Chapter 243: The Old Disease Just Happened, but a New One Comes?

Gretel's heart beat wildly.

The disease he is facing now is in the mild stage, and all he needs to do is instill sugar saline, or the oral rehydration salt recommended by the WHO mixed with water. Moderate dehydration may require intravenous rehydration, but when it comes to severe dehydration...

Muscle cramps!

Hypokalemia!

Uremia, acidosis!

Circulatory failure!

Acute renal failure!

Acute pulmonary edema!

Which one is easy to deal with!

If he were in the emergency department, he would have already yelled: "Check blood gases urgently! Ions! Creatinine! Open intravenous access! Infusion!" By the way, he would also need to prepare hydrocortisone, dexamethasone, isoproterenol, or dopamine. , maintain blood pressure at the shock level, etc...

But he has nothing on hand now! There is no blood gas analyzer, no ion detector, no injection needle - even if he can get the little monster to get the injection needle immediately, and immediately sterilize it with high temperature and high pressure, he still can't make an intravenous fluid that is pure and sterile enough!

Under the current situation, if intravenous fluid replenishment is rushed...

Hey, bacteremia is watching you.

He didn’t even have antibiotics on hand to suppress it!

Gretel can only act as a doctor. If there is no intravenous injection, it can only be taken orally, but of course, the first thing to do is to complete the examination!

The girl's body, clothes, and calves were covered in filth. Gretel turned a blind eye and knelt down beside the girl, took out the stethoscope and pressed it on her chest. While auscultating, he felt the girl's pulse and quickly gave instructions:

"Feel her calves to see if there are any cramps!"

"Cramp!"

The young woman stroked it up and down and answered tremblingly. Grete sighed secretly: calf cramps, or gastrocnemius spasms, are symptoms of vomiting and diarrhea, causing a large amount of sodium loss. As for the pulse, the touch under the fingertips is fast and weak, almost intangible...

The heart rate is fast, but in terms of heart sounds, there is no atrial tachycardia or ventricular tachycardia - that is to say, the hypokalemia is not serious and does not affect the heart too much.

The breath sounds were not bad, no crackles were heard, and the patient had no signs of pulmonary edema such as chest tightness, orthopnea, coughing up pink frothy sputum, or jugular vein distention.

"Little sister, are you thirsty?"

Gretel asked softly. The little girl raised her head slightly and opened her lips, but no sound came out. Grete shouted urgently:

"Oluo! Bring me some water!"

"I'm coming!"

Aurora Wharton held a bowl of sugar and salt water in both hands, bowed her waist, poked her head, and walked quickly like a duck with her feet pattering.

He bent down on his knees and brought the water bowl to the girl's mouth. The girl opened her mouth slightly, but was unable to swallow. A spoonful of sugar and salt water was put into the mouth, and soon it flowed out from the corner of the mouth.

"I'll feed her!" The young woman hurriedly reached out to take the bowl. Gretel stopped him with his elbow:

"Don't. Let me figure it out!"

A dead horse becomes a live doctor! Gretel jumped up and ran outside. No matter how tight the time was, the steps could not be messed up. He washed his hands carefully to ensure that the germs on his hands were basically washed away, returned to his original position, and began to give orders:

"Let her recline! Don't lie down, don't sit upright! Okay, that's fine!"

"Til your head to one side! Little sister, don't be afraid. Now that you can't drink anything, I'm going to put the potion you need to drink into your stomach through a tube! Don't be afraid, relax, I'm saving you! "

After speaking, he took out a seed, put it in his palm, and activated the magic. A bright green light flashed, and the emerald green hollow tube grew in the wind, reaching towards the girl's nostrils. Gretel has done experiments before. The bacterial load of the tubes spawned by magic is mainly positively related to the bacterial content on the surface of the seeds and palms. As long as the hands are washed and the spawned tubes are used as gastric tubes, the cleanliness is still tolerable——

The pipeline gradually deepens. The girl's eyes were full of fear, but fortunately she was still obedient. She was told to take a deep breath, and she was told to swallow, and she tried to swallow hard. The oiled emerald green thin tube went all the way down. Grete estimated that the depth was almost there, stopped inducing the gastric tube, and took out a 50ml glass syringe.

I don’t have any needles, so I’ll just make do with it…

One end of the emerald green thin tube expanded slightly and moved up on its own, wrapping the head of the syringe. Grete held his breath, slowly pushed in 10ml of air, and listened at the same time. Aurora stood by the side, holding the stethoscope for him, her eyes full of nervousness, and she kept mumbling:

"What did you hear? What did you hear?"

The sound of breath passing through the water... means that the gastric tube has been inserted into the gastric juice... Grete answered silently in his mind.

He pulled out the syringe, sucked in a tube full of sugar and saline solution, and slowly pushed it into the stomach tube. The amount of oral rehydration solution for children weighing less than 20kg should be 250ml per hour. How much does this little girl weigh? How fast should the gastric tube push liquid?

Damn it, I'm not a pediatrician or a nurse! Nasogastric feeding is the nurse’s job!

Oops, she started throwing up again!

"Do you want to continue feeding me?" Aurora was at a loss on the side. Gretel gritted his teeth: "Continue!"

The guidelines say that vomiting is not a contraindication to oral rehydration! Moreover, there is no other way!

