Chen Riyuan nodded. Zhou Yewu's excellence was taken for granted in his eyes.

"Among various proton pump inhibitor drugs, esomeprazole is the fastest-acting drug, and high-dose esomeprazole is recommended as one of the drug choices for emergency treatment of acute upper gastrointestinal bleeding."

Chen Riyuan said casually.

Because he discovered something, the key point of this patient was not gastrointestinal bleeding, but the new G. It was pneumonia that caused the patient's gastrointestinal bleeding to be highly valued!

I don’t know how much this situation is going to happen every year, but it really makes medical resources a little tight, especially doctor resources.

"This patient's condition is stable and can be replaced by omeprazole and pantoprazole."

Chen Riyuan looked at the patient, then at Sun Jun and Hu Huan, as if he wanted to ask them if they had any ideas.

Sun Jun and Hu Huan were stunned, thinking that they had done something wrong.

Zhou Yewu saw all this, alas, I don’t know what to think about.

I felt that Chen Riyuan was still the chief of the department, Sun Jun, Hu Huan and Zhou Yewu became the young doctors below.

However, it also reflects the respect Sun Jun and Hu Huan for Chen Riyuan from the side. Generally speaking, it is possible that the doctor can act like a student. It is naturally because another doctor has the ability to teach, and his knowledge and professional level are far superior to him. Otherwise, Sun Jun and Hu Huan, two senior directors, would be first-class professional doctors!

"Uncle Chen, is this esomeprazole resistant to the truth? I usually only look at omeprazole and lansoprazole. Is there any difference in usage?" Zhou Yewu randomly wrote up the question.

I made up the question purely to ease the atmosphere, and I asked this question with a thrust in my mind.

As for the senior director, everyone likes to be asked about it, so that knowledge can be spread. Educating people has always been Chen Riyuan’s favorite quality.

He hopes that those who have many students all over the world will export and cultivate more medical talents for Tianfeng City.

In this regard, Chen Riyuan immediately gave a look of his eyes.

Even through the thick goggles, you can still feel a little excitement in his eyes under his glasses.

It seems that someone is finally asking me a question?

“…”

Zhou Yewu stood humbly, ready to listen to the teachings.

Who knew that at this time, the third director was in peace.

Xu Songren said, "I know this, this hospital does not receive this medicine, is it outdated?"

Zhou Yewu's eyes were slightly stunned.

If Chen Riyuan hadn't seen this as a patient, if he had said this from Zhou Yewu, there would definitely be a few words of criticism.

Just like the sentence Zhou Yewu heard most often in colleges and universities.

The test site may expire, but the knowledge will never expire...

Sure enough, Chen Riyuan smiled slightly, then gave Sun Jun a look, and ignored Xu Songren and bypassed his topic.

Just smile at the patient, but it’s not necessary to overuse some things.

Sun Jun also understood the hint in Chen Riyuan's eyes. He was very familiar with this trick "sentence to send a secret message". He replied to Xu Songren with a sentence "There are still many hospitals with esomeprazole."

The patient's questions need to be answered.

Then Chen Riyuan sorted out the content a little and said seriously: "Esomeprazole is usually 80   mg     intravenous injection, and then continue to pump or drip intravenously at a rate of 8    mg/h. It can also be 40    mg     intravenous infusion, once every 12     .”

Zhou Yewu nodded with a smile, but unfortunately his devotion was blocked under the mask of the protective suit.

Otherwise, his intentionally exaggerated admiration expression would have to make Sun Jun laugh a few times.

If you use the words of a young doctor, don’t ask questions about dosage or other questions. It seems very idiotic. Just search for the medicine assistant, isn’t it good to have a good taste? It’s fast and accurate.

But the old doctors have different ideas and are integrated into the clinical practice. Only by reminding them repeatedly on weekdays can young doctors better remember the use of drug dosage.

With these high-tech things, is it a doctor or a technology to treat the doctor?

Can a robot treat the doctor in the future?

Do you dare to be seen by such a robot doctor?

Zhou Yewu looked at the bottle of omeprazole dripping quietly on Xu Songren, and the sound was heard.

In addition to the esomeprazole mentioned just now and the product name Naixin, proton pump inhibitor injections include pantoprazole, omeprazole, lansoprazole and rabeprazole, which are all effective acid-inhibiting and hemostatic drugs.

For digestive tract bleeding, it is not enough to rely on a proton pump inhibitor. There are also commonly used H2 receptor antagonists injections such as famotidine, ranitidine, etc. and famotidine for injection.

20 mg of Famotidine injection was placed in 20 mL of normal saline. After injection, the patient would probably be able to instantly feel cool and flutter!

Zhou Yewu looked at Xu Songren, and then began to think by himself.

In fact, just like the three directors studied, the condition is still relatively stable at present.

However, the top priority is to maintain a treatment for somatostatin and its analogues.

Somatostatin is a circular active peptide composed of multiple amino acids. It can reduce blood flow in the visceral areas, reduce portal vein pressure, inhibit the secretion of gastric acid and pepsin, inhibit the secretion of gastrointestinal and pancreatic peptide hormones, etc. In this way, cirrhosis and gastrointestinal bleeding, etc., it is very recommended to use this medicine!

And the guidelines are also one of the first choice drugs for acute esophageal and gastric varicocele bleeding in cirrhosis!

Zhou Yewu was lucky enough to see the effect of this medicine in the emergency room during his internship.

Basically, after intravenous injection, the peak concentration can be reached within 1    min, and the half-life is about 3   min, which can quickly control acute upper gastrointestinal bleeding in the early stage.

In addition, Zhou Yewu has also seen octreotide, which is an artificially synthesized 8    peptide somatostatin analogue. This thing is absorbed quickly and completely after subcutaneous injection. 30          The plasma concentration can reach a peak, and the elimination half-life is 100                                                                           �

"Why should antibacterial drugs be used?"

Zhou Ye looked at Xu Songren.

During the physical examination, he did not have any sensation of both lungs, and the infection symptoms were very clear. Neither pct nor CRP suggested a bacteriological infection.

However, acute varicose rupture and bleeding may occur in the gastric mucosa and esophageal mucosa during cirrhosis. The preventive use of antibacterial drugs can help stop bleeding, reduce early rebleeding and infection, and improve survival rate?

So is it necessary to use during inactive periods?

All of this has reached the stage of Zhou Yewu's blind spot in knowledge.

He looked at Chen Riyuan for help: "Uncle Chen, is it necessary to use antibiotics?"

Chen Riyuan also thought for a while, weighed the pros and cons and said: "No need for now, increase drug resistance, continue to observe."

Zhou Yewu nodded, but was thinking in his heart that Xu Songren wouldn't just eat melon seeds again.
Chapter completed!