Chapter 552 Sixth level pharmacological syndrome differentiation, the trouble caused by children’s anti-summer patch

Author: Jiangbian Yuweng

Chapter 552 Sixth level pharmacological syndrome differentiation, the trouble caused by children’s anti-summer patch

"It feels like his throat becomes hoarse when he cries. It's not good for his throat to be dehydrated for a long time."

Zhou Can frowned slightly and turned to the nurse.

"Is there a clean straw? The kind with a balloon."

"have!"

"Please bring one over. I'll give this little baby some water first. It's so distressing to see."

He patted the baby's back gently to comfort it.

After the nurse got the straw, he asked the nurse to help open the feeding bottle, then sucked a few drops of water from it and squeezed it into the baby's mouth.

The whole process was very gentle and careful.

The baby stuck out his tongue and licked the water stains on his lips, and his crying stopped. He looked at Zhou Can with longing eyes.

It seems to be saying, uncle, give me some more drink.

"It turns out that you can feed him water like this. Why didn't we think of it? I tried feeding him water with a small spoon before, but he choked and cried loudly, so I didn't dare to feed him anymore."

The mother watched Zhou Can feed her baby water easily. The baby not only did not choke, but also seemed to enjoy it.

He immediately had great trust in Zhou Can's abilities.

The family members looked at Zhou Can differently.

Showing respect and trust.

"Feeding water with a spoon is suitable for older children. After about six months, it is not so easy to choke when feeding water with a spoon. Also, if you always choke when feeding water, it is easy to cause problems such as pneumonia. This

Be sure to pay attention.”

Zhou Can didn't completely scare his family members.

When babies are just born, their lungs are not fully developed because they are breathing through the umbilical cord in their mother's belly.

In addition, it is not a bad thing for a baby to cry. It helps to exercise lung function and help the lungs adapt to the outside world.

Especially for newborn babies, midwives will be very anxious if they don't cry or fuss.

He will try his best to make the baby cry.

For example, patting the soles of the baby's feet, etc. Of course, try not to let family members see this scene to avoid unnecessary misunderstandings.

"Did you give birth naturally or by caesarean section?"

"A natural birth!"

"Since the child can drink water, you should try this method when switching to breast milk. Breast milk is rich in nutrients and has many special elements that can enhance the baby's immunity. If he is unwilling to suck, you can

Squeeze it out, put it in a bottle, and then feed it to him little by little with a straw. When feeding with a straw, be careful not to suck too much at one time, so as not to cause the baby to choke. If he chokes twice more, he will reject it because he feels uncomfortable.

A way to eat.”

Zhou Can explains the essentials of feeding to the mother.

Now we must find a way to get the baby to eat some milk to maintain the body's immunity and nutrient absorption.

"Okay, I'll do it later."

Now that there are so many people, the mother naturally cannot express milk. She learned the method, and after the doctors left, she was able to do it on her own.

Zhou Can continued to feed the baby some water.

The expression on the child's face is also relaxed and more natural. The originally frowning brows have relaxed a lot.

The family members and the mother-in-law saw all this and were very happy.

After the baby was born without eating for so many days, their hearts were getting higher and higher. Now they are feeling a little lower.

"I need to do some physical examinations on the baby and need to put him in the crib."

Zhou Can greets his family members.

"OK."

The family members and the mother readily agreed.

Now, in their hearts and eyes, Zhou Can is an absolute expert. They are very happy to let Zhou Can help diagnose and treat their children.

Zhou Can first felt the child's neck pulse and it felt very thin.

Patients with heart failure often have very thin pulses.

Next, he conducted a detailed examination of the child's whole body, including auscultation of heart and lung sounds, etc.

During auscultation, he found a murmur in the child's left chest.

After careful identification, it was found that the murmur was coming from the middle and upper part of the left sternal border.

Moreover, this murmur is very regular and is only emitted when the heart contracts.

