0 ORS - oral rehydration salts solution

Reactions: 


 mmol/L of
 WHO ORS
 ReSoMal
 Low Osmolar ORS

Na

 90 

 45

75

K


 20

40 

20 

 Glucose


111 

125 

75 

 Cl-


 80

70 

65 

 Citrate
(increases shelf life)

10 

7 + Mg , Zn , Cu

10 


  • WHO ORS was based on cholera stools.
  • In Rotavirus - Na loss is 50 - 70 mmol/L
  • Malnourished children are Na overloaded and K depleted - hence ReSoMal is used.


Management of diarrhoea in child (along with ORS) - 

1. Probiotics are used in rotavirus infections :
  • give Saccharomyces boulardii and