It's not that hard to open a hospital in another world, right?

Chapter 243 The old disease is just right, and there is a new disease?
Gretel's heart beat wildly.

The disease he is facing now, in the mild stage, just try to infuse sugar saline, or the oral rehydration salt mixed with water recommended by WHO.Moderate dehydration may be supplemented by IV fluids, but at 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 it was in the emergency department, he would have yelled at this time: "Urgently check the blood gas! Ion! Creatinine! Open the intravenous line! Infusion!" By the way, we should also prepare hydrocortisone or dexamethasone, isoproterenol, or dopamine , keep blood pressure at shock levels, blah blah blah blah blah blah blah blah

But he has nothing on hand now!No blood gas analyzer, no ion detector, no injection needle—even if he could immediately get the little monster to produce the injection needle, and immediately sterilize it with high temperature and high pressure, he would not be able to produce a sufficiently pure and sterile intravenous fluid!
As far as the current situation is concerned, if you rashly administer intravenous fluids...

Hey, bacteremia is watching you.

He doesn't even have antibiotics on hand to suppress it!
Gretel can only be a dead horse as a living horse doctor.Without intravenous injection, it can only be taken orally, but of course, the first thing to do is to complete the inspection!
The girl's body, clothes, and calves were covered with filth.Gretel turned a blind eye, knelt down beside the girl, took out his stethoscope, and pressed her chest.While auscultating, while pressing the girl's pulse, he quickly ordered:
"Touch her calf to see if she has any cramps!"

"Cramp!"

The young woman touched her up and down, and answered tremblingly.Gretel sighed secretly: calf cramp, or gastrocnemius spasm, is just the appearance of vomiting and diarrhea, causing a large loss of sodium salt.As for the pulse, the touch under the fingertips is fast and weak, and it is almost impossible to feel it...

The heart rate is fast, but in terms of heart sounds, there has not been atrial tachycardia, or ventricular tachycardia—that is, the hypokalemia is not serious and does not affect the heart too much.

The breath sounds were not bad, and no crackles were heard, and the patient did not have signs of pulmonary edema such as chest tightness, orthopnea, coughing up pink foamy sputum, and distended jugular veins.

"Little sister, are you thirsty?"

Gretel asked softly.The little girl raised her head slightly, opened her lips, but could no longer make a sound.Gretel yelled:

"Oro! 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, her feet slapped, and she walked quickly like a duck.

He bent his knees and brought the water bowl to the girl's mouth. The girl opened her mouth slightly, but she couldn't swallow anymore.A spoonful of sugar and salt water was sent to the mouth, and soon, it flowed out along the corner of the mouth.

"I'll feed her!" The young woman hastily reached out to take the bowl.Gretel stopped with his elbow:
"Don't. Let me figure out a way!"

A dead horse is a living horse doctor!Gretel jumped up and sprinted outside.No matter how tight the time is, the steps should not be messed up. He washed his hands carefully to ensure that the germs on his hands were basically washed off, returned to his original position, and began to give orders:
"Let her recline! Don't lie flat, and don't sit up straight! Well, that's fine!"

"Turn your head to one side! Little sister, don't be afraid, now you can't drink anything, I will use a tube to send the medicine you need to drink into your stomach! Don't be afraid, relax, I am saving you! "

After speaking, he took out a seed, put it in the palm of his hand, and activated the magic spell.With a flash of green light, the emerald green hollow tube grew in the wind, reaching towards the girl's nostrils.Gretel has done experiments before, and the bacterial load of the tube produced by the magic is mainly positively correlated with the surface of the seeds and the bacterial content of the palm. As long as you wash your hands, the tube produced by the magic can be used as a gastric tube, and the cleanliness is still tolerable——

The pipeline goes deeper and deeper.The girl's eyes were full of fear, but fortunately she was still obedient. Let her take a deep breath, let her swallow, and try to swallow hard.Oiled thin emerald green tubes all the way down.Gretel estimated that the depth was about the same, stopped stimulating the gastric tube, and took out a 50ml glass syringe.

No needles, let's make do with it...

One end of the emerald thin tube swelled slightly, and it went up by itself, wrapping the syringe head.Gretel held his breath and slowly pushed in 10ml of air while listening attentively.Aurora stood on the side holding the stethoscope for him, her eyes were full of tension, and she kept muttering:
"Hear what? Hear what?"

The sound of breath over water... It means that the gastric tube has been inserted into the gastric juice... Gretel answered silently in his heart.

He pulled out the syringe, sucked a tube full of sugar saline, and slowly pushed it into the gastric 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 the liquid?

