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Chapter 14 No Adrenaline? Only Adrenal

Twenty minutes can be said to be short or long.

Especially when there is someone asking you questions, one question after another, and you still can't kick him away... It's really like a year.

Grete stared at the child's throat with one eye, and stared at the priest with the other, making gestures, almost drying up his saliva. Finally, he heard someone yell: "It's red, it's red! It's so red!"

When I looked around, I saw that the boy's left forearm was smooth and flat, without any problems. The right forearm - where the fish meat dripped water - was very red, with a bulge in the middle and an obvious wind mass. There were also threads on the outer ring of the redness.

The wisps of red lines of varying lengths look like insect legs at first glance.

Blushing with pseudopodia and wheals...

That’s right, it’s an allergic reaction, and it’s a very strong allergic reaction!

Of course, the strong reaction may also be because the fish meat water he prepared was not diluted at all...

Grete felt a little guilty, but on the surface he still looked confident, clapped his hands together:

"It's confirmed! It's the cod that's causing the trouble!"

"What's next?"

"Next..."

Gretel was speechless.

After a skin test, the cause of the child's illness has been determined to be acute laryngeal edema caused by allergies. He is very familiar with first aid methods and can give medical orders with his eyes closed. Even when he gives medical orders here, the experienced emergency department nurse there has already

I prepared the medicine easily:

0.1% epinephrine hydrochloride subcutaneous injection;

10ml normal saline, epinephrine 1mg, dexamethasone 10mg, immediately gargle with mouth for three to five minutes;

This is followed by 20-40ml of normal saline, 1-2mg of epinephrine, and 10mg of dexamethasone for continuous atomization.

But now, what does he have in his hand?

Nothing!

There is no epinephrine injection, no dexamethasone injection, and even the normal saline solution - the normal saline prepared by his guidance staff must have an inaccurate concentration, many impurities, and cannot be said to be sterile...

fall!

I can't live this day!

Fortunately, Gretel already had a plan for this problem. He pretended to think about it and turned to the farmer calmly:

"I saw mutton soup in the kitchen. Are the sheep's entrails still there?"

"Yes, yes!" The farmer, Uncle Edmund, nodded vigorously. Gretel breathed a sigh of relief: If he wasn't there, he would have discussed with the people on the farm and asked them to kill the sheep on the spot. He stood up and turned to the kitchen:

"Give me the guts!"

After this rescue, Gretel had already established a high prestige on the farm. When he asked, someone naturally ran errands. Soon, a basin of bloody internal organs was brought in and placed in front of Gretel with a bang.

Then, Gretel squatted on the ground in front of everyone, stretched out his hands, and started turning over in the tub without hesitation...

The priest who had been following Gretel also squatted down curiously. After watching for a while, he couldn't figure out the point and couldn't help but ask:

"What are you doing?"

"Find a gut."

"Which one are you looking for?"

The priest craned his neck and came closer. The Roman knight, who had been following him with his sword and performing his duty of protection, finally couldn't bear it any longer. He took a step forward and bowed to interject:

"Sir, you have a noble status, don't..."

"Eh!" The priest swung his sleeves impatiently. He stretched his neck, looked left and right, and unexpectedly, he was staggered by the stench mixed with blood. Thanks to the support of the Roman knight, he didn't fall.

However. Still not letting go of curiosity, Xu Xu asked, covering her nose:

"What are you looking for? Isn't it just the internal organs? Just put it down and let them find it!"

"they do not know."

Gretel didn't even raise his head, searching intently, muttering: "Kidney...kidney...found! There is another one..."

"Oh, what you are looking for is a sheep's kidney!" The priest's head poked over again. Grete raised his hand covered with sheep's blood and tried to push:

"Don't make any noise!"

There was a cold snort from the upper left. The Roman knight's sword was unsheathed and blocked in front of Gretel's hand. The cold light was so cold that Gretel was startled by it. The priest's big head also retracted and muttered:

"If you don't say it, don't say it... I kindly asked you to let others find it, but you still don't appreciate it..."

