"The Amrut in Dehydration": Paediatrics Department VMMC & H, Karaikal
"The Amrut in Dehydration": Paediatrics Department VMMC & H, Karaikal
"The Amrut in Dehydration": Paediatrics Department VMMC & H, Karaikal
Paediatrics Department
VMMC & H , Karaikal
INTRODUCTION
Worldwide, diarrhea claims several million lives
annually, mostly those of infants.
Acute Diarrhoea
The most usual form of diarrhoeal illness, have an
abrupt onset, resolve within 14 days and are mostly
caused by infections
Persistent Diarrhoea
Diarrhoea which persists for longer than 14 days
Chronic Diarrhoea
Duration of symptoms is longer than a month
PATHOPHYSIOLOGY OF
DIARRHEA
Fluid from the body enters the intestinal lumen (isosmotic i.e
approx.142 mEq/L Na+) during digestion.
Importance Realized!!!
• 1 9 7 8 – in recognition of the lives saved with ORT, The
Lancet proclaims that
“The discovery that sodium transport and glucose
transport are coupled in the small intestine, so that
glucose accelerates absorption of solute and water, was
potentially the most important medical advance this
century.”
ORAL REHYDRATION
SOLUTION
So as soon as diarrhoea starts, it is essential to give the
child extra drinks to replace the liquid being lost.
Oral Rehydration solution (ORS) is the cheap, simple and
effective way to treat dehydration caused by diarrhoea.
ORS drink contains the main elements that are lost from
the body during diarrhoea.
effective in treating dehydration resulting from all types of
acute diarrhoeal diseases.
Ringer lactate
Isolyte P
• 70-100ml/kg/day of ORS is recommended by
WHO in dehydration.
• Breast milk
• Rice porridge
• Carrot juice
Wash your hands and the baby's hands with soap and water
before feeding solution.
Give child alternately other fluids - such as breast milk and juices.
If the child still needs ORS after 24 hours, make a fresh solution.
ORS does not stop diarrhoea. It prevents the body from drying up.
If child vomits, wait ten minutes and give ORS again. Usually
vomiting will stop.
HOW TO PREPARE ORAL
REHYDRATION SOLUTION
RULES
<2yrs :- give 1-2 teaspoon every 2-3 minutes