Chapter 2651 Love

"Prepare a gastric tube, just a temporary one, and get the clonidine gastric tube for administration later." Zheng Ren arranged.

"oh."

Director Wang was a little puzzled, but he didn't ask, but started to get busy.

This is the most basic respect for Boss Zheng, and what is given is not a controversial drug, just clonidine. Can 0.2mg of clonidine be fatal? Surely not.

It's not accurate to say that, and there is a high probability that there will be no problem. After all, the drug clonidine itself has certain side effects, and it is already on the verge of being eliminated clinically.

No matter what Boss Zheng is thinking, let's put the coke in first. There is no time to explain in the emergency department, Director Wang knows this very well.

Soon, a circulatory doctor rushed to deliver the clonidine, and the gastric tube was also put in, and 0.2mg of clonidine was administered through the gastric tube.

"Just watch and wait for 20 minutes." Zheng Ren said lightly.

"Boss, what is the meaning of clonidine...?" Su Yun couldn't help asking first.

"According to the medical history described by Director Jiang and Director Wang, the patient is bipolar disorder caused by continuous nightmares." Zheng Ren looked at the color of the patient's system panel, "Nightmare usually occurs during rapid eye movement sleep, and it can be caused by various factors triggers, including stress, anxiety, trauma, sleep deprivation, drugs, etc.”

"Bupropion is a NE and DA reuptake inhibitor, which can affect sleep structure by increasing REM sleep and density." Zheng Ren continued, "Some studies have shown that long-term oral administration of bupropion may lead to nightmares."

"Bupropion causes nightmares?" Director Jiang was taken aback for a moment. He had worked in psychiatry for decades, so why didn't he know about it.

"There are relevant studies in "Prim Care Companion CNS Disord". It's not very common, and it's usually seen in patients who take bupropion sustained-release tablets." Zheng Ren looked at the patient's system panel, which had begun to fade in color, full of confidence "Antidepressants such as bupropion can prolong REM sleep and latency, and increase REM activity and density," said Dr.

"This is the basic principle of drug action." Zheng Rendao, "Clonidine is an adrenergic α2 receptor agonist, which can be used to treat attention deficit hyperactivity disorder and hypertension. The mechanism is to reduce the sympathetic nerve from the central nervous system. out."

This is an open class without a preview.

There is no light, no microphone, and no such popular appearance as Su Yun. Only Zheng Ren, with a calm and confident demeanor.

Zheng Ren stood beside the patient, without looking at the people around him, but staring closely at the patient's system panel and monitor.

The color of the system panel became lighter and lighter as the drug took effect, and a cheerful smile appeared on the corner of his mouth unconsciously.

"The mechanism of action of clonidine can inhibit or reduce rapid eye movement sleep, which may antagonize the effect of bupropion on rapid eye movement sleep to a certain extent, thereby improving nightmares."

"..."

Director Jiang was dumbfounded.

If it is said that other clinical diseases were misdiagnosed as mental diseases before, I can still argue that the diagnosis and treatment specialties are different, and my misdiagnosis is justifiable.

But now we are talking about the diagnosis and treatment of pure mental diseases. Boss Zheng didn’t use any new drugs that he had never heard of. Instead, he only used an old antihypertensive drug that has been clinically outdated——Coke Certainly.

Can it really work? Director Jiang was a little puzzled.

"Clonidine is inherently dangerous. Patients engaged in hazardous activities such as operating machinery or driving a car should be aware of the possible sedative effects of clonidine. This sedative effect may be caused by the concomitant use of alcohol, barbiturates, or other sedatives. enhanced."

"So clonidine can't be bought in general pharmacies because it has a sedative effect, and you need professional doctor's guidance when you stop taking the drug."

Seeing the patient's agitation gradually subside, Zheng Ren said with a smile, "It seems to be working."

"Boss, what are you doing researching on clonidine?" Su Yun asked suspiciously.

"I met similar patients in Haicheng." Zheng Ren said casually.

Su Yun curled his lips, his boss was willing to use this excuse. He went to the emergency department by himself within a few days, how dare this guy say that every time! Just this cheek, as thick as you want.

After waiting for another ten minutes, the manic state of the patient had completely subsided, and he began to fall asleep, snoring loudly.

"Let's take a CT scan." Zheng Ren smiled and said, "Director Jiang."

"Hey!" Director Jiang responded immediately, bending even deeper.

"The dosage of the drug is a bit high this time. In order to reduce the recurring nightmares, the patient will be given clonidine 0.1 mg every night." Zheng Ren said, "The nightmare can be relieved in about 3 days, and it will disappear completely in about 10 days. Pay attention to ask about the patient's condition, and after the nightmare completely disappears, clonidine can be changed to oral administration every other day, and the drug will be stopped after one month."

"Hey, hey." Director Jiang nodded in agreement hastily, desperately remembering Boss Zheng's doctor's order with his mind. Fortunately, this set of medical orders is not complicated, and Director Jiang is not worried that he will forget.

"Nightmare may be a side effect of bupropion treatment; clonidine may help improve this situation. But if you prescribe clonidine to patients in the future, you should pay more attention to the patient's blood pressure status." Zheng Ren warned, "Well, if there's nothing wrong here, then I'll be leaving."

After finishing speaking, Zheng Ren looked around, smiled and said to Dean Wu: "Dean Wu, Director Wang, we won't be able to eat, it's still early, promise your girlfriend to go home and eat."

Dean Wu had nothing to say when he moved out his girlfriend.

At Boss Zheng's age, it's time to talk about love with his girlfriend. No wonder he doesn't usually go out to eat, it turns out that he is also a lover.

"Boss Zheng, look at this incident." Director Wang was still a little embarrassed. He kept apologizing and said, "You gave a lecture, and you didn't even have a hot meal with Professor Su. It's really embarrassing."

"It's okay, if you have anything to do in the future, contact us on WeChat." Zheng Ren smiled, and walked out of the People's Hospital with Su Yun.

Feng Xuhui had been waiting at the door for an unknown amount of time, Zheng Ren opened the car door, turned around and waved, and then got into the car.

Seeing the off-road vehicle disappearing into the misty night, Director Wang sighed.

Boss Zheng is really formidable, especially when standing next to the flat car and explaining the diagnosis and treatment of the disease. The background is the patient whose agitation is gradually weakening, and his speech does not seem to make sense at that time. Looking back now, it was like a series of thunderstorms.

He seems to be good at general surgery. In the future, he must find an opportunity to invite him to perform a few operations and observe it on the spot. Director Wang thought to himself.