"Don't worry, it's just the beginning now."

Qi Jing took the sugar meter handed over by Xiaomei and stabbed the patient with another needle on the patient's finger.

The results showed that the treatment effect was very good. Just ten minutes after the drip, the value of the raw sugar on the LCD screen of the instrument had dropped by half: 17.2.6 units of insulin have played a role, and the patient is very sensitive to insulin treatment, not the insulin resistance that was suspected before.

Ji Qing looked at Qi Jing and could only admit that he had misjudgment before, but at the same time, Qi Jing could not explain why the patient was in such a situation.

"How do you usually inject it?" Qi Jing pulled out an empty syringe from Xiaomei's pocket and stuffed it into the patient's hand, "Call it to me."

Insulin is different from ordinary drugs, and generally does not require a rapid onset speed.

It focuses on maintaining the smoothness of time and insulin concentration, so the location and method of needle insertion are somewhat particular.

Usually, drug injections are mainly intravenous and muscles, while insulin needs to be injected subcutaneously. Only in this way can the fat layer be used to delay its onset speed, increase the sustained release effect, and extend the duration.

If the injection site is incorrect and the method is improper, insulin will enter the muscles or blood vessels, and it will take effect in a short time, causing a sudden drop in blood sugar. After these insulins are consumed at one time, blood sugar will surge due to the lack of subsequent intravenous in the body.

So, use insulin to flow slowly and slowly.

The patient took the syringe and sat up, skillfully pinched a layer of skin with his left hand, and then grabbed the syringe with his right hand and stuck it on the raised skin from the side. A very standard insulin injection method, without any problems.

Seeing this, Qi Jing turned the topic to the quality of insulin: "Where did you buy insulin?"

The patient thought for a while, pointed to the gate, and said, "Just next to the hospital supermarket, I took the elevator to the second floor. There is a sign like the hospital, called Danyang Pharmacy."

"This is the hospital's own pharmacy, and the quality is fine." Ji Qing heard the result and didn't know how to make a judgment: "It doesn't work if you take insulin at home, just come here and have a pill? It doesn't make sense!"

"There are no missed shots and no more shots. The injection method is fine, the injection location is fine, and the drug itself will definitely not have any problems." Qi Jing still pinched the insulin, "It's fine, that's because it has artificially caused problems. Where did you put the insulin in your home?"

"Put the refrigerator." The patient said without hesitation, "The doctor has taken special care. The weather in Dancheng has become warmer these days, so it must be kept in the refrigerator."

Ji Qing didn't know why Qi Jing was trying to hold on to this, after all, the patient was hospitalized, so he must have been thoroughly educated on the storage and use of insulin.

Now it seems that the patient has a very good compliance and there should be no storage problems.

"No, it's not a question of whether to put the refrigerator or not." Qi Jing made a gesture and explained, "How many parts are the refrigerator? Where are you put?"

"I did what the doctor said in the refrigerator."

The answer is correct. The question seems to be in a dead end, but Qi Jing still grabbed the refrigerator and kept saying: "Don't say nouns, what kind of temperature is the refrigerator room?"

"The place where frozen meat and frozen fish is placed must be below zero."

As soon as these words were said, Ji Qing and Xiaomei were stunned. It turned out that there was a problem with the patient's method of storing drugs.

Insulin is a protein that can maintain activity for a long time at low temperatures and can maintain it for a period of time even at room temperature. However, if the temperature is too low, the biological activity will be lost immediately after it is below 0 degrees. Therefore, what he injects into his body every day is just ordinary protein, without any effect of lowering sugar.

"Do you have to put it there if you need to keep it for a long time?" The patient still didn't know where the problem was, and continued to explain, "Refrigeration is just a place to hide things."

Qi Jing nodded with a smile: "You are such a genius."

Ji Qing couldn't help laughing after hearing this, and Xiaomei didn't know what to say.