Pour in one tube of sugar and salt water, and then another tube of sugar and salt water. After two consecutive operations, Grete handed the syringe to Aurora and asked him to operate it in the same way. He knelt next to the girl, folded his hands and caressed the girl's abdomen. The white light of the healing technique shines from the palm of your hand, and penetrates into the girl's body one by one:

Although cholera enterotoxin can stimulate the intestinal tract to excessively secrete water, chloride and carbonate, inhibit the absorption of sodium ions and chloride ions by the intestinal mucosa, leading to severe diarrhea and dehydration in patients -

However, the patient's intestinal ability to absorb glucose remains intact!

As long as glucose is absorbed, it can drive the paired absorption of sodium ions, the absorption of potassium ions and bicarbonate, and enhance the absorption of water!

When sugar salt water enters the intestines, it can effectively replenish water and correct ion disorders!

so……

Please, speed up the absorption!

Duodenum!

jejunum!

Intestinal epithelial cells!

Get moving! Get moving!

speed! ! !

Grete prayed with all her heart. The white light emitted from the palm was still a large area at first, but before you knew it, it changed into the shape of a rope, twisting and turning, back and forth. While praying, the girl's body suddenly moved:

"..."

"What?"

"I...I can drink..."

I can speak out! Even if the voice is low and weak, it means that the whole person is getting better! Grete was overjoyed and quickly held the stomach tube and canceled the birth spell. The emerald green vine quickly pulled out from the nasal cavity and turned into a small seed in his hand. Gretel took the water bowl and handed it to the girl's lips:

"Keep drinking! Drink as much as you can!"

Oral rehydration solution!

Keep up the healing skills!

Although he is an emergency surgery doctor, he has also read the literature and found that cholera patients do not improve that quickly. The rehydration time mentioned in the book is generally the first six hours and the 24 hours. But now, the effect was immediate and the girl experienced relief within 1 hour, and her symptoms returned from severe dehydration to moderate!

If it’s moderate, it’s not that easy to die!

"Little Grete! Here we come!"

There was a rapid sound of horse hooves. Before anyone arrived, the voice came first. In a moment, Elder Wood strode in with wind at his feet. Looking left and right, he stood still and struck the oak stick:

"Little Grete! Get out of the way!"

Grete quickly ducked to the side, almost tripping, and stood still against the wall. Elder Wood bowed his head and prayed. Behind him, five or six students and disciples also held oak staffs and recited the prayer with him:

"Great God of Nature! You protect us, raise us, comfort us, and guide us. We are all your children. You nourish our bodies and soothe our hearts. Now, your children are troubled by diseases. May you Heal them with the grace..."

Dots of white light lit up on the top of everyone's wooden staff. For a moment, Elder Wood held the oak staff in both hands and raised it high above his head:

"In the name of the God of Nature!"

"In the name of the God of Nature!"

the lower priests shouted in unison. The white light rose and gathered, converging at a point above the heads of the priests, then suddenly exploded, and stars fell down bit by bit. Soon, the patients' complexions improved and they got up one after another.

"Thank the gods of nature!"

"Thank you to the God of Nature for your grace——"

Half of them surrounded Elder Wood, and half of them surrounded Gretel, thanking him one after another. Grete quickly asked about their physical condition, and the patients rushed to answer:

"My stomach doesn't hurt anymore!"

"I don't want to vomit either!"

"I don't have diarrhea anymore!"

Their smiles are so bright. Gretel couldn't help but smile, but the doctor's instinct still urged him to shout loudly:

"Don't crowd in here! Go out and wash your hands! Take a shower! Wash them all, soak your clothes in disinfectant water, soak all the buildings and floors in disinfectant water! Go!

——If the dirty things are even more contaminated, a plague will still break out! ! ! "

He shouted and waved, and drove all the villagers out of the wooden houses, and they went to wash and clean. Elder Wood wiped the sweat from his head, squeezed over and asked Gretel:

"Why did the plague suddenly break out? I came here immediately after receiving the news. So many people have already become sick! If you hadn't found out, half of the people in this village would have died!"

More than half... Gretel shrugged. As for the cause of the plague outbreak, he was a little embarrassed to say - it cannot be said that his laboratory first created the pathogenic bacteria. After a moment of silence, Sam, the great magician of the plasticity department, came over and picked up the conversation:

"It's a spy from the Church of the Lord of Glory who came with dirty things and polluted the water source. We are tracking his escape route. Now it seems that Little Gretel is right. Everything he passes must be cleaned. ——”

"There are also people who have been in contact with him! Horses! People who have been in close contact with those people!" Grete added hurriedly. Old Sam smiled at him tolerantly:

"That's right, I have already spread the news. Now we are checking for any abnormalities everywhere. We also hope that the Natural God Church can help us. You are experts in tracking traces-"

At this point, he suddenly stopped, raised his head to the sky, and stretched out his hand. A small bird with a yellow beak and green feathers rushed straight down and fell into the hands of the old magician. It opened its mouth and screamed:

"Old Sam! The war horse that the spy rode has a strange disease! There are several horses in the stable, and the owners and people who take care of the horses are all sick! Please come over as soon as possible!"

Last night's chapter triggered the review for some reason, and it was locked for half an hour before being released, which affected everyone's reading. I'm very sorry!

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