Chapter 13 Ye Nan who was taught a lesson

After returning from Hong Kong Island recently, Ye Nan's fighting skills have improved significantly. Now he practices with Fang Wei and can basically fight without any difference. This makes Fang Wei sigh and yell that he wants to clean the Yijing marrow, but he himself knows that such things are hard to come by, that is, he just complains.

Ye Nan and Fang Wei practiced for an hour, then went back to their room to take a bath and enter the spirit gathering. Recently, Ye Nan's spirit gathering level has just entered the middle stage of the lower grade of Jade Liquid. It is still a long way to go from the real master.

According to the experience of the inheritance of the Heavenly Talisman, even if thousands of years have passed, there will definitely be masters of the Golden Pill level in this world, and they are only 108,000 miles away from them.

So Ye Nan did not dare to relax at all and practiced hard every day. As the external spiritual energy poured in, the light white spiritual power source was gradually changing slightly, the color became deeper and deeper, and he was steadily heading towards the late stage of the Jade Liquid!

After a few days, this life was so peaceful. This day, it was Sister Han Ling's main class again. As usual, Ye Nan was responsible for it. Han Ling made a cup of hot tea by herself, sat comfortably in the office and touched a magazine and read it with relish!

The other people looked jealous. Who made them not as capable as Ye Nan, who could only look at him and sigh, "Who told them to be lucky!"

When people were drinking tea, Ye Nan was sweating now. Just now, the ambulance sent another patient with severe asthma. The patient was only fifteen or sixteen years old. He was sitting on the bed with a purple and cyanotic face. He nodded and breathed heavily, and he still coughed dryly.

Ye Nan quickly asked the nurse to put the oxygen on and asked the family's medical history. The family said: "I had a history of asthma before, but this time I caught a cold yesterday, it suddenly became serious today, so I rushed to the hospital."

After hearing that he had a history of asthma attacks before, Ye Nan breathed a sigh of relief. It seemed that it was not a sudden foreign body blockage of the trachea. However, he still quickly went to check it, opened the patient's collar, and the jugular veins on both sides did not open angrily.

The chest is slightly bloated.

I listened to the chest and lungs with a stethoscope, and the tiny whistling sounds of my lungs as if I was blowing wind were mainly the most obvious when I exhale, and the exhale time was significantly longer.

Now Ye Nan felt a little relieved. This was obviously a dyspnea caused by bronchial asthma. It was mainly a serious asthma attack caused by cold and cold.

Looking at the patient's severe breathing difficulties, Ye Nan knew that the other party's bronchospasm must be resolved immediately in order to successfully control the symptoms of asthma.

If it cannot be controlled quickly, the patient may suffer from severe pneumothorax due to worsening asthma.

After thinking about it, I explained to the nurse beside me: "A 100ml of 5% glucose plus 025mg of aminophylline intravenous drops, and oral spray with axamide butanol aerosol, and blood is taken for routine blood and blood gas analysis and detection!"

Aminophyl is a commonly used drug to relieve bronchospasm, while axamide butanol aerosol can quickly relieve asthma symptoms. The combination of both will generally have good results.

The nurse quickly followed Ye Nan's oral medical orders. Seeing that the nurse started taking medicine, Ye Nan took the medical record and started to make the medical orders himself.

Generally speaking, patients' asthma is mostly caused by bacterial infection, exposure to allergic substances, or weather changes.

This patient mainly suffers from an asthma attack caused by a cold and cold. Now he is accompanied by coughing, etc. In terms of treatment, anti-infection, anti-allergic and anti-inflammatory treatments must be used to eradicate the cause of the disease after using antispasmodic drugs to control the symptoms, so that the condition can be well controlled.

Ye Nan considered it and chose two powerful drugs, ceftriaxone and levofloxacin, for anti-infection treatment. As for anti-inflammatory and allergic, he had to choose glucocorticoid drugs. There were many disadvantages and side effects of using this drug. Ye Nan thought about it and decided to observe it first. If the condition improves, it will not be used for the time being.

Ye Nan, who had decided to do it, wrote on the long-term medical order: Continuous low concentration of oxygen absorption, 100ml of normal saline plus 20g of ceftriaxone intravenous drip (twice a day), 250ml of 5% glucose plus levofloxacin 05g of intravenous drip qd (one a day).

