Chapter 272 A Small Assessment
The next day, Wei Ping got up early and went to the hospital.
When he arrived at the hospital, only the interns were there.
Chen Lian didn't come over, and he breathed a sigh of relief. He hoped that this girl would not show up today.
Go and take good care of her ECMO.
Then, he saw a medicine and was interested in testing these interns.
So, I said, "It's not time to go to work yet, so I'm going to ask you a question about medication!"
Several people said happily: "Okay! Brother Wei, please speak!"
"A patient comes to our hospital with an upper respiratory tract infection, cough, chest tightness, and body aches. He requests an IV. What medication would you prescribe?"
At this time, Xiao Xia took the initiative to say, "Give me 4 g of ceftriaxone sodium, 5 mg of dexamethasone, and 600 mg of ribavirin mixed in 500 ml of 0.9% sodium chloride injection and administer by intravenous drip."
After hearing this, others felt that their thunder was stolen.
All I can say is: "Xiao Xia is right."
But Wei Ping said: "You can't do that!"
Everyone asked in confusion: "Why?"
"When we use medications, we must consider drug interactions. Adding erythromycin, tetracycline, amphotericin B, vasoactive drugs such as phenytoin sodium, chlorpromazine, isopropyl alcohol, B vitamins, and vitamin C to cephalosporin intravenous infusions will cause turbidity. Because this product has many contraindications with other drugs, it should be administered alone."
Incompatibility refers to the situation where two or more drugs produce some toxic side effects when used together, or weaken each other's efficacy. These situations should be avoided in clinical practice.
This is not only a problem in Western medicine, but also in Chinese medicine.
There are records in many ancient Chinese medicine books that there should be no 18 adverse reactions and 19 fears when combining Chinese medicines. The combination of medicines needs to follow certain principles, and should be combined as little as possible, or try to increase efficacy and reduce side effects.
Sometimes, some doctors tend to overlook the incompatibility of medicines.
If this incompatibility taboo is ignored, it would be tantamount to playing with the patient's life, which is absolutely prohibited.
"Therefore, when using intravenous infusion of cephalosporins, they must be given separately! Otherwise, it will cause adverse reactions to the patient, and in severe cases, it can be fatal!"
Wei Ping's words were spoken softly, but they were very serious.
Everyone was quiet at this time.
Apparently, they didn't notice this.
Wei Ping continued, "Also, cefuroxime can cause allergic reactions such as rash, itching, or anaphylactic shock. The anti-allergic effect of dexamethasone may mask allergic symptoms and delay emergency treatment. Glucocorticoids can suppress the body's immune response, so their clinical use still requires caution. When we use medications, not all drugs can be simply stacked together. Sometimes the effect of 1+1 is not necessarily greater than 2! It may even be less than 1."
"I understand, Brother Wei, it seems we haven't learned enough." Xiao Xia said.
These people all had a feeling that Wei Ping's assessment would affect their regularization.
"I hope that when you go back, you will be more familiar with the pharmacological reactions, especially the issues of incompatibility! Because if you see patients alone in the future, your responsibilities will be greater, and no one will tell you these basic things in the future." Wei Ping said earnestly.
Everyone expressed their understanding.
"No one got it right this time, so +1 for the negative review!"
Wei Ping said this, and several people wailed.
But this is for their own good and for the patients' good. Being a doctor is not easy and a small mistake may harm the patient.
That is an extremely irresponsible behavior towards patients.
"Let me ask you one more question."
"Okay! Brother Wei, please speak!"
Everyone was now focused.
"Let's each person tell me the difference between metronidazole and tinidazole! Xiaoxia starts."
"The two have different indications. Metronidazole is mainly useful for anaerobic infections, trichomoniasis, bacterial vaginosis, amebiasis, oral infections, protozoan and other infections, and rosacea.
Tinidazole is used for trichomoniasis, giardiasis, amebiasis, bacterial vaginosis, Helicobacter pylori-related ulcers, and anaerobic infections.
"Next! You!"
"The contraindications are different! Although the two are somewhat similar, tinidazole has more contraindications. It is especially contraindicated for pregnant and breastfeeding women."
"Next!"
"Compared to metronidazole, tinidazole has a lower incidence and severity of adverse reactions. Metronidazole is more likely to cause gastrointestinal reactions, but the incidence and severity of adverse reactions of tinidazole are lower than those of metronidazole."
"Compared with metronidazole, tinidazole has a longer duration of effect after each dose. Therefore, the dosing interval of tinidazole is longer than that of metronidazole, and it also has certain advantages in terms of medication compliance."
…
"Very good, you spoke well this time. Tomorrow, I will test other things!" Wei Ping said.
These things are essential for being a doctor.
"Okay, start getting ready. We're about to start seeing patients," said Wei Ping.
At this time, he found that Yang Ke had not appeared yet.
So he casually asked, "Why didn't Dr. Yang come today?"
"It seems she has a cold. She said in the group yesterday that she has asked for leave today." Xiao Xia said.
Wei Ping then picked up his phone to check, and sure enough, he saw what Yang Ke said yesterday. He didn't read it because he was too busy with the live broadcast yesterday.
"Okay then, you guys just have to work hard today!"
"Yes, Brother Wei!"
In this way, they have more opportunities to perform. Otherwise, Yang Ke usually performs and they just watch.
Wei Ping didn't care about everyone. He started to organize the documents and prepare to see patients.
There are still twenty minutes until the consultation starts.
While he was sorting the documents, the phone rang.
It was Wei Duo calling.
"Duoduo, what's wrong?"
"Brother, my roommate said she wanted to thank you for your guidance yesterday. Now she has nothing to do and has returned to school. Also, she said she must add you on WeChat no matter what. I rejected her, but she wants to treat you to dinner. Are you free?"
"This is what I should do. Tell her that there is no need to worry about the meal. I still owe you a meal, right?" Wei Ping refused and said this instead.
"Okay, I'll talk to her and let her die!" Wei Duo smiled.
"Okay, I have to go to work! We'll talk later."
"I see. That's all."
Wei Duo then hung up the phone.
However, at this time, a group of people were walking towards his office.
There was a middle-aged man in a suit standing next to Dean Zhang, and seemed to be saying something, which made Dean Zhang laugh out loud.
Then, the group walked to Wei Ping's office.
"Xiao Wei, come out for a moment, let's talk." Dean Zhang said.
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