While Director Qu was waiting, the results of the electrocardiogram done by Xu Ze also came out soon.

Xu Ze looked at the graphic ripples on the ECG paper, the V4V5V6ST segment had a downward shift, and there was a T wave inversion, and the heart rate was 126 beats per minute, and now he was clearly sure that he had coronary heart disease.

At that moment, Xu Ze began to officially play the role of a truly confident doctor, and gave a verbal medical order to the nurse who had been waiting aside, saying: "5% glucose 250ml plus nitroprusside 25mg plus potassium chloride 7ml, intravenous drip starts with a drip rate of 8 drops, and the speed is adjusted depending on blood pressure; furosemide 20 mg intravenously; 50% glucose 20ml plus cedilan 0.4mg intravenously, limited to five minutes to push it out, in addition, immediately draw blood for blood routine, E4a, renal function, blood gas analysis..."

The nurse waiting for the doctor's order next to her was the little nurse Hu Xia who Xu Ze asked about the director's office in the morning, she first looked at Xu Ze in surprise, and found that it was the young man she saw in the morning, she was thinking, I didn't expect him to work here now, is he also a new doctor in our hospital?

At this time, she heard the medical instructions given by Xu Ze, she hurriedly nodded and remembered, and after Xu Ze gave the medical orders, she nodded to indicate that it had been confirmed, and then turned her head to look at Director Qu on the side, after all, this handsome doctor didn't know what his identity was, and she had to be confirmed by the director before she could carry out these medical orders.

However, at this time, she was a little worried, Director Qu asked this new doctor named Xu Ze to see this patient is obviously a test, if Xu Ze's medical instructions cannot be recognized by Director Qu, it means that he is not experienced enough to diagnose and treat patients alone, then his position in the department is a little embarrassing.

As a very experienced emergency medicine expert, he had already determined that the patient was diagnosed with coronary heart disease and heart failure (cardiac function level 4) through Xu Ze's questioning and the patient's performance, and then just now he looked at the electrocardiogram made by Xu Ze, and it was 100% certain.

And Xu Ze made a doctor's order that nitroprusside dilates the coronary arteries and reduces the load on the heart; furosemide diuresis reduces pressure on the heart; Cediran strengthens the heart rate and lowers the heart rate; It is also fully compliant with the standard treatment regimen for this disease; At that moment, he nodded to Hu Xia with satisfaction and agreed to the implementation.

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

Director Qu nodded to Xu Ze with a smile, and then said, "Xu Ze is good, use more heart in the future, and exercise well in the past two months, it will be very good for you in the future..."

Hearing Director Qu's affirmation and encouragement, Xu Ze also showed a smile at this time, knowing that he had finally put Director Qu at ease, so he nodded and smiled: "Thank you, Director!" ”

At this time, Qian Xuebin was outside the door, and he heard Director Qu's praise for Xu Ze, but a trace of annoyance flashed, and he said secretly: "This Xu Ze is really hidden deeply, the doctor who just came to the wheel department can have this ability, and he can easily diagnose a patient with heart failure, which is not bad... It seems that he should not be underestimated! ”

Now that the verbal order has been issued, the natural next step is to put the doctor's order in the medical record book.

Xu Ze followed Director Qu back to the office, sat down at the table, and then wrote down the next few things that need to be used in nursing specifications line by line according to the general medical instructions of the hospital: according to the internal medicine nursing routine, first-level nursing, escort, low-salt and low-fat diet, ECG monitoring, oxygen inhalation, 24-hour urine output, serious illness

Then he wrote down the drugs and usage that needed to be used in the doctor's order book, and then prescribed the benefits, and handed the doctor's order book and prescription to Director Qu, asking him to confirm and sign.

Director Qu took a serious look at the medical orders issued by Xu Ze, but after reading them, his face was full of surprise, Xu Ze's medical orders were issued in accordance with the format of the most standardized hospital observation medical orders, and he couldn't help but think in astonishment: "Is this really a junior who has just worked in a clinic?" ”

After suppressing his surprise, Director Qu carefully looked at Xu Ze's medication, in addition to the oral doctor's instructions just now, continued to use sodium nitroprusside for 24 hours, and then used drugs such as heartache, furosemide, spironolactone, Budaxiu, aspirin, and Shuzhi orally.

At the moment, I can't help nodding frequently, these drugs prescribed by Xu Ze are fully in line with the latest modern principles of coronary heart disease heart failure treatment, starting from the aspects of crown expansion, heart strengthening, diuresis, improving vascular endothelium, etc., it is really the best treatment plan for the treatment of coronary heart disease.

At the moment, he neatly signed the doctor's order book and prescription, and smiled at Xu Ze with satisfaction: "Xu Ze, you are very good, okay, send the medical records to the nurse for execution!" ”

Xu Ze chuckled, his reaction to Director Qu was that he had been prepared, the training he had undergone in the virtual space was not fake, plus the case bank that Xiaodao moved out of a super-large medical research center now, the treatment plan for each case in it was the most advanced and standard in the world in recent years, and according to these prescribed drugs, of course, they were the best.

Unless you, Director Qu, are really an expert in a certain disease, there is absolutely no other better treatment... At that moment, Xu Ze took the doctor's order book and sent it to the nurse's station, the nurse's station was the first little nurse Hu Xia was there, seeing that Xu Ze had sent the medical records over in just a few minutes after entering the office, he couldn't help but smile in surprise: "You are really fast, about the same speed as their old doctors, has Director Qu signed?" ”

Looking at this little nurse with a pair of beautiful big eyes, Xu Ze couldn't help but smile: "Of course I signed, otherwise how could I send it over..."