In addition to routine blood drawn and blood gas analysis examination on the temporary doctor's order, an X-spray on the chest was also prescribed to understand the specific condition of the lungs. Of course, this examination must be performed until the patient's condition is relieved.

After ten minutes of prescribing the doctor's order, Ye Nan estimated that the patient's condition should have been significantly relieved by the rapid action of salaminobutanol, so he went over and took a look. If the effect was not very good, then he had to find another way.

After walking to the ward and taking a look, fortunately, although the patient's asthma condition did not improve as he imagined, it had been significantly relieved than before. Ye Nan felt relieved. Basically, there shouldn't be too big problems now.

Seeing that the patient was getting better, Ye Nan returned to the office with the medical record to improve the medical record. Half an hour passed, Ye Nan's medical record had been almost finished. Just as he was about to breathe a sigh of relief, he suddenly heard a nurse outside running in and shouted: "Doctor Ye, the patient's asthma just worsened again, and the family asked you to go and have a look again!"

Ye Nan was shocked. It was only half an hour before the relief had just increased. Why did the pen in his hand worsen? He quickly put down his pen and walked towards the ward.

In the ward, Ye Nan looked at the patient. Indeed, his asthma was getting worse when it was getting better. He sighed inwardly: "The maintenance effect of ashbutol aerosol is still too short. It seems that glucocorticoids must be applied!"

Then he explained to the nurse waiting aside: "Now use 5% glucose 100ml plus methylprednisolone intravenous drip immediately!"

The nurse ran out in response, but the family members on the side stared at Ye Nan and angrily said, "Doctor, what's going on? My son has just gotten better, why did it worsen at once? You won't use the wrong medicine, right!"

Ye Nan smiled bitterly and explained: "Your child's condition improved just now because he used powerful aerosol to control it, but it maintained a shorter effect, so I just added medicine to him. Now if you spray aerosol again, your condition will improve slowly!"

After hearing Ye Nan's explanation, the family did not continue to cause trouble for Ye Nan. Instead, after returning to the office, she was taught a lesson by Sister Han Ling. She had just read Ye Nan's medical records and found a loophole in Ye Nan's medication use!

Seeing Ye Nan come in, he asked, "Ye Nan, why didn't you use Armored Dragon with him? If you don't use this situation, he will definitely be aggravated!"

Ye Nan touched his head awkwardly and smiled: "I think the drugs of glucocorticoids should be used as little as possible, so I used other drugs first to observe them. I have just added them!"

"Well... you must pay attention in the future. Patients like this must use glucocorticoid drugs. Although it has certain side effects, this drug is indispensable in treatment!" Han Ling looked at Ye Nan and said seriously. She knew that Ye Nan still lacked some experience in this area, so she had the responsibility to correct Ye Nan's misconceptions in this area as soon as possible.

After taking a sip of tea, he looked at Ye Nan and smiled, and said, "I know you are kind-hearted, and I want to try it with other drugs first, but you have to be clear that the patient and his family will not understand your kindness. They only look at the effect. So you must pay attention next time. The medicine you should use must be bold and you cannot hesitate because of taking other things into consideration. If the condition is delayed, it will be a loss!"

Ye Nan nodded and expressed his understanding. He knew that Sister Han Ling was right. Sometimes he took care of many things, but in some aspects, he seemed a little indecisive. He smiled and said, "Sister Han Ling, I understand, I will pay attention in the future!"

Seeing that Ye Nan understood what he meant, Han Ling smiled and nodded: "It's good if you understand, pay attention next time!"

While it was okay now, Ye Nan quickly seized the time to finish writing his medical record. If he didn't finish writing, if the patient came again later, he would be unable to win.

For this patient, Ye Nan estimated that under the powerful effect of the Astringor, as long as one or two hours pass, he can generally improve his asthma completely. However, after using this medicine, he must continue to use it for two to three days to maintain good results.

After an hour like this, Ye Nan hurried to take a look. Now the family members were obviously much more enthusiastic when they saw Ye Nan, because the patient's condition was as Ye Nan said. After adding the medicine to the latter, there was no recurrence.

The family members smiled at Ye Nan awkwardly: "Doctor Ye, I'm really embarrassed. We don't understand these things. Please don't be surprised!"
Chapter completed!