word that has never been noticed - rare urine discoloration.
This is the first time Su Yun knows that propofol has this effect.
"Boss, there!" Su Yun did not get excited, but said a little confused.
"I take a look."
"On the six words, nothing looks good." Su said, Su Yun handed the drug instructions to Zheng Ren.
Zheng Ren glanced at him and smiled: "Considering that it is caused by propofol, you can reduce the dose, observe it after stopping the drug, and then pull the tube offline."
"..."
Yang always felt that his eyes were spent. How small is the word on the manual? Zheng boss saw it and saw it?
He suspiciously took the drug instructions and tried to find a side column.
"Yang Ge, here." Quan Xiaocao is still younger, and his eyes are better. He found the six words faster than Yang.
Rare urine color change...
Is this the reason? I am tossing myself up in the middle of the night... Yes, I still seem to be diarrhea!
Before the height of tension, Yang always forgot about it.
Once I remembered, a tsunami screamed in my stomach.
d! He groaned in his stomach.
"Zheng boss, I have not seen it." Iu's hospitalization always saw the six words, whispered.
"There are some case reports, but the published literature is not very common, and it is a small article of tofu." Zheng Ren smiled: "Recalling now, there should be more than a dozen articles saying this.

"..."
"Considering that the green luminescent group of phenol may be metabolized in the liver and then discharged with the urine." Zheng Ren simply explained.
As for too many explanations, Zheng Ren does not know what to say.
This involves a profound study of biochemistry, which is estimated to open the biochemical skills tree and at least rise to the master level to explain.
"I made my suggestion. When the director came to the house for an early morning, you would discuss it." Zheng Ren also knew that the reason he said was not enough to make iu's hospitalization always acknowledge, and he whispered.
"There is nothing wrong with the patient~EbookFREE.me~ You can stop the tube and pull it out. If you think there is a problem, you can consult an anesthesiologist, then change the sedative medicine, and then take a look." Zheng Ren took a breath.
I thought about the green urine of the morning, I haven't eaten yet.
Although I rarely eat at ordinary times, Zheng Ren still pays considerable attention to breakfast.
Do not eat breakfast, easy to cause gallstones, and finally remove the gallbladder. Zheng Ren does not want to eat diarrhea in the future, it is simply too annoying.
To some extent, gallstones are incurable.
In the past few years, some people have studied the incision of gallbladder to take stones alone, but the postoperative complications are many and the effect is not good. Therefore, the general clinical opinion is to directly remove the gallbladder.
"Then we are gone." Zheng Ren felt that he had solved the problem, looked up and looked at the patient, and finally confirmed the system panel and vital signs.
no problem.
Zheng Ren turned and left.