"Yaoyao, come and take a look at this medical record?" Sun Guoxian held a green clip with a blue face, and flipped his fingers on the page.

"Teacher, what's wrong?" As soon as Yuesheng Yao stepped into the office, he heard Sun Guoxian's shout, his eyes were slightly dark, and his soft voice responded.

"Look at the doctor's orders!" Sun Guoxian took out a pen from the pocket of his confessional coat and sketched it on the pages of delicate handwriting.

"Levofloxacin hydrochloride injection 0.2g 2 bottles of intravenous drip once a day, ornidazole sodium chloride injection 0.5g 1 bottle intravenous drip once a day, that's right!"

Yuesheng Yao took the medical record folder, looked at the black and white paper with worried eyes, and read it in a whisper, his eyes revealing doubts.

No problem!

The patient is a 50-year-old female, who has been rheumatism for three years, has occasional joint pain, and has recently suffered an infection of the reproductive system.

"What diseases are levofloxacin mainly used to treat?" Seeing that Yue Shengyao hadn't seen the problem yet, Sun Guoxian's blue face became even more ugly.

Although she hasn't studied with him for a long time, she has also worked with directors in other departments before and has worked alone, is this the storage of knowledge?

Inadvertently catching a glimpse of the teacher's disappointed eyes, Yuesheng Yao was suddenly startled.

Could it be that the doctor's order is not written correctly?

Not to mention the teacher's character for the time being, his medical skills alone are still worthy of admiration, so there is a problem with her medical orders!

"Levofloxacin injection is suitable for moderate and mild infections caused by sensitive bacteria, such as respiratory infections, urinary tract infections, reproductive system infections, skin and soft tissue infections, and intestinal infections."

Yuesheng Yao had doubts and honestly listed the indications for levofloxacin injection.

"What else?"

"It can also be used for trauma, burns and postoperative wound infections, abdominal infections, mastitis, cholecystitis, cholangitis, stomach and joint infections."

"The indications for levofloxacin injection are very right, reproductive system infection and bone and joint infection, the doctor's advice seems to be the right medicine, there is no problem, can you talk about the adverse reactions of levofloxacin injection?"

Hearing Yuesheng Yao's clear answer, Sun Guoxian's pale complexion improved slightly, and he sat on the chair slowly, looking at her with burning eyes.

"It may cause gastrointestinal reactions, central nervous system reactions, allergic reactions, episporadic reactions, and some special reactions that occur in a very small number of people."

"What are the episodic reactions?"

"Epilepsy, psychosis, hallucinations, restlessness, tremor, hematuria, fever, rash, interstitial nephritis, phlebitis, crystalluria, and joint pain."

As she spoke, Yue Sheng Yao seemed to realize that something was wrong, and a flash of inspiration flashed in her mind, so fast that people couldn't catch it.

"A small number of patients can have elevated serum aminotransferases, elevated blood urea nitrogen, and low leukocytes in the surrounding blood, so take a closer look at this female patient's test sheet!"

Seeing that Yuesheng Yao was confused, he didn't understand what was wrong, Sun Guoxian was not in a hurry, and clicked step by step.

"Inspection order?"

Yue Sheng Yao touched the hard shell of the medical record folder and hurriedly checked the case.

Inspection order, ah, this!

Serum aminotransferase is normal, blood urea nitrogen is high, and leukocyte index is low in the normal range.

Oh Maiga, the index is abnormal, in case the patient is allergic to levofloxacin, not only is it not conducive to treatment, but it delays her normal treatment.

It shouldn't be that coincidental!

"Teacher, only a very small number of people will have adverse reactions, she probably won't!" Yuesheng couldn't figure out the teacher's intentions and asked tentatively.

The example of a few people can be said to be 1 in 10,000, and it can't be so coincidental!

"Yaoyao, you clearly know the effect and adverse reactions of levofloxacin injection, but you still choose to use it, it is nothing more than that it feels impossible, if there is no adverse reaction, it is a fluke, if it appears?"

Seeing that Yuesheng Yao was unrepentant, Sun Guoxian's tone of voice increased slightly.

"I'm sorry, it's because I'm not good at learning, so I removed the levofloxacin injection and only infused ornidazole?"

Sensing that the teacher's attitude was a little stiff, Yuesheng bent down slightly, with a hint of confusion in her eyes.

"I'll test you again, ornidazole, metronidazole and tinidazole, what's the difference between them?" Seeing that Yue Shengyao's attitude was very respectful, Sun Guoxian's cloudy eyes quickly flashed a glimmer of light.

The fish has taken the bait!

Sometimes you have to be tactful, if you want to promote and suppress first, you can only attract jade by throwing bricks!

"Well, these three drugs are all for anaerobic infections, but ornidazole mainly targets Bacteroides fragilis, which has a strong effect on indolent bacteroides, and can also be used for diseases of the genitourinary system in men and women, such as pseudotrichomoniasis, **trichomoniasis, and intestinal amebiasis."

"As for metronidazole and tinidazole, their effects are basically the same, and they can both be used to treat or prevent anaerobic infections, but the adverse reactions are higher than those of ornidazole."

"Teacher, am I right?"

Although I don't know what the teacher means, Yuesheng Yao explained obediently.

"Yes, yes, but the function of metronidazole is not only that, in clinical application, ornidazole is highly irritating to blood vessels, and most patients are more resistant to this drug."

"What is the teacher's advice?"

After listening to the teacher's guidance, Yuesheng Yao was even more confused, in this case, what kind of medicine should she use to treat it?

Hey, it's just a shallow learner!

"Cefuroxime sodium belongs to the second generation of cephalosporins, with broad-spectrum antibacterial effect, suitable for respiratory tract, ear, nose, laryngeal infections caused by sensitive bacteria, and can also be used for urinary tract, skin, soft tissue, bone and joint infections, cefuroxime sodium is 0.75g per tube, and the dose is determined according to the age of the patient, about five can be."

"A bottle of 250ml of normal saline with cefuroxime sodium is used as the first bottle of infusion, the second bottle is used to flush the pipeline with 100ml of normal saline, and the third bottle is infused with metronidazole!"

Seeing Yue Sheng Yao think carefully about what he said, Sun Guoxian showed a smug smile on his cheeks.

Attracting young girls who are not deeply involved in the world with talent is his usual routine, and of course it will be useful this time.

"I see, thank you for the teacher's guidance, I'll correct the doctor's order now!" After listening to the teacher's words, Yuesheng Yao suddenly sighed.

Teachers are teachers, and the roads they have traveled have seen more diseases than them!

It is no wonder that the seniors said that the longer they worked in the hospital, the more thoughtful they became, and the more effective the plan they implemented.

Like them, they are young and bold, and the case analysis is not very good, so it seems that they are really more knowledgeable.

"No, it's been changed at the nurse's station just now, give it, this is the doctor's order after the change, clip it on!" Sun Guoxian handed the paper on the table to Yuesheng Yao, and his voice was extremely gentle.

“……”

She seems to be a little useless!

"I was a little tired from changing my medical records just now, help me pinch my shoulders, after you pinched it last time, the fatigue of the body dissipated a lot."

Putting the sorted medical record folder on the table, Sun Guoxian turned his back and stretched out his hand to tap his sore shoulder.

“。。。”

Yue Sheng Yao looked at Sun Guoxian who turned his back, and a trace of struggle flashed in his deep eyes.