Ordinary doctors may not be able to tell whether heart sounds are systolic or diastolic when they are produced, but doctors of Zhou Can's level can tell it very accurately.

"The patient's X-ray examination showed that the heart is enlarged, the pulmonary blood vessels are increased, and some even show pulmonary venous congestion. In addition, the patient's electrocardiogram also showed right axis deviation and right ventricular hypertrophy. So I highly suspected aortic outflow.

Problem."

Many chief doctors were present, including Director Le from the Department of Cardiothoracic Surgery.

Now that Zhou Can's diagnosis has certain results, there is no need to hide it, he can just speak out and discuss it together.

The only thing you need to pay attention to when discussing on the ward is to respect the superior doctor.

Don't slap them in the face.

For example, the superior doctor just said in front of everyone that there may be a problem with the left ventricle, and you immediately said tit for tat that the problem is with the right ventricle. This is basically a show of confrontation with the superior doctor.

It will make it difficult for senior doctors to step down.

"Director Le, what do you think?"

Director Tang Fei was not very good at cardiac surgery diseases, so he could only ask Director Le for his opinion.

"Zhou Can's suspicion has some basis. We can do an echocardiogram to confirm it."

Director Le's diagnostic level is not low, but the gap has been widened by Zhou Can in many aspects. He seems to rarely refute Zhou Can's diagnostic opinions. Because of the few times he refuted, only one of them was not slapped in the face.

That was still a long time ago.

Zhou Can is now far behind him in terms of diagnosis and surgical skills, and he does not dare to easily refute Zhou Can's diagnosis.

Doing an echocardiogram will indeed be of great help in diagnosing the aorta.

Considering that the child's condition was very dangerous, an echocardiogram was arranged for the child on the spot.

After examination, it was found that the child's aortic valve was stenotic, and there was a long section. The blood signal in this section was very poor.

"It's most likely an aortic canyon type lesion."

Zhou Can said this after reading it.

"Basically, it can be determined that the aorta has narrowed, causing the aortic blood to be severely weakened." Director Le also agreed with Zhou Can's diagnosis.

"If the child is just three days old, surgery can be avoided. I think it should be avoided as much as possible. Medical treatment can be tried first to control the heart failure, and elective surgery can be performed depending on the situation."

After Zhou Can's diagnostic opinion was supported, further treatment opinions were given.

Director Le is the type of doctor who is gentle and elegant in appearance but is as fierce as thunder when deciding on treatment plans.

It would be better for Zhou Can to decide on the treatment plan for the newborn.

"What medical methods are Dr. Zhou going to use?" Director Tang Fei also feels that it is safer to treat newborns with medical methods as much as possible.

"Prostaglandin E1 is a good choice for opening the arterial duct. It can effectively reduce hypoxia in children."

Zhou Can gave the answer after thinking carefully.

[Pharmacological differentiation experience value +1, reward experience value +10.]

[Congratulations on your promotion to level six in pharmacological syndrome differentiation. The current experience value is 1/1000000, which is the junior level of chief physician.]

His pharmacological diagnosis has long reached the critical point of upgrade.

This medical skill is extremely important, but the upgrade speed cannot be compared with other medical skills. It is even slower than the upgrade speed of pathological diagnosis and medical skills. Now that he has been promoted to the level of chief physician as expected, Zhou Can has finally made up for a huge shortcoming.

.

The situation of being beaten up by his nurse Jiang Wei was also changed.

Now that both pharmacology and pathology have reached Level 6, his clinical level has reached the level of a real director.

Whether it is consultation, surgery, ward rounds, or rescuing critically ill patients, Zhou Can can be of great help.

He carefully felt the changes brought about by the upgrade of pharmacological syndrome differentiation.

It is obvious that the clinical use of various drugs is more flexible and precise, and the subtle differences can be well controlled and grasped. What surprised Zhou Can most is the specific effect of the drug after use, and how much it can be absorbed by the patient.
To be continued...