Grete ignored him and concentrated on rummaging in the wooden tub. The anatomical structure of the sheep that had been slaughtered was completely destroyed. Finding one kidney did not mean that he could find another. He rummaged for a while and took the two sheep.

After the kidney was completely turned out, I breathed a sigh of relief, took the pottery bowl containing the sheep kidney to the table, and began to peel it off carefully.

——From the beginning, what Grete wanted was not a kidney, but an adrenal gland.

Adrenaline constricts blood vessels, and dexamethasone fights inflammation and suppresses allergies. Dexamethasone is a chemical synthetic agent, so you don’t need to think about it now, but epinephrine... you can still think about it at least.

With this thing, at least the laryngeal edema can be eliminated and the child can breathe normally. As for the chicken bone inserted in the airway, it can naturally be removed quickly.

Theoretically, epinephrine is a protein hormone and cannot be taken orally because it will be hydrolyzed by pepsin. However, there are no examples of oral administration of epinephrine in history. Grete remembered that he had read such a record in his previous life:

In the fall of 1893, e Oliver discovered that a sphygmomanometer could detect the contraction of the radial artery in subjects after they swallowed a substance extracted from the adrenal glands of goats.

In later generations, this experiment was regarded as the earliest significant evidence that adrenal gland extract can increase blood pressure. However, in Grete's view at this moment, it means something more important:

Adrenaline, or adrenaline extract taken orally, does work!

Of course, the child cannot swallow now. But Grete has another hope: in the epinephrine family, neither epinephrine nor norepinephrine can be taken sublingually, but isoproterenol can be taken sublingually.

!

So...adrenal gland extract...to be exact, the adrenal glands are crushed and mixed with water...maybe, it has some effect...right?

Grete was so nervous that he didn't even have time to speak. Under the dim light, he carefully peeled off the outer capsule of the sheep kidney. Cutting, pulling apart, and blunt separation...the rough iron scissors flickered softly in his hands.

, almost showing the dexterity of surgical scissors.

The adrenal gland is a small one, close to the top of the kidney, and is wrapped in the renal fascia together with the kidney. The human adrenal gland only weighs 5 to 7 grams, and the goat's adrenal gland is not much different. He has to be very careful to completely remove the adrenal gland.

It can be peeled off without breaking at all.

I don’t know how many active ingredients there are in the two adrenal glands, and I don’t know how many can be absorbed through the tongue. He... better be careful and try not to waste...

Gretel was fully focused, and the movements of his hands were cautious and gentle. The aura emanating from his work unknowingly infected everyone, even the fussy priest stopped talking, and lay on the table looking at it without saying a word.

The knight next to him coughed and tried to say something, but he blocked it with a wave of his hand.

It wasn't until Grete completely peeled off the two adrenal glands, chopped them up in a clean empty bowl, ground them, and added water for the child to rinse his mouth that the priest let out a big breath and jumped up to ask:

"Is this okay? Is it okay?"

"Let's wait and see..."

Gretel stared at the boy's neck unblinkingly, always on guard against the chicken bones falling off. Fortunately, the boy gargled for one minute, two minutes, five minutes...the chicken bones were still fine, but the edema in the throat gradually disappeared, and the airflow

The sound rushing through the vocal cords became more and more obvious.

"Wow! It works! It really works!"

"Yes, it's really useful." Gretel secretly wiped away cold sweat, pulled out the chicken bones, and smiled tiredly at the priest:

"Next, please take action and heal his wounds..."

"No problem! Look at me!"

The priest rushed forward eagerly. After a whole night of tossing back and forth about a child's condition, he was finally able to put it to use. He used the treatment technique very neatly. After healing the wound, he straightened his clothes, held his head high, and presented himself to Gray.

Extend your right hand:

"Hello, young healer."

******

In order to write about adrenal gland extract, I spent 20 minutes looking up various goats in the UK...the weight of goats...

Romney sheep, adult sheep weigh 80 kg for rams and 41 kg for ewes

Lincoln sheep, adult rams weigh 73-93kg, adult ewes weigh 55-70kg

Nanqiu sheep weigh 80-88kg for rams and 60-88kg for ewes.

etc……


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