Damn, I'm not a pediatrician, nor a nurse!Nasogastric feeding is the job of nurses!
Oops, she started throwing up again!
"Do you want to continue pouring?" Aurora was at a loss on the sidelines.Gretel gritted his teeth: "Go on!"

The guideline says that vomiting is not a contraindication for oral rehydration!Moreover, there is no other way!
A tube of sugar and salt water is injected, and another tube of sugar and salt water is injected.After operating twice in a row, Gretel handed the syringe to Aurora and asked him to operate as usual.He knelt down next to the girl, folded his hands, and stroked the girl's abdomen.The white light of the healing technique leaked out from the palm, penetrating into the girl's body one by one:

Although cholera enterotoxin can stimulate the excessive secretion of water, chloride and carbonate in the intestine, and inhibit the absorption of sodium ions and chloride ions by the intestinal mucosa, resulting in severe diarrhea and dehydration in patients——

However, the patient's gut's 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 and salt water enter the intestinal tract, it can effectively replenish water and correct ion disorders!

and so……

Please, speed up the absorption!

Duodenum!

jejunum!

Intestinal epithelial cells!

move!Get moving!
speed! ! !
Gretel prayed with all her heart.The white light emitted from the palm was initially a large area, but before he knew it, it changed into a rope shape, twisting and winding, going back and forth.During the prayer, the girl's body suddenly moved:
"..."

"what?"

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

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

"Keep drinking! Try to drink as much as you can!"

Oral rehydration!

Healing skills continue to brush!

Although he is a doctor in emergency surgery, he has also read the literature, and the improvement of cholera patients is not so fast.The rehydration time mentioned in the book is generally the first six hours and the 24 hours.But now, the results were immediate, the girl had some relief within 1 hour, and the symptoms went from severe dehydration back to moderate!
Moderate, not so easy to die!
"Little Gretel! Here we come!"

There was a rush of hoofbeats.Before the people arrived, the sound came first, and after a while, Elder Wood strode in with the wind under his feet.After looking left and right, he stood in the middle and gave an oak stick:

"Little Gretel! Get out of the way!"

Gretel dodged to the side quickly, almost tripped, and stood against the wall.Elder Wood lowered his head and prayed. Behind him, five or six students and disciples also held oak sticks and recited prayers with him:
"Great God of Nature! You protect us, nurture 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 disease, may you His grace healed them..."

White lights were dotted, shining on the top of everyone's wooden staff. For a moment, Elder Wood held the oak staff in both hands and raised it above his head:
"In the name of the God of Nature!"

"In the name of the God of Nature!"

The low-ranking priests shouted in unison.The white light rises and gathers, gathers at one point above the heads of the priests, explodes suddenly, and falls in bits and pieces.Soon, the faces of the patients improved and they got up one after another.

"Thank you God of Nature!"

"Thanks for the grace of the God of Nature—"

Half of the people surrounded Elder Wood, and half of them surrounded Gretel, thanking them one after another.Gretel hurriedly asked them about their physical conditions, and the patients rushed to answer:

"My stomach doesn't hurt anymore!"

"I don't want to throw up either!"

"I don't have diarrhea anymore!"

Their smiles are just too bright.Gretel couldn't help smiling, but the doctor's instinct still urged him to shout:

"Don't crowd here! Go out and wash your hands! Take a shower! Wash everything, soak the clothes in disinfectant, soak the house and the ground in disinfectant! Go!

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

He yelled and waved his hands, and drove all the villagers out of the wooden house, and each went to wash and clean.Elder Wood wiped the sweat off his brow, squeezed over and asked Gretel:

"Why did the plague suddenly break out? I came here as soon as I received the news. So many people have already been sick! If you hadn't found out, half of the people in this village might 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 cannot be said that his laboratory produced the pathogenic bacteria first.After a moment of silence, the Great Magician Sam of the Evocation Department came over and continued the conversation:
"It's a spy from the Church of the Lord of Radiance, who came with dirty things and polluted the water source. We are tracking his escape route. Now, look, what Little Gretel said is right, all the places he passed by must be cleaned up. -"

"There are people who have been in contact with him! Horses! People who have had close contact with those people!" Grete hurriedly added.Old Sam smiled at him tolerantly:
"That's right, I've already spread the news. We're checking everywhere to see if there's anything unusual, and I hope the Religion of Nature can help us out. You guys are experts in tracking—"

Speaking of this, he suddenly stopped talking, raised his head to the sky, and stretched out his hand.A 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 urgently:

"Old Sam! The war horse that the spy rode has a strange disease! Several horses in the stable, the owner of the horse, and the person who took care of the horse are all sick! Please come here as soon as possible!"

　I don’t know why the chapter last night triggered the review. It was locked for half an hour before it was released, which affected everyone’s reading. I’m very sorry!
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(End of this chapter)