Vol 3 Chapter 2774: See also Bai Xintong

"Boss, you see how much trouble you have caused people." Su Yun said scornfully.
"Always feel that there is something wrong with the patient." Zheng Ren couldn't say the systematic diagnosis of the big pig's hoof, but he said it could be stumped.
"It's too far-fetched." Su Yundao, "The patient's performance is sputum, blocking the airway, resulting in hypoxia. You tell me how to think about foreign bodies."
"You also saw the performance of the patient's family when we were eating skewers." Zheng Ren said, "It was obviously an accident. My feeling was that the old man was fine when he was out of the stall. As a result, convulsions and blood appeared after a few hours. When the oxygen saturation drops, family members are caught off guard. "
"Eh ... seems to be the same, but don't you think it's the patient's family's own problem?" Su Yun looked at Zheng Ren in doubt and said, "You seem to have guessed something."
Zheng Ren shrugged his shoulders and shook his head. "I think there is a problem. The intuition of a doctor is just to go in and take a look. It is not a hassle. By the way, I can up the deposited sputum as much as possible."
Yun Su Yun accepted this explanation from Zheng Ren. Although he ate and sang a song late at night, he suddenly went to ICU to do bronchoscopy and bronchoalveolar lavage.
Soon, ICU's hospitalization was always equipped with bronchoscopy equipment. Zheng Ren came to the patient, found the right angle, and began to pipe down.
Under the state of anesthesia, if the ordinary bronchoscope does a kind of suffocation, the feeling is quite bad.
仁 Zheng Ren held the camera of the bronchoscope in his left hand, and while carefully watching, he slowly put the fiber tube into the airway of the patient with his right hand.
It is true that there is a lot of sputum, but Zheng Ren, the sputum of the upper respiratory tract, didn't pay much attention to it.
Put the tube into the right main bronchus and slowly out the sputum while walking. Zheng Ren carefully observed the airways and patiently sucked sputum.
It looks like this is not the problem. After checking the airway on the right, Zheng Ren sends the pipe to the left.
As soon as entered about 5 cm into the left main bronchus, Zheng Ren saw two things with skeletal structure stuck on the wall of the trachea.
"Grab the pliers," Zheng Ren said in a deep voice.
"What did you see!" Su Yun hated the damnable bronchoscope at this moment, because it had no screen, only the surgeon could see what was inside.
The boss wants to grab the forceps, which means he sees a foreign body in the trachea. But there is a foreign body ... This is not logical, and the patient does not behave as if the airway is blocked.
Xi Zheng wondered, Zheng Ren let the camera go, "Look at it."
Su Su Yun immediately rushed past.
Two drug skeletons appeared in front of the eyes.
"I'll go ... by Xintong's drug skeleton!" Su Yun said in surprise immediately.
"Huh? How do you know it is worship new Tong? Do you have any research on this?" Zheng Renleng a moment.
"Last time I saw Director Lin explaining this to a patient's family who had an opinion at the medical office. I went back and bought a box and studied it carefully. It was a skeleton model of imported medicine. "
Icu's hospitalization always installed the grasping forceps and other instruments to Zheng Ren.
Zheng Ren slowly sent in, grabbed a drug skeleton and took it out. This operation is not difficult, at least for Zheng Ren.
The second drug skeleton was also removed, and Zheng Ren did not end the inspection. Now that you have started sputum suction, look for a little more so that the patient's recovery period can be shortened a lot.
After 10 minutes, Zheng Ren took out the fiber tube and laughed, "It's okay, about 80ml of sputum is sucked out, the amount is not small."
"Boss Zheng, how did you know that there was a foreign body?" Icu's hospitalization has not slowed down until now, she asked in confusion.
"Because of the symptoms of the patient." Zheng Ren started talking nonsense, anyway, to solve the problem, how can I tell the truth with her?
"Patients started with convulsions, convulsions, and acute hypoxia. Later, I saw good, but the amount of sputum was large, and this could not explain the sudden symptoms. I considered that there might be obstructions at first, and then gradually recovered, but Because of the obstruction and the irritation, only the slow-release matrix release formulation can be perfectly explained. "
"It is completely blocked, and then the drug is absorbed by the body, but there is still irritation. The increase in sputum volume caused by the stimulus is also a side reason." Zheng Ren added, trying to make it clearer.
After knowing the answer, it became a lot easier to push back. Zheng Ren said his thoughts and bluffed ICU's hospital stay.
Qilian Su Yun felt that his boss was right.
"Brother, what's this? The patient's toy?" A little nurse asked when she saw the medicine skeleton shell that was taken out of Bai Xintong.
"No, it is the skeleton shell of nifedipine controlled-release tablets."
"..." The little nurse froze.
"Bai Xintong consists of a film-coated tablet and an expandable hydrogel layer ... This gel layer contains polyethylene oxide and hydroxypropyl methylcellulose. After the latter is eroded, it is pushed and pulled through the membrane. The principle of osmotic pump can release nifedipine at approximately constant speed within 24 hours, so that the drug is released at zero order rate?
"喏, you see that there is still no drug released above, this is a little less, it is estimated that it was taken by the boss during the operation."
"Bai Xintong looks like this ?!"
"Yes, many people do n’t know. Someone in the medical office complained about ~ EbookFREE.me ~ and said that the medicine prescribed by the doctor was a fake medicine. I think that means that I may want the hospital to pay one hundred and eighty thousand. Yes, Director Lin finally ran away after explaining. "Su Yun and the little nurse talked very well.
Zheng Ren looked at Su Yun very helplessly. How can he live in the future? Want to see Chang Yue's black face every day?
Hurry up to get married and leave these two guys. Looking at Chang Yue's unhappy appearance every day, Zheng Ren felt that he was not good.
"What medicine did the patient take?" Su Yun said, and suddenly asked ICU's hospitalization.
"Also with DW and Lode."
"The two can be absorbed, so they can't be seen." Su Yun said along the vein, "The patient has a history of cerebral infarction, stays in bed all year round, there is a certain degree of swallowing dysfunction? Mainly because of prolonged bed rest, if improper care, it is easy to make mistakes. Suck?"
"Try offline after 3 hours." Zheng Ren smiled. "If everything goes well, I can switch to icu tomorrow."
"Okay, okay," said ICU's hospitalization. "Boss Zheng, do you explain to the patient's family or me?"
The patient came to Boss Zheng and Yuner, and they probably knew each other. Icu's hospitalization always asked this sentence, also pondering Beyue.
"You go, we go home." Zheng Ren said.
"Yes." Icu's hospitalization always found a disposable container for sputum culture, wearing gloves to put Baixintong's drug skeleton into the container, and prepared to show it to the patient's family.
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