I can see the status bar

Chapter 336

Sun Li'en walked to the hospital in the morning, and it was another day that was no different from usual.I came to the emergency room early in the morning, and after handing over with my colleagues from yesterday's evening shift, the next step was the non-urgent consultation time.Left and right are shifts, and Sun Lien prefers to have patients to see continuously-this will not be too boring.

However, the weather was unsatisfactory, it seemed that it was because of the continuous snowfall for several days, and it seemed that it was because today was a working day.The ninth consultation room responsible for complex diseases was closed all morning.The emergency room was still busy, but most of the other patients went to the outpatient clinic directly - those who needed to see the emergency department went directly to the emergency room, and it was basically not Sun Lien's turn to deal with them.

After sitting withered in the ninth consulting room for two hours, Sun Lien put down his mobile phone with 45% battery in his hand, no, he had to find something to do for himself.

So, this person is born to be a cheap bone.I was usually busy crying and shouting that I was going to die, but when there was nothing to do, I still tried to find something for myself to do.How else to put it, men are all big pigs, right?
Strictly speaking, doctors who are on standby cannot wander around.It's just that it seems that the chances of opening the ninth clinic today are not very high.Coupled with the phone posted at the door, and after venturing with the doctors in several surrounding clinics, Sun Lien's work of finding things for himself became a matter of course.

Sun Lien, who was looking for trouble for nothing, was wearing a white coat, with his hands behind his back, his upper body was naturally hunched, and then he swayed a pair of black sneakers on his feet, and walked towards the rescue hall - his steps were steady and unhurried. Large, just the right speed for walking after a meal.

If you want to watch the excitement, you have to go to the emergency room.If you want to secretly observe and make up stories between people, you must go to the infusion room.If you just want to chat with people, go to the inpatient department and catch two patients who smoke illegally on the roof and balcony. They can tell you their life experiences for four or five hours.

The hospital is actually a large story box, and those patients are the beginning of one wonderful novel after another.And for most of them, the story is far from over when it should be.Sun Lien had this habit during his internship. He liked to look at these patients and guess their stories.

Always remind yourself that what you are treating is a living "person", and Sun Lien has always felt that this is very important.

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"You are simply not human!" Sun Lien strolled to the infusion area. In response to national requirements, outpatient infusions have been canceled in the outpatient clinic of the Fourth Hospital - patients need to go to secondary hospitals or community hospitals for infusion treatment.But things are a little different in the emergency department.Of course, the patients receiving hundreds of beds in the emergency room can receive infusion therapy, and the patients diverted from the emergency department can also receive infusion therapy in the observation area.Of course, this is not the point. The point is that the loud curse Sun Lien heard came from a young male nurse.

The male nurse was wearing a light blue male nurse uniform, and was holding a bag of intravenous infusion covered in a black plastic bag.His eyes were wide open, and he pointed at the nose of an old lady in her sixties with a trembling hand, "What are you doing?! This is fatal, do you know that?!"

Sun Lien was startled when he heard the words, he let go of the hands behind his back, his slightly hunched back straightened up, and he walked quickly, "What's wrong?"

"Doctor Sun." The male nurse recognized Sun Lien, and when he saw Sun Lien approaching, his voice trembled, "She...she..." She talked for a long time, but still didn't say what happened.

"This old lady is probably a little confused." The middle-aged woman sitting next to her receiving the infusion shook her head and told Sun Li'en what happened.

The story itself is actually quite simple. The old lady was admitted to the hospital for treatment this morning because of dyspnea, cough, stomach pain and poor mental health.After a preliminary examination of the old lady in the emergency department, it was determined that she had dyspnea caused by senile bronchial asthma.Therefore, the old man was given a treatment prescription of intravenous aminophylline injection 2ml (0.25g), cimetidine 2ml (0.2g) each with 200ml 5% glucose intravenous infusion.

The male nurse held a bottle of levofloxacin in his hand.

"When I checked the patient's name, she actually agreed!" The male nurse finally calmed down from his fear and anger, "I asked her three times in total, and the three times it was not her name, but she agreed! It’s not that I have a little impression of this old lady’s use of aminophylline, so I’ll hang up this bottle of levofloxacin for her!”

The old lady probably knew that she almost caused disaster by agreeing blindly without understanding, but she still just said bluntly, "I was the third infusion before, I thought it should be my turn for your third bottle... "

It was only at this time that Sun Lien realized why the male nurse was so nervous.

Aminophylline is an anti-asthma drug that has been clinically used for many years, and it is also the most widely used classic drug for asthma.However, the effective therapeutic concentration of aminophylline is very low, and the blood concentration varies greatly among individuals. It is a drug with a relatively narrow "therapeutic window", so blood concentration detection is required.To ensure that the drug level in the patient's body will not be too high to cause adverse reactions, or too low to achieve therapeutic effects.

As for cimetidine, it is a combination drug commonly used clinically with aminophylline.This H2 receptor anti-caking agent can inhibit gastric acid secretion, prevent or reduce peptic ulcers in asthmatic patients when using aminophylline - theophylline itself will destroy the gastric mucosal barrier and stimulate gastric acid secretion, and asthmatic patients often suffer from peptic ulcer.On this basis, cimetidine is often regarded as a necessary supplement to aminophylline in the treatment of asthma.

However, when cimetidine and aminophylline are dissolved in 5% glucose solution at the same time, the compatibility stability time is only four hours, so it cannot be safely used in clinical practice, so only after the aminophylline infusion is completed, Western medicine can be performed. Infusion therapy with metidine.

And the bottle of levofloxacin covered by the black plastic bag belongs to fluoroquinolone antibiotics. They are the same as macrolide antibiotics. serum concentration.

As mentioned just now, if the male nurse really misinfused levofloxacin to the old lady just now, the level of theophylline in her serum would not rise suddenly, but would remain at a certain level for a long time. on a relatively high level.After she finished the infusion and walked out of the hospital, she might have serious side effects or outright poisoning due to the high blood level of theophylline.The consequences were simply unimaginable.

"It's fine, it's fine... just forget it." In such a situation, the medical staff couldn't kick the patient vigorously to relieve their anger.In desperation, Sun Li'en could only pat the male nurse on the shoulder, "Be careful next time, when you encounter such an older patient who may not be able to hear clearly, ask them to show you the registration form and the like." Look. It's more reassuring than a verbal check."

(End of this chapter)