Qi Jing turned to Xiaomei and said politely: "Next, please give me some insight into the difference between a refrigerator and a freezer, and write down the storage conditions on his insulin box: 2-8 degrees."

Ji Qing added: "Test the sugar again in an hour. If it is lower than 11, tell me."

The root cause of the problem was found. It seemed that the case had come to an end, but the two people were still debating the word "misdiagnosis" and even did not stop after returning to the treatment room.

"Look, I didn't misdiagnose at all."

"You said he didn't take insulin, but he took it." Ji Qing said with certainty, "Although it was not a misdiagnosis, it was also a mistake in judgment."

"No, you understand wrongly." Qi Jing smiled and corrected, "In order to save money, people who don't take insulin are fools, and those who can't tell the difference between the cold room and the freezer are also fools, so my judgment direction is completely correct."

"Ha, it's a fallacy."

"I don't care, you have to invite lunch."

Ji Qing suddenly stopped and took out his cell phone, looked at the text message he had just received, and then replied with a smile: "Okay, I admit that you are very good. Although my income is average, the cafeteria can still afford it. But..."

"But what?"

Ji Qing pointed to the office crowded with patients next to him and said with a smile: "I just received a text message from the director. Your place of work is not here, there!"

The emergency department of Danyang Hospital is very large, and the emergency department of internal medicine is divided into two parts.

Some of them are specially used to receive critically ill patients sent by 120 ambulances, and are in the green channel diagnosis and treatment room. Now Ji Qing and another resident are in charge.

As long as there is no call from the emergency center, it is relatively leisurely. Ji Qing shared several patients just now, and the hyperglycemia ketoacidosis is one of them.

The other part is the general internal medicine emergency department, and the patients who come to the hospital for treatment are generally slower and less severe, and the number is much larger.

Of course, the two are not strictly distinguished by ambulances alone. If an ordinary emergency patient has an emergency situation, he can also be assigned to a green channel and will be under Ji Qing’s management.

Qi Jing has just arrived at the hospital now. Although he is top-notch, the chief director is unaware of it and still divides him into the ordinary clinic next to him according to the old rules.

Qi Jing looked at the text message on his phone and was helpless: "Okay."

Danyang Hospital is the largest and most famous in Dancheng, with an amazing number of patients.

And now it is fifteen years ago, and the hospital has not started to popularize electronic prescriptions. Most of the time spent on handwriting in the outpatient and emergency department is not efficient. So even if the two doctors here keep working, there will always be a large number of patients queuing outside the door.

But now with Qi Jing's addition, all this should be greatly alleviated.

If you just graduate and don’t have a license, then copy the prescription. It’s better to have a good memory than a bad pen. You know how to use the actual dose of the drug, but you still have to learn how to give it slowly.

There are two female doctors in the emergency room, both of whom are older.

In just five minutes, while they were still checking the patient's body, they had already discussed how to place the new young doctor.

"What do I think each person is an hour?"

"It's better to change every four hours, so that he can control the rhythm of copying."

"I think it's good to have an hour, but you said that. It doesn't matter. Just do what you said."

Qi Jing stood between the two of them and suggested with a wry smile: "Two teachers, should I ask for my opinion?"

"Do you have a license?"

Qi Jing shook his head: "Not yet."

"No license, no medical rights."

"Print the prescription with peace of mind, it will be almost done if you copy it for a year."

Qi Jing hit the wall for the first time.

Originally, he didn't want to use the heavy weapon of "identity", but now it seems that he doesn't have to. He did not hesitate and decisively revealed his identity before the two of them even regarded themselves as interns: "I am Qi Sen's son."

The statement immediately changed the status quo. The two doctors looked at each other and their attitude suddenly became strange.

"Oh, it's Qi Sen's son. Can you write a prescription? I have this medicine manual here, why don't you sit next to me and watch it for a while?"

Qi Jing frowned and a long list of question marks appeared in his mind. Why didn’t he even let me stay at the desk?
Chapter completed!