"I'll prescribe some medicine for you now, and I'll treat you here first!" Wei Ping said while operating the computer.

"Do you need me to do anything?" Cheng Na asked.

"No, just stay here. I can treat you quickly."

"I'll follow Doctor Wei's orders."

Then Wei Ping prescribed some medicine.

In the process of prescribing medicine.

He added: "COPD is easily misdiagnosed as asthma. Many early-stage COPD patients have no obvious symptoms, often missing the optimal time for diagnosis and treatment, or even being misdiagnosed. By the time symptoms like recurrent coughing and difficulty breathing appear, the disease has often progressed to the mid-to-late stage. By then, it's difficult to treat."

When it comes to the middle and late stages, Cheng Na was scared.

"Doctor Wei, what did you say? Middle to late stage?"

"Well, what's wrong?"

"So I'm incurable?"

"Where are you listening? Diseases like these that are mid- to late-stage are chronic. Besides conventional treatment, you also need to pay more attention in your daily life. Because they are chronic, treatment can take a long time. So, if you experience symptoms, you must see a doctor. Don't assume you have a strong immune system. Sometimes, acute illnesses can develop into chronic conditions."

After hearing this, Cheng Na felt a little relieved. She was really scared just now.

At this time, an intern said, "If it weren't for Brother Wei today, if I were to treat him, I would definitely diagnose him as asthma first!"

"It seems this type of disease is extremely hidden. Its symptoms are very similar to asthma."

"Then how should it be treated specifically?"

Wei Ping continued:

“If it is in the acute stage, it is divided into three types:

Mild: Treat only with short-acting bronchodilators (SABAs).

Moderate: Treat with SABA plus antibiotics and/or oral corticosteroids

Severe: requires hospitalization or emergency room treatment, and may also be associated with acute respiratory failure!

He gave a very detailed introduction and taught everyone everything he had learned.

Cheng Na was still in a daze.

I've become the subject of instruction. I also feel like I'm being pointed at and criticized.

But Wei Ping quickly dispelled her doubts.

"Cheng Na, everyone here is an intern. They are learning from me, and your disease is very representative, so I am giving them a lecture. Please don't mind."

"No, no, no, I don't mind. It sounds impressive, but I feel honored to be able to serve as a role model. Maybe I can do something for other patients in the future."

Cheng Na said somewhat embarrassedly.

"Then how should we use the medicine? What is the treatment process like?" Yang Ke interrupted her.

Wei Ping said:

“

First, bronchodilators. Single inhalation of short-acting B2 receptor agonists, such as salbutamol and terbutaline, or combined inhalation of a short-acting B2 receptor agonist and a short-acting anticholinergic (such as ipratropium) are the preferred bronchodilator options for patients with acute exacerbations of chronic lung disease, effectively relieving dyspnea. If oxygen delivery is available, nebulized liquid should ideally be administered at an oxygen flow rate of 6 to 8 L/min.

Second, theophylline drugs: For patients with more serious conditions, when the above-mentioned bronchodilators are ineffective, intravenous administration of theophylline drugs can be considered. In addition to their bronchodilatory effects, alkaloids can also increase cardiac output.

However, the therapeutic concentration and toxic concentration of this type of drug are close, and overdose can cause serious cardiovascular and neurotoxicity. Serum base concentration should be monitored when necessary.

Third, glucocorticoids: For patients hospitalized in the acute exacerbation of COPD, short-term oral or intravenous use of glucocorticoids on the basis of bronchodilators can speed up the remission of the disease and shorten the treatment time.

However, the use of glucocorticoids can easily lead to symptoms such as poor blood sugar control, weight gain, anxiety, and insomnia, and is not suitable for long-term use. Nebulized glucocorticoids have fewer adverse reactions and can replace or partially replace systemic glucocorticoids.

This patient seems to have some lung infection, so antibiotics should be started first to alleviate the symptoms! Other treatments will be based on the specific situation.

Everyone remembers that Cheng Na was shocked, and shocked again.

"Okay, go get some medicine, then come over here and I'll treat you!"

After Wei Ping prescribed the medicine, he spoke to Cheng Na.

"OK!"

Cheng Na left the office.

I brought the medicine back quickly.

When she came back, Wei Ping had already cured another patient.

"Here's the medicine, Yang Ke, help me later!"

"good!"

Afterwards, Wei Ping began to guide and control the medicine into Cheng Na's body.

The treatment lasted about ten minutes.

APP prompts: "Control the power of the medicine to cure chronic obstructive pulmonary disease and receive RMB 2,000! Proficiency +200, 2175/"

Everything went so smoothly.

Another 2,000 yuan has been deposited into the account.

As time went on, his ability to control the effects of the drug became stronger and stronger.

"How do you feel now?" Wei Ping asked.

"I feel much better. What should I do in the future? Do I have to come here every day for your treatment?" Cheng Na suddenly asked.

"That's not necessary. I have some medicine for you to take home. Come back for a follow-up appointment in two weeks. You don't need to make an appointment then, just come and see me!"

"Okay, by the way, why didn't I see you add me on WeChat last time? If you had added me earlier, I wouldn't have to come here to bother you."

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