Chapter 2773 See You Again

"Boss, look at how much trouble you have caused others." Su Yun said contemptuously.

"I always feel that there is something wrong with the patient." Zheng Ren couldn't talk about the systematic diagnosis of the big pig's hooves, so he could only say prevarication.

"It's far-fetched." Su Yun said, "The patient's symptoms are excessive phlegm, blocking the airway, and causing hypoxia. Tell me, how do you think about suspecting foreign objects?"

"You also saw the behavior of the patient's family members when we were eating skewers." Zheng Ren said, "It was obviously an accident. My feeling is that the old man was fine when he left the stall, but he developed convulsions and blood a few hours later. The family members were caught off guard by the drop in oxygen saturation."

"Uh...it 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 suspiciously and said, "You seem to have guessed something."

Zheng Ren shrugged his shoulders, shook his head and said, "I think there is something wrong, a doctor's intuition, just go in and take a look, it's not troublesome, and by the way, you can suck up all the accumulated phlegm as much as possible."

Su Yun accepted Zheng Ren's explanation. Although he was eating supper and singing, it was strange to suddenly go to the ICU for bronchoscopy and bronchoalveolar lavage.

Soon, the ICU hospital always prepared the bronchoscopy equipment. Zheng Ren came to the patient, found a suitable angle, and started to drain.

When the patient is under anesthesia, if the ordinary bronchoscopy is performed, there will be a feeling of suffocation, which is quite bad.

Holding the lens of the bronchoscope in his left hand, Zheng Ren watched carefully while slowly sending the fiber tube into the patient's airway with his right hand.

There was indeed a lot of phlegm, but Zheng Ren didn't pay much attention to the phlegm in the upper respiratory tract, which belonged to the part that could be sucked out.

Put the tube into the right main bronchus, and slowly suck out the sputum while walking. Zheng Ren observed the airway carefully and patiently suctioned the sputum.

It seems that it shouldn't be a problem here. After checking the airway on the right side, Zheng Ren sent the tube to the left side.

Just about 5cm into the left main bronchus, Zheng Ren saw two skeleton structures stuck on the tracheal wall.

"Grassing forceps." Zheng Ren said in a deep voice.

"What did you see!" Su Yun hated the damn bronchoscope very much at this time, because it has no screen, and only the operator can see what's inside.

The boss wanted to grab forceps, which meant he saw a foreign object in the trachea. But there is a foreign body... There is no logic, the patient does not behave like the airway is blocked.

Just thinking about it, Zheng Ren moved away from the camera, "Take a look."

Su Yun immediately leaned over.

Two drug skeletons appeared in front of my eyes.

"I'm going to... worship Xintong's drug skeleton!" Su Yun immediately said in surprise.

"Huh? How do you know it's Bai Xintong? Do you have any research on this?" Zheng Ren was taken aback.

"The last time I saw Director Lin explaining this matter to a family member who had an opinion in the medical office, I bought a box when I went back and studied it carefully. It is the skeleton model of the imported medicine. It turned out that it was stuck after taking the medicine! "

Icu's hospital manager installed the grasping forceps and other instruments and handed them to Zheng Ren.

Zheng Ren sent it in slowly, and firmly grabbed a drug skeleton and took it out. This kind of operation is not difficult, at least for Zheng Ren, it is not difficult at all.

The second drug skeleton was also taken out, and Zheng Ren did not finish the inspection. Now that you have started to suck sputum under direct vision, you should suck more, so that the recovery period of the patient can be shortened a lot.

After 10 minutes, Zheng Ren took out the fiber tube and said with a smile, "It's all right, the sputum sucked out is about 80ml, which is not a small amount."

"Boss Zheng, how did you know there was a foreign object?" She asked suspiciously as the ICU hospital manager hadn't recovered yet.

"Because of the patient's symptoms." Zheng Ren began to talk nonsense. Anyway, it's just a matter of solving the problem. How can he judge and tell her the truth?

"At the beginning, the patient had convulsions, convulsions, and acute hypoxia. He recovered later, but the sputum volume was large, which could not explain the sudden symptoms. I thought it might be that there was obstruction at the beginning, and then gradually recovered, but Because of the presence of obstruction and irritation, only the matrix-derived sustained-release dosage form can perfectly explain it."

"It's completely blocked, and then the medicine is absorbed by the body, but there is still stimulation. The increase in phlegm caused by the stimulation is also a side reason." Zheng Ren added another sentence, wanting to speak more clearly.

After knowing the answer, it became much easier to work backwards. Zheng Ren expressed his thoughts, and the hospitalization in the ICU was always taken aback for a while.

Even Su Yun felt that what his boss said made sense.

"Brother Yun, what is this? A toy for patients to play with?" A little nurse asked when she saw the shell of Bai Xintong's drug skeleton that had been taken out.

"No, it's the skeleton shell of the nifedipine controlled-release tablet."

"..." The little nurse froze for a moment.

"Baixintong 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 by the membrane. The principle of osmotic pump can release nifedipine at approximately constant rate within 24 hours, so that the drug can be released at a zero-order rate.”

"Here, you can see that there are still drugs on it that haven't been released. This one is a little less. I guess the boss took some of it down during operation."

"Bai Xin looks like this?!"

"Yes, many people don't know. A while ago, there was a complaint from the medical office, saying that the medicine prescribed by the doctor was a counterfeit medicine. I think that means, maybe the hospital should pay a hundred and eighty thousand yuan. In the end, Director Lin He ran away after explaining." Su Yun chatted with the little nurse very acquaintedly.

Zheng Ren looked at Su Yun helplessly, how will he live in the future? Do you want to see Chang Yue's black face every day?

Hurry up and get married and leave these two guys. Looking at Chang Yue's unhappy appearance every day, Zheng Ren felt that he was not well.

"What medicine is the patient still taking?" Su Yun said, and suddenly asked the head resident of the ICU.

"And Divan and Rhodes."

"Both of those can be absorbed, so I can't see them." Su Yun said along the context, "The patient has a history of cerebral infarction and has been bedridden all year round. The main reason for his swallowing dysfunction is that he has been bedridden for a long time. If he is not properly cared for, he is prone to aspiration "

"Try to go offline in 3 hours." Zheng Ren said with a smile, "If everything goes well, I guess I will be able to transfer out of the ICU tomorrow."

"Okay, okay." The ICU inpatient said again and again, "Boss Zheng, will you explain to the patient's family or should I explain it?"

Boss Zheng and Brother Yun came as soon as the patient was brought here, and they probably knew each other. ICU hospitalizations always ask this question, and they are also thinking about not going overboard.

"You go, we are going home." Zheng Ren said.

"Okay." The ICU resident always found a disposable container for sputum culture, put Bai Xintong's drug skeleton into the container with gloves on, and prepared to show it to the patient's family.