"Can't go down your blood pressure?" asked Yun Tian in surprise.

It was the SW IM operation that Yuntian came to the Imperial Capital Veterans Hospital to do two days ago.

The results of the surgery were very good that day, and it is said that the patient should have been transferred out of the ICU in the past two days.

The patient's condition is also relatively stable.

The recovery is also not bad.

"How are you feeling now?" Yun Tian began to inquire about the patient's condition carefully.

"Thank you very well, thank you very much!" said the patient again and again when he said about his condition.

The system prompt sound is prompted in the ears of Yuntian, and the patient's heartfelt thank you value is added to one.

Recently, I have received a lot of heartfelt gratitude from patients.

Yuntian has fallen on deaf ears.

"How do you feel?" the patient was so focused on expressing his gratitude that he completely forgot to answer Yun Tian's question.

Yun Tian had to ask again.

"I feel that I have recovered well, caused by the onset of the disease, the left hand and foot can not move, and it has recovered, I feel that I am all better!" The patient lies on the bed and struggles to sit up.

However, because there are too many pipes and instruments connected, the patient's action is not completed.

But the patient still stared at the clouds and showed a big smile.

Yun Tian looked at the patient and was in good spirits.

The monitoring data were also reviewed.

Sure enough, as the patient said, almost all of the data were basically normal.

Only the blood pressure is 180/110!

Blood pressure is very high, and this level of blood pressure is considered a grade 3 hypertensive crisis.

However, for patients with cerebral infarction, it is not recommended to lower blood pressure too low after surgery.

But 180 / 110 such qualities are clearly too high.

With such high blood pressure, patients may be at risk of stroke at any time.

No wonder the doctor didn't agree to let him out of the ICU.

Although Dr. Cronin's Chinese level is not high, and every time he speaks with a strange foreign accent, it does not affect his communication with others.

At this time, I was surprised to hear the patient's words.

"There was nothing wrong with the breathing and heart rate, and the ECG looked like the blood supply was very good. ”

"Well, I didn't find anything wrong with the medication! Why is the blood pressure so high, let me see, they have already added the dosage and diuretics, but the blood pressure

It still doesn't come down! This looks really weird."

Dr. Crollin patted his head in surprise, obviously not understanding what caused the patient's blood pressure to come down?

"What kind of blood pressure medicine are you using?" Yun Tian asked.

"Captopril, hydrochlorothiazide. Cronin looked at the case again for the rest of his life before answering.

"It's strange, why not use a combination of captopril and nitrangipine?

As a basic drug for hypertension, the combination of captopril and nitrendipine is generally preferred

Only when these two antihypertensive drugs are used in combination and still cannot lower blood pressure, diuretics such as hydrochlorothiazide will be chosen.

However, the doctor who gave the medicine to the patient directly skipped the loach floor and directly combined diuretics in the case of a card.

"I get swollen on my feet when I eat nitrandipine, so I asked the doctor not to prescribe it for me, and they prescribed me this hydrochlorothiazide..."

The patient explained carefully.

"Do you have any other medicines besides blood pressure medication?" Yun Tian asked carefully.

"No, the doctor brought me medicine for the past two days, and all my other medicines have stopped, only these kinds of medicines that the doctor prescribed to me. The patient replied.

Yun Tian frowned, thoughtful, and as a result, Cronin's injured case book looked through carefully.

"Was there some pain in the joints yesterday?" asked Yun Tian as he flipped through the course of his illness.

"The sky has changed in the past two days, and my joints will be a little painful, and the doctor gave me painkillers, and I have been much better after taking them!"

The patient replied.

"It's just that this blood pressure can't go down, and I won't be allowed to go to the general ward, I'm staying here, I'm in a hurry, could it be this reason, so my blood pressure can't go down?"

The ICU ward is full of critically ill patients.

Living in the ICU will be connected to a variety of monitoring pipes and equipment, so for people who are generally in good condition, living in the ICU is definitely an ordeal.

Obviously, the patient couldn't stand this kind of torment and was bent on leaving.

"It's okay, if you hold on for one more night today, I'll give you a blood pressure medicine at home, and your blood pressure should be able to come down today, and Yuntian will be able to transfer to a general ward!" Yuntian comforted.

Then I found it

A prescription note, a prescription was issued, and he turned around and handed it to the young doctor behind him.

"Nifedipine controlled-release tablets, go and bring the medicine now, give it to her, and suggest that the doctor in charge of the bed stop the patient's physiological proportion, and the cloud sky should be able to lower blood pressure!"

After Yun Tian finished speaking, he stuffed the medical record book back into the young doctor's arms and turned to leave.

"Why stop the painkillers?" As soon as the clouds left, Dr. Croney hurriedly followed.

The patient just now, he didn't fully understand what Yun Tian meant by doing that.

"Diclofenac sodium can reduce the antihypertensive effect of captopril, and even make him lose the effect!" replied Yun Tian as he walked.

The long legs of 1.85 meters walk fast.

Just finished answering Dr. Crowning's question. The clouds had already appeared on the other side of the hallway, turned a corner and disappeared.

"Are diclofenac sodium and captopril contraindicated?"

Dr. Crolin shook his head in surprise.

Diclofenac sodium is rarely used in neurologists, so Dr. Cronin is not particularly familiar with it.

Yun Tian mentioned that the two should interact with each other, and Dr. Cronin was still confused.

However, the interaction between the two drugs is not understood.

It does not affect the shock that Dr. Cronin got in the clouds.

Even if there are 1 million unwilling in my heart.

Dr. Cronin also had to admit that his team had been completely crushed in the new surgical method of S Wim!

Whether it is seeing Yuntian's operation during today's operation, or discussing the experience of thrombosis with Yuntian after surgery.

Even in terms of medications.

Dr. Croney knew that he and his team had been left behind by the clouds.

What I have worked hard for two years has been surpassed in the blink of an eye.

It's not a good feeling.

Dr. Crolin watched with some dismay, as Yun Tian's figure disappeared into the distance.

The tall back is getting taller.

It seems that it has become an insurmountable existence!

Dr. Cronin was so upset that he took out his phone, looked at it several times, and played with it for a while before he pressed the dial button and opened Professor Cent's ocean trip.