Chapter 136 Surprised Director Qu

While Erxing Fengren was waiting, the results of Xu Ze's electrocardiogram were quickly shocked.

Xu Ze looked at the graphic ripples on the ECG drawing. Qing Gang's, the segment moved down, and there was an inverted wave, and the heart rate went up and down. Now he has clearly determined that it is coronary heart disease and heart failure.

Now Xu Ze began to officially play the role of a truly confident doctor, and gave a verbal doctor's order to the nurse who had been waiting by the side, saying: "Glucose, sodium nitroprusside, sodium chloride, bell chloride, intravenous infusion, drop by drop. , depending on the blood pressure adjustment; static pressure on the right side of the urine; static pressure on the right side of the urine with dextrose plus ciprofloxacin, limited to five minutes; in addition, immediately draw blood to check blood routine, "kidney function, blood gas analysis.

The nurse waiting next to the doctor's order was Hu Xia, the little nurse who Xu Ze asked the director's office in the morning. Thinking about it, I can't think of him working here now. Could it be that he is also a new doctor in our hospital?

At this time, I heard the doctor's order from Xu Ze. She hurriedly nodded and remembered that after Xu Ze gave the doctor's order, she nodded to indicate that she had confirmed it, and then turned her head to look at Director Zhai at the side. After all, this handsome doctor doesn't know who he is. Confirm that she can carry out these orders.

But at this time, she was a little bit worried. It was obviously a test for Director Zhai to let the new doctor named Xu Ze see this patient. If Xu Ze's doctor's order cannot be approved by Director Zhai, it means that he is not experienced enough to diagnose and treat patients alone. Then his position in the department is a bit embarrassing.

After hearing Xu Ze's doctor's order, Director Huo felt more at ease. As an experienced emergency medicine expert, he had already determined that the patient had coronary heart disease through Xu Ze's consultation and the patient's performance. The diagnosis of the fourth level of heart failure, and after reading the electrocardiogram made by Xu Ze just now, it has been 100% confirmed.

And Xu Ze just made the doctor's order. Sodium nitroprusside expands the coronary arteries and reduces the heart load; diuretic diuresis reduces the pressure on the heart; Cedilan strengthens the heart and lowers the heart rate; it is also fully in line with the standard treatment plan for this disease; immediately nodded to Hu Xia in relief, expressing her agreement to carry out .

Seeing Director Zhai nodding, Xu Ze didn't respond much. The little nurse, Hu Xia, breathed a sigh of relief, nodded happily, and went out to dispense the medicine.

Director Xi smiled and nodded to Xu Ze. Then he said: "Xu Ze is good, put in more effort in the future, and exercise well in these two months, it will be very beneficial to you in the future.

Hearing Director Zhai's affirmation and encouragement, Xu Ze also showed a slight smile, knowing that he finally made Director Zhai feel at ease, so he nodded and smiled immediately: "Thank you, Director!"

At this time, Qian Xuebin was outside the door. Hearing Director Zhai's compliment to Xu Ze, he was slightly annoyed. Secretly said: "This Xu Ze really hides deeply,

Doctors from the Wanglailun Department can do this. A patient with heart failure was easily diagnosed. Not bad, it seems that he really should not be underestimated! "

Now that the oral doctor's order has been issued, the natural next step is to write the doctor's order into the medical record.

Xu Ze followed Director Zhai back to the office and sat down at the table. Then write down the following nursing specifications line by line according to the commonly used doctor's orders in the hospital: first-level nursing according to internal medicine nursing routine, escort, low-salt and low-fat diet, ECG monitoring, oxygen inhalation, and urine output when recorded. seriously ill

Then he wrote down the medicines and their usage in the doctor's order book, and then wrote a prescription, and handed the doctor's order book and the prescription to Director Zhai, asking him to confirm his signature.

Director Zhai carefully looked at the doctor's order issued by Xu Ze. However, after reading it, he was full of surprises. Xu Ze’s doctor’s orders were issued in accordance with the most standardized format of hospital observation orders. He couldn’t help but think in astonishment: “This is really a doctor who only worked part-time in a clinic. Did the three students come out?"

After suppressing his surprise, Director Zhai took another look at Xu Ze's medication carefully. In addition to the oral doctor's order just now, he continued to use sodium nitroprusside for 24 hours, and then took the medicines of painkillers, diuretics, and spiroxin. Take Tong, Budaxiu, Aspirin, Zocor and other drugs orally.

At the moment, I can’t help but nod frequently. The medicines prescribed by Xu Ze are completely in line with the latest modern treatment principles for coronary heart disease and heart failure. Starting from dilating the coronary heart, strengthening the heart, diuresis, improving vascular endothelium, etc., it is really a treatment for this, coronary heart disease and heart failure. The best treatment for decay.

Immediately sign the doctor's order book and the prescription neatly. Smiling with satisfaction at Xu Ze: "Xu Ze, you are very good, well, send the medical records to the nurse for execution!"

Xu Ze smiled lightly. His reaction to Director Zhai was that he had been prepared for a long time. The training he had gone through in the virtual space was not a fake. In addition, the case library moved by Xiaodao from a large medical research center now contains the details of each case. The treatment plans are all the most advanced and standard in the world in recent years, and the drugs prescribed according to these are of course the best.

Unless you, Director Zhai, are really an expert in a certain disease. Otherwise, there is absolutely no other better treatment method

Immediately Xu Ze took the doctor's order and sent it to the nurse's station. The nurse Hu Xia was at the nurse's station. Seeing that Xu Ze entered the office and sent the medical records within a few minutes, he couldn't help but smiled in surprise: "You are so fast, It's about the same speed as those old doctors, has Director Zhai signed it?"

Looking at Xiao Hushi with big Piaoting eyes, Xu Ze couldn't help laughing! "Of course." Otherwise, why would I send it here?"

"Wow, you're not bad. You're a new doctor, aren't you? You're really good!" This Hu Xia seemed to be quite talkative, as she flipped through the medical records. Look at that handsome handwriting. And that one, the neat signature and Director Zhai's doctor's order that didn't change at all, I couldn't help but marvel.

She had never seen a new rotation doctor write orders so quickly, without any additions, deletions or revisions. Just follow. An old doctor who has been working for one or two years is average.

Seeing Hu Xia's small face full of amazement, Xu Ze smiled and said, "Don't look at it, don't look at it, just copy the doctor's order, I'm still waiting to write the medical record."

"What's the rush?" Being urged by Xu Ze, Hu Xia smiled and gave Xu Ze a blank look. But he didn't hesitate any longer, and took the doctor's order and copied it. Then he neatly signed his name on the doctor's order book, and then gave it to Xu Ze. He smiled and said, "Hurry up and write the medical records, I will write the nursing records later"

Seeing that after he finished urging her, she actually roused himself again, Xu Ze laughed helplessly. Then he picked up the doctor's order and walked back to the office.

And Xu Ze had just issued a doctor's order in a few minutes, but it turned out to be a pass in front of Director Zhai, but it also shocked the female doctor Zhang Yi in the office. Director Chun is notorious for being strict with prescriptions and medications, and many times he waits for others to prescribe doctor's orders. He would always be dissatisfied, and then ask for increase, decrease or re-opening. Unexpectedly, this new round doctor can pass the test in one go with the first doctor's order. This is too powerful, right?

Seeing Xu Ze come in at this time, he couldn't help looking at the chair twice in surprise. Xu Ze couldn't help but model his own face twice. He wondered to himself, could he be handsome again after going out online? Even a serious mature woman like Zhang Di was attracted by him?

Sitting in front of the table, it also took only five or six minutes to write the record of the medical course, read it by myself, and after finding that there was no problem, I handed it to Director Zhai who was reading the book to review and sign.

Unsurprisingly, Xu Ze was a student who had been strictly trained by Xiao Dao's instructor in the virtual space. Once again, Director Zhai took a few glances and signed his name conveniently.

When Xu Ze went out to send the medical records to Hu Xia to write nursing records, Director Zhai couldn't help but sighed to Zhang Suo who was beside him: "Young people nowadays are not simple, this Xu Ze, if I didn't know his situation well, I really want to wonder if he has stayed in our hospital before, and the medical orders and medical records he wrote out are no worse than yours."

"Ah?" Zhang Suo was writing the course record at this time. Suddenly, I heard my director, who is rarely praised. Such a sentence suddenly appeared. He was really taken aback, and secretly said: "This little guy looks young, is he really as powerful as the director said?"

For Xu Ze, it was only a few minutes. Then he sent the medical records over again, obviously he had finished writing the medical records for the next time. This little nurse, Hu Xia, was really convinced. After receiving Xu Ze's medical history, she looked at Xu Ze full of admiration. Seeing Xu Ze felt a little embarrassed, and immediately asked her for a few medical records. I fled back to the office, saving myself being treated like a giant panda.

Back in the office, Xu Ze flipped through the medical records at hand, among which there happened to be Qian Xuebin's, the one of the fatigued Cha Yin patient, so Xu Ze took it out curiously to have a look?

Looking at some of the drugs Qian Xuebin used. And those laboratory tests, Xu Ze shook his head slightly. These drugs have a certain effect, but they are not suitable for this Guillain-Barré syndrome. So the effect will not be very good. It's good enough to be able to control at most.

At this time, Director Zhai, who was sitting opposite Xu Ze, saw Xu Ze frowning and shaking his head lightly, but he couldn't help asking curiously: "What? Xu Ze, is there anything you don't understand?"

Hearing Director Zhai's question, Xu Ze hesitated for a moment. He didn't know whether he should tell Director Zhai about the patient's situation, after all, he was the only one who came online. Besides, this is not my patient. If I say it, I am afraid that I will offend that Qian Xuebin.

However, Xu Ze thought about it, as a doctor. If there is a problem, and it is related to the patient's life, if you don't bring it up in time, then your conscience will not pass. And I'm not a shy person, so if Qian Xuebin wants to hold grudges against himself, he should. Anyway, we'll be here for two months.

Immediately Xu Ze made a decision, looked up at Director Zhai with a smile and said, "Director, I wonder if you've heard of Guillain-Barre Syndrome?"

Wang: Continue to ask for monthly tickets. Khan, recently, there has been a rumor in the group that Tiannan is a gynecologist. Let me clarify here. Tian Nan is a pediatrician, but occasionally when the fetus is in bad condition, it is not a gynecology department to go to the delivery room to supervise the delivery...

I was a little bit sad when I received a call from my mother, saying that you haven’t been home for a few years for your birthday, please come back and ask your father to buy you a chicken tonic.

Hearing this, Tian Nan was taken aback for a while, and then he remembered, Yue. It's almost our authentic lunar birthday! It's just that I can't go back this year. I'm afraid my mother will be disappointed, so I have to promise to go home after taking the promotion exam next month! In fact, the Gregorian month. At that time, I have received blessings from many brothers. So it's Tiannan's birthday this year, so keep working hard! . If you want to know what happens next, please log in, there are more chapters, support the author, and support genuine reading!