Zhou Yewu looked at Xu Songren and thoughtful.

The young doctor who helped him with CPR probably didn't have a chance to meet him.

But Zhou Yewu knew very well that he could do it now, which should be actively treating Xu Songren.

"Your life was saved by the little doctor. If you don't want to let him down, you should cooperate with our treatment. You will have the opportunity to see him when you are discharged from the hospital."

Zhou Yewu picked up the stethoscope again.

The physical examination work has not been completed yet!

"Cooperate? I will definitely cooperate." Xu Songren also reacted and sat there obediently.

He looked directly at Zhou Yewu and waited for the young doctor in front of him to take his examination.

Others may trust young doctors and refuse to cooperate with physical examinations, but he is different. After he has undergone cardiopulmonary resuscitation, he is even more respectful to these young doctors!

After some twists and turns, I finally started to check the body.

Zhou Yewu also held the stethoscope with anticipation and quickly auscultated the various heart valve areas and lungs. He carefully auscultated the chest, mid-axillary line, and behind him.

Although I was infected with the new G virus, the pneumonia did not seem to be very severe, and the breathing sounds of both lungs were thick, but there was no obvious dry and wet rales.

The pulse and heart rate are also normal, and there are no symptoms of premature beats or tachycardia.

"This patient is actually the worst in the entire ward?" Zhou Yewu felt ashamed and said in his heart.

It seems that as long as it is a complication or other basic problem, it may be included in the list of key concerns.

"Seriously ill, with pale skin and no bleeding spots, 2 spider nevus can be seen on the cheeks, superficial lymph nodes are not large, conjunctiva is pale, and sclera is suspected to be yellow."

"The heart world is normal, the heart rhythm is uniform, no murmurs are heard, no abnormalities in the lungs, full abdomen, no abdominal wall varicose veins, no tenderness in the entire abdomen, muscle tension, liver failure, and positive mobility voiced."

“…”

While checking the physical examination, Zhou Ye also reported the examination results directly.

Because he didn't have time to record the results of the examination, he could read it, so that the patient could know it himself, and the other hand, he could let Chen Riyuan, Sun Jun and Hu Huan know it too.

If you kill two birds with one stone, why not do it?

After the examination of the body, Xu Songren gasped and said, "Doctor, is this bad? I think you just read so much."

Is it necessary to read more and find the results of the physical examination?

Zhou Yewu shook his head and blew on the protective mask in one breath: "Don't worry, your condition is stable now."

After checking the body, Zhou Yewu returned to the team.

Chen Riyuan had no intention of leaving, but took Zhou Yewu's tablet and began to carefully understand the patient's condition again.

Zhou Yewu was also quickly watching the test sheets and medical history.

There was a rough outline in his mind.

Combined with Xu Songren, he had a history of hepatitis B and signs of cirrhosis, such as spider nevus, splenomegaly and ascites, and then the cause of bleeding is clear, including vomiting of blood, asphalt-like stool, and positive abdominal mobility...

Patient, middle-aged and elderly men!

Currently, it can be diagnosed as upper gastrointestinal bleeding, esophageal variceal rupture and bleeding, cirrhosis portal hypertension, ascites and neo-G pneumonia, etc.

Chen Riyuan looked at Zhou Yewu's thoughtful look and asked, "Xiaowu, do you have any opinions? For this patient."

Zhou Yewu rolled his eyes.

The air conditioner in the room blew towards his head, and it was a little hot.

I don’t understand why the late spring in Wuhan is a bit cold, and I actually need to turn on the air conditioner.

"The patient has stopped hemostatic under gastroscopy. The diagnosis is clear and there is no difference. My opinion is to protect the gastroacid and inhibit acid while proton pump inhibitor, somatostatin, posterior pituitary lobin stop hemostatic, etc. if necessary."

Zhou Yewu casually explained his diagnosis and treatment ideas.

It is a way of thinking, but it is actually a routine.

Sometimes, when treating a doctor, it is a process of continuous improvement by using diagnostic formulas to determine the diagnosis, then using therapeutic formulas to determine the treatment plan.

"Hepatitis B complete set, AFP, blood routine and imaging examinations, all the time should be done, and the drug maintenance and fluid replenishment treatment is the main focus. It is fasting and you must pay attention to raw, cold, dry and hard things."

Zhou Yewu thought of melon seeds and suddenly glanced around.

Check if there are melon seed shells on the ground, if there are melon seed residues in the trash can, and if there are melon seed shavings on the bed, to determine if Xu Songren has an old problem and has no control over her going to eat melon seeds.

"The melon seeds cannot be eaten, do you know, Uncle Xu?" Zhou Yewu reminded.

Xu Songren kept nodding desperately, and kept saying timidly in his mouth.

Zhou Yewu turned around and looked at Chen Riyuan: "Fasting, blood transfusion, infusion and anti-virals when necessary, we should do everything we can do now. Uncle Chen, do you think you still lack anything?"

He really couldn't analyze what medicine he had left to take.

Chen Riyuan glanced at Sun Jun and Hu Huan again: "Do you two have any opinions?"

Sun Jun thought for a while: "In fact, the main thing for a patient with gastrointestinal bleeding is to be afraid that his vital signs will be unstable. The patient's life is still OK now. Then, you should no longer monitor your body temperature, pulse, breathe, blood pressure and pupils regularly, understand the disease's occurrence and development process, stabilize and restore the patient's vital signs?"

Monitoring life is something that nurses can do.

But if you want to go there regularly, you have to give a separate doctor's advice.

Especially when observing the pupils, it will be much more convenient for the doctor to do it by himself.

After hearing Sun Jun's words, Chen Riyuan nodded silently.

In fact, there is really nothing to supplement the treatment. The most important thing now is to monitor the signs of pupils and urine volume.

Then, while life support and capacity resuscitation, "empirical combination medication" is adopted. If the combination medication regimen for severe acute upper gastrointestinal bleeding is, use somatostatin combined with proton pump inhibitor intravenously!

"Xiaowu, do you understand the meaning of acid inhibitors and the therapeutic dose?"

Chen Riyuan did not hand over the building directly with Xu Songren, but began to teach.

As Sun Jun said, all the patients can handle them are in place. What can be supplemented are some small details, and the problem is not very big.

So he simply treated this as a material to teach.

"Acne-suppressing drugs, do I know much?"

Zhou Yewu turned his little head and began to think again.

Every time he thinks about these pharmacology and pharmacokinetics, he has a headache.

What is the significance of acid inhibitors?

This can actually be thought about from the mechanism.

Its hemostatic mechanism is that gastric acid and pepsin interfere with the internal and exogenous coagulation system, inhibit the activity of platelet factor 3 and platelet aggregation, and can destroy blood clots. Effective acid suppression treatment increases the pH in the stomach!

so……
Chapter completed!