Chapter 2015 Milk, Instructions (Anniversary, Please Order)

Zheng Ren thought about it for ten minutes, but still didn't come to any conclusion.

Big trotters are generally very reliable, but so far, there have been several incidents of non-diagnosis.

The most critical incident was the incident of eating animal thyroid glands. It was later proved that the big pig's hooves still have a certain internal logic of operation.

And this time? Why is the big pig's hoof not diagnosed? Is it impossible for people to eat live video?

Zheng Ren looked at the patient's stable condition, the ventilator and monitor were running smoothly, and began to suspect that the patient was not sick.

It's just that if you want to say that, you must have a solid diagnostic basis.

"I'll go to see the medical records." Zheng Ren said in a deep voice, and then returned to the workstation on his own, and began to read the medical records.

The patient's condition is relatively simple, which is the same as the general introduction of the previous ICU hospitalization. It was only because I was old that I stayed in the ICU for a few more days of observation after the operation.

This is also a very cautious approach.

Surgery, judging from the records of the surgery, there is no problem.

Zheng Ren then began to look at the test sheet.

Su Yun glanced at the various materials that Zheng Ren had flipped through, and asked, "Mr. Yang, you didn't touch the gallbladder and liver during the operation, did you?"

"No, colon surgery, if you want to do it, you can't do it." Mr. Yang said with certainty.

"That's weird." Su Yun couldn't figure it out either.

Judging from the test results of the patient, his condition is improving little by little, and he can be transferred out of the ICU ward today.

Just before the transfer, the problem of green urine appeared.

After reading all the test sheets, Zheng Ren began to read the doctor's orders.

"Boss, do you suspect it's caused by drugs?" Su Yun asked.

"I can only be skeptical. Other diagnosis and treatment processes are fine. If there is a problem, it can only be a drug problem." Zheng Ren said.

There are not many medications in the ICU, unlike the irregular intensive care units in other small hospitals, where as long as there is something wrong, several sets of medications are given at the same time, and many patients' conditions are even aggravated by the medication.

Since he stepped down, he has only used antibiotics for 24 hours, and the rest is nutritional support.

Strange, where is the problem?

After checking the doctor's orders bit by bit, Zheng Ren didn't even miss a lot of medicines that had been discontinued.

This time he didn't read things very fast, but slower than when he read the test sheets and medical records before.

Others didn't know what Boss Zheng was doing, but Su Yun suspected that his boss was recalling the instructions of every medicine.

"Su Yun."

In the silence, Zheng Ren suddenly called out.

"Um?"

"Look for the instructions for the milk." Zheng Ren said.

It turned out that the boss didn't memorize everything, and Su Yun felt much happier when he thought of this.

Why are you just looking for instructions for milk?

Milk, the milk Boss Zheng mentioned, is not the milk you usually drink at home, but the nickname of propofol.

Propofol, also known as propofol, is a milky white liquid, which is called "milk" by anesthesiologists.

Its main function is the induction and maintenance of general anesthesia. It is often used together with spinal anesthesia and epidural anesthesia, and it is used together with usual pre-anesthesia medications such as neuromuscular blockers, inhaled anesthetics and analgesics.

During clinical use, there is no incompatibility and almost no side effects.

Even if it is used in large quantities for a long time, the patient's body can accept it. Some of the patients who were on the ventilator lasted for a month without seeing any side effects of propofol.

Problem with milk?

While trying to remember, Su Yun asked the nurse for the instruction manual of propofol.

No, how many general anesthesia operations are performed in the operating room every day? Not to mention 912, when I was a graduate student, I was in the operating room every day, and I never saw green urine.

After receiving the drug instructions handed by the nurse, Su Yun couldn't wait to squint his eyes and search for contraindications and side effects of the drugs in the small print.

Soon, he found six small words in the column of side effects of the drug, which he had never noticed before - rare discoloration of urine.

This was the first time Su Yun knew that propofol had this effect.

"Boss, yes!" Su Yun was not excited, but said a little confused.

"I'll take a look."

"It's just six words, nothing fancy." With that said, Su Yun handed the drug instruction to Zheng Ren.

Zheng Ren glanced at it, and said with a smile: "I think it's caused by propofol, you can reduce the dose, observe after stopping the drug, and then extubate off-line."

"..."

Mr. Yang felt that his eyes were dazzled, how small and how small the words on the manual should be, and Boss Zheng could see it with a glance?

He took the drug instructions suspiciously, and tried hard to find the column of side effects.

"Brother Yang, here." Quan Xiaocao was still younger, with good eyesight, and found the six words faster than Mr. Yang.

Rare urine discoloration…

Is this the reason? Tossing myself in the middle of the night... By the way, I still seem to have diarrhea!

He was so nervous before that Mr. Yang forgot about it.

Once I remembered it, there was a faint sound of a tsunami in my stomach.

MD! He clutched his stomach and cursed inwardly.

"Boss Zheng, I haven't seen it before." The hospital manager in the ICU also saw those six words and whispered.

"There are some case reports, but the published documents are not very common, and they are all small articles of tofu." Zheng Ren said with a smile: "In retrospect, there should be more than a dozen articles about this matter. "

"..."

"I think it might be caused by the green luminescent group of phenol being metabolized in the liver and then excreted in the urine." Zheng Ren simply explained.

As for too many explanations, Zheng Ren didn't know what to say.

This involves in-depth research on biochemistry. It is estimated that the biochemical skill tree must be opened and at least upgraded to the master level to explain it.

"I'll put forward my suggestion. When the director comes to make rounds early in the morning, you can discuss it." Zheng Ren also knew that the reasons he said were not enough for the ICU hospital manager to admit, so he said softly.

"The patient is fine, so the drug can be stopped and the extubation can be stopped. If there is a problem, you can consult with the anesthesiology department, change the sedative drug, and then have a look." Zheng Ren let out a long sigh.

Thinking about the green urine all morning, I haven't eaten yet.

Although he seldom eats, Zheng Ren still pays attention to breakfast.

Skipping breakfast can easily cause gallstones, and the gallbladder must be removed in the end. Zheng Ren didn't want to have diarrhea when he ate meat in the future, that would be too annoying.

To some extent, gallstones are incurable.

A few years ago, some people studied gallbladder incision to remove stones alone, but the postoperative complications were many and the effect was not good, so the general clinical opinion is to directly remove the gallbladder.

"Then let's go." Zheng Ren felt that he had solved the problem, looked up at the patient, and confirmed each other with the system panel and vital signs for the last time.

no problem.

Zheng Ren turned and left.

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