Chapter 240: The old disease just happened, but a new one comes?
Gretel's heart could not help but beat wildly.
The disease he is facing now, in the mild stage, he only needs to work hard to infuse sugar saline, or the oral rehydration salt recommended by WHO mixed with water. Moderate dehydration may require supplementary intravenous rehydration, but when it reaches the stage of 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 channel! Infusion!" By the way, he would also prepare hydrocortisone, dexamethasone, isoproterenol, or dopamine.
, maintain blood pressure at a shock level, etc...
But he has nothing at hand now! 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 can't get it pure enough.
Sterile intravenous solution!
Under the current situation, if intravenous fluid replenishment is rushed...
Hehe, bacteremia is watching you.
He didn’t even have antibiotics on hand to suppress it!
Grete can only be a living doctor. Without intravenous injection, he can only take it orally, but of course, the first thing to do is to complete the examination!
The girl's body, clothes, and calves were stained with filth. Gretel turned a blind eye and knelt down beside the girl, took out a stethoscope and pressed it on her chest. While auscultating, he felt the girl's pulse and quickly gave instructions:
"Feel her calf to see if there are any cramps!"
"Cramp!"
The young woman stroked her body up and down and answered tremblingly. Grete sighed secretly: Calf cramps, or gastrocnemius muscle 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 out of touch...
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 did not have any signs of pulmonary edema such as chest tightness, orthopnea, coughing up pink frothy sputum, jugular vein distension, etc.
"Little sister, are you thirsty?"
Grete asked softly. The little girl raised her head slightly and opened her lips, but she could no longer make a sound. Grete shouted urgently:
"Auro! Bring the 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 a pattering of feet.
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 her mouth, and soon it flowed out from the corner of her mouth.
"I'll feed her!" The young woman hurriedly reached out to take the bowl. However, Gretel stopped her with her elbow:
"No. Let me figure it out!"
A dead horse became a living doctor! Gretel jumped up and ran out. 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, and returned to his original position.
, and began to give orders:
"Let her recline! Don't lie flat, 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 here to save you!
"
After speaking, he took out a seed, put it in the palm of his hand, 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 had done experiments before, and the tube bacteria spawned by magic
The load 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 tube used to induce the birth is used as a gastric tube, the cleanliness is still tolerable——
The tube gradually went deeper. The girl's eyes were full of fear, but fortunately she was obedient. She was asked to take a deep breath, and she was asked to swallow. She also tried to swallow hard. The oil-smeared emerald green thin tube went all the way down. Gretel estimated that the depth was almost the same, and stopped stimulating the stomach.
tube, and took out a 50ml glass syringe.
I don’t have a needle, so I’ll make do with it…
One end of the emerald green thin tube expanded slightly, and it went up on its own, wrapping the head of the syringe. Gretel held his breath, slowly pushed in 10ml of air, and listened attentively. Aurora stood beside him and held the stethoscope for him, her eyes filled with nervousness and confusion.
Stop 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...Gretel silently answered in his mind.
He pulled out the syringe, sucked in a full tube 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 250 ml per hour. How much does this little girl weigh? How fast is the liquid pushed into the stomach tube?
How much should it be?
Damn it, I’m not a pediatrician or a nurse! Nasal feeding is a nurse’s job!
Oops, she started vomiting again!
"Do you want to continue pouring?" 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!
A tube of sugar saline was injected, and then another tube of sugar saline was injected. After two consecutive operations, Gretel handed the syringe to Aurora and asked him to operate in the same way. He knelt next to the girl, folded his hands, and touched the girl's abdomen. Treatment Technique
White light shines from the palm of your hand, wisps of it, seeping into the girl's body:
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, causing severe diarrhea and dehydration in patients -
However, the patient's intestinal absorption capacity of glucose is still 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!
Move! Move quickly!
speed!!!
Grete prayed wholeheartedly. The white light emitted from her palm was still a large area at first, but before she knew it, it changed into the shape of a rope, winding and going back and forth. During the prayer, the girl's body suddenly moved:
"..."
"What?"
"I...I can drink..."
He can make a sound! Even if his voice is low and weak, it means that the whole person is getting better! Gretel was overjoyed and quickly held the stomach tube and canceled the birth spell. The emerald green vines were quickly pulled out from the nasal cavity and restored in his hand.
For a small seed, 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 in the literature that cholera patients do not improve that quickly. The rehydration time mentioned in the book is usually about the first six hours and 24 hours. But now, the effect is immediate.
The girl felt 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 sound came first. In a moment, Elder Wood strode in with wind at his feet. He looked left and right, then he stood still and struck his oak stick:
"Little Gretel! Get out of the way!"
Gretel quickly dodged to the side, almost tripping, and stood still against the wall. Elder Wood lowered his head and prayed. Behind him, five or six students and disciples also held oak staffs and recited the prayer together 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 low-level priests shouted in unison. The white light rose up, gathered, and converged at a point above the heads of the priests. Then it suddenly exploded, and stars fell down bit by bit. Soon, the patients' faces improved, and they got up one after another.
"Thank you, God of Nature!"
"Thank you to the God of Nature for your grace——"
Half of the people surrounded Elder Wood, and half of them surrounded Grete, thanking them profusely. Grete quickly asked about their physical conditions, 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 were too bright. Gretel couldn't help but smile, but the doctor's instinct still urged him to shout loudly:
"Don't crowd 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 quickly!
——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 house, and went to wash and clean each other. Elder Wood wiped the sweat from his head, squeezed over and asked Grete:
"Why did the plague suddenly break out? I came over immediately after receiving the news, and so many people have 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 outbreak of the plague, he was a little embarrassed to say - it can't be said that his laboratory first created the pathogenic bacteria. After a moment of silence, the Shaman of the Plasticity Department
The great magician Mu 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 everywhere to see if there are any abnormalities. We also hope that the Natural God Church can help us. You are experts in tracking and tracing——"
Having said this, 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! Several horses in the stable, their owners, and the people who take care of the horses are all sick! Please come over as soon as possible!"