"Wow... You're good, you're the new Wheel Doctor, right? That's amazing! This Hu Xia seems to be a very talkative master, while flipping through the medical records, looking at the handsome handwriting, as well as the crisp signature and Director Qu's medical instructions that have not been added, deleted or modified, I can't help but exclaim.

She had never seen a new doctor prescribe medical orders so quickly, and there was no need to add, subtract or modify at all, just like an old doctor who had been working for a year or two.

Seeing that Hu Xia's little face was full of amazement, Xu Ze smiled and said, "Don't look at it, don't look at it... Copy the doctor's order, I'm still waiting to write the medical records..."

"What's the hurry..."Being urged by Xu Ze like this, Hu Xia glanced at Xu Ze with a smile, but she didn't hesitate any longer, took the doctor's order sheet and copied it, and then neatly signed her name on the doctor's order book, and then gave it to Xu Ze and said with a smile: "Hurry up and write the medical record, I will write the nursing record later..."

Seeing that she had finished urging her, she had urged herself again, Xu Ze laughed helplessly, then picked up the doctor's order book and walked back to the office.

And Xu Ze only prescribed the doctor's order in a few minutes, but in front of Director Qu, it turned out to be a pass, but it also shocked Zhang Qi, the female doctor in the office. Director Qu is well-known for his strictness in prescribing drugs, and many times he will be dissatisfied with the medical orders issued by others and others, and then ask for addition, deletion or re-opening.

At this time, seeing Xu Ze coming in, this Zhang Qi couldn't help but look at it twice in surprise, which made Xu Ze can't help but look at his face twice, and secretly said that he was handsome again just after going out? Even a serious mature woman like Zhang Qi was attracted by herself?

Sitting at the table, it only took five or six minutes to write the first course of illness record, read it by himself, and after finding that there was no problem, he handed it over to Director Qu, who was reading the book on the side, to review and sign.

Unsurprisingly, Xu Ze, who had been strictly trained by the knife instructor in the virtual space, once again passed the test smoothly, and Director Qu only glanced at it a few times and conveniently signed his name.

When Xu Ze went out to deliver medical records to Hu Xia to write nursing records, Director Qu couldn't help but sigh to Zhang Qi on the side: "Young people nowadays are not simple... This Xu Ze, if I didn't know his situation, I really want to wonder if he had stayed in our hospital before, and the medical orders and medical records he wrote were no worse than yours..."

"Huh?" Zhang Qi was writing a record of the course of his illness at this time, and suddenly heard that his own director, who was rarely praised, suddenly came up with such a sentence, but he was really taken aback, and said secretly: "This little guy looks young, is it really so powerful as the director said?" ”

For Xu Ze for only a few minutes, he sent the medical records over, obviously the first course of the disease record was written, this little nurse Hu Xia was really convinced, after taking Xu Ze's medical records, she looked at Xu Ze with admiration, and Xu Ze was a little embarrassed, and quickly asked her for a few medical records, and quickly fled back to the office, and the province was seen as a giant panda.

Back in the office, Xu Ze flipped through the several medical records in his hand, among which there happened to be Qian Xuebin's weak chain patient, and Xu Ze curiously pulled it out and looked at it.

Looking at some of the drugs used by Qian Xuebin, as well as those laboratory tests, Xu Ze shook his head slightly, these drugs have a certain effect, but they are not right for this kind of Guillain-Barré syndrome, so the effect will not be very good, at most it is good to be able to control it... At this time, Director Qu, who was sitting opposite Xu Ze, saw Xu Ze frowning and shaking his head gently, but he couldn't help but say curiously: "What?" Xu Ze, is there anything you don't understand? ”

Hearing Director Qu's question, Xu Ze hesitated, he didn't know whether he should tell Director Qu about this patient's situation, after all, he had just arrived, and besides, this was not his own patient, if he did, he was afraid that he would definitely offend that Qian Xuebin.

However, Xu Ze thought about it, as a doctor, if he finds a problem, and it is related to the patient's life, if he doesn't raise it in time, then his conscience will not be able to pass it. And he is not a person who is afraid of things, so Qian Xuebin will hold a grudge if he wants to hate himself, anyway, we will stay here for two months... At that moment, Xu Ze made a decision, looked up at Director Qu with a smile and said, "Director, I don't know if you have heard of the disease Guillain-Barré syndrome?" ”

ps: Continue to ask for a monthly pass, Khan has recently gone viral in the group that Tiannan is a gynecologist, here to clarify, Tiannan is an internal pediatrician, only occasionally when the fetus is not in good condition, it is not gynecology to go to the delivery room to supervise delivery

A little sad, I just received a call from my mother, saying that you haven't been home for a few years, cub, come back on the 20th, and ask your dad to buy you a chicken to make up for it.

Hearing this, Tiannan was stunned for a moment, and then remembered that July 11 was almost the end of our authentic lunar calendar! It's just that I can't go back this year, and I'm afraid that my mother will be disappointed, so I have to promise that after taking the professional promotion exam next month, I will definitely go home! In fact, on July 11 of the solar calendar, I have received the blessings of many brothers, so this year Tiannan is not born, continue to work hard to code words!