When doctors have a simulated operating room

The new version of the game is a big success.

Zhang Yi pursed his lips: "That's exaggerated, isn't it? How can the daily active users of this forum be 200,000?"

"Yes, isn't it almost catching up?"

Zhang Yi: "You are almost catching up if you are only 100,000 away?"

Chen Fang: "Yes!"

Zhang Yi: ...

Okay, Zhang Yi was too lazy to argue and walked behind the office door to find his white coat.

Seeing that Zhang Yi had no reaction, Chen Fang said quickly:

"You don't know, this video received better response than all the previous videos.

My private messages are about to explode! I checked and a director of cardiac surgery at Ruijin Hospital in Shanghai even sent me a message.

Ask me which hospital I work in and want a contact number."

"Ruijin Hospital in Shanghai? You see, the other party's information is indeed the director of Ruijin Hospital with real-name authentication?"

"Yes, the lecture videos on the forum all require real-name authentication, and my account is not yet real-name authenticated.

Just now I received a message from the forum official Messaged me to verify my real name as soon as possible, otherwise I won't be able to send videos in the future. "

Zhang Yi said as he buttoned up his white coat:

"Then verify your real name."

"After I verify my real name, won't others think that I did the surgery? Will they think I'm Mr. Z?"

Zhang Yi said indifferently:

"What's the matter? Anyway, I still have two months to pass the exam. It's okay if it's a misunderstanding."

Chen Fang nodded: "Okay, I'll get this real name verification done when I get home from get off work."

Just after the chat, there was a hurried sound of footsteps at the door of the emergency office.

Turning around, it was the nurse from the outpatient infusion room.

The nurse said anxiously:

"Hurry... hurry to the outpatient clinic! A child suddenly couldn't breathe after the infusion! Go and save him!"

Zhang Yi immediately strode to the infusion room of the outpatient clinic.

Before I even entered the room, I heard the family members crying and wailing.

"Son, what's wrong with you? Wake up, son!"

After I got closer, I saw that the doctor from the outpatient clinic had come to rescue him.

There was a little boy about ten years old lying on the bed.

His face was flushed, and red spots were visible on the exposed skin of his arms and calves.

He was breathing rapidly, and his subclavian was sunken when he inhaled. This was a typical hypoxic breathing.

Then look at the boy's whole body.

The respiratory tract was red and swollen, and the most serious part was the larynx, which was also slightly swollen.

Immediately, Zhang Yi suspected that the child was allergic.

And he might not be far from the state of anaphylactic shock.

"First, give me an adrenaline!"

"Okay."

"Did he eat something or drink some unknown liquid before? Was he allergic to anything before?"

The family member cried and shook his head: "No...no allergies...my child is in good health.

It's because of the cough and fever that I want to come to the hospital for treatment. I don't know why it's like this!"

Cough and fever?

Zhang Yi reached out and touched the boy's forehead. It was indeed a little hot.

Turning his head to look at the nurse next to him, he asked: "How high was the fever of this child just now?"

"39.1!"

The fever is quite high.

Then, Zhang Yi looked up at the infusion stand next to him.

There was a bag of transparent liquid hanging on the infusion stand.

Zhang Yi wanted to see what medicine the child was infused with.

If you are not sure whether it is a food allergy or an insect bite allergy, then drug allergy is also likely to occur.

As a result, it was written amoxicillin?

"Have you done the skin test?"

The nurse nodded and said, "Yes, I did. I didn't have any allergies, so I gave the infusion."

No allergy after the skin test?

Is it not because of the medicine?

But Zhang Yi couldn't help frowning, feeling a little strange...

It stands to reason that for children with cough and fever, cephalosporins will generally work better.

Amoxicillin belongs to penicillin, which is a broad-spectrum antibiotic. Although it has few side effects, it is more suitable for diseases such as digestive system abnormalities and urinary system infections.

For example, Helicobacter pylori gastritis can be combined with penicillin.

Cephalosporins belong to beta-lactam antibiotics.

They can be used to treat respiratory tract, pneumonia and other diseases.

Both drugs are antibiotics, but the differences and uses are still very large.

For example, the cough and cold of the child in front of him are obviously respiratory diseases, which are bacterial infectious diseases.

Cephalosporins may work better.

To be honest, if Zhang Yi came to prescribe the medicine, he would definitely

Cephalosporins are the first choice.

Of course, Zhang Yi thought that the outpatient doctor might have his own diagnosis and treatment methods?

Would you like to use penicillin first to see the effect?

Then Zhang Yi couldn't help but take another look at the liquid on the IV stand.

It was indeed amoxicillin...

He walked to the outpatient doctor, pulled him aside and asked quietly:

"Did you prescribe the medicine for this child's infusion?"

The outpatient doctor nodded: "Yes, Assistant Zhang, what's wrong? Do you suspect that it is a drug allergy? But cephalosporins also need to be tested for skin. I asked the nurse to do a skin test, and the skin test was fine."

What? ! !

Zhang Yi's eyes almost popped out! !

What the hell? ?

It's... cephalosporin? !

Good guy!

Then what is the amoxicillin hanging on this child!

Immediately!

Zhang Yi has already reacted!

It's cephalosporin, and the skin test may also be cephalosporin!

But in the end, the infusion was mistakenly given penicillin, causing the child to be allergic to the drug!

Damn it... Who gave the infusion!

Did you do the three checks and eight pairs before giving the infusion to the child? !

Zhang Yi tried his best to calm down and said coldly to the outpatient doctor:

"Go and see what the child is infused with!"

The outpatient doctor was stunned and immediately reacted!

Oops!

Damn, didn't the wrong liquid be given? !

He walked closer and took a look...

"Fuck?! How did it become amoxicillin?!"

Damn it!

Damn it, he clearly prescribed ceftriaxone!

How did it become amoxicillin!

It's over!

The outpatient doctor immediately sweated on his forehead!

Whether it was the nurse's fault or not, he, as a doctor, might also be implicated in the wrong infusion!

Zhang Yi saw the panic of the outpatient doctor and knew that this medical accident was definitely inevitable.

For now, we should quickly control the child's condition and prevent it from becoming irreversible.

The treatment method for penicillin allergy is to cut off the allergen first.

This liquid must not be infused anymore.

Zhang Yi asked the nurse to remove the liquid.

Then continue to administer epinephrine. For example, if the patient's symptoms have not been relieved after half an hour, continue to use the medicine.

The amount of medicine needs to be reduced as appropriate. For example, if it is one bottle the first time, then half a bottle the second time.

In addition, dexamethasone or hydrocortisone should be used in combination with anti-allergic drugs.

In addition, respiratory stimulants such as nikethamide and lobeline should also be used in combination.

Seeing the nurses, doctors and nurses in a hurry, the family members gradually felt something was wrong.

Seeing the nurse withdraw the liquid, the family member hurriedly shouted:

"Wait! I want to see what liquid is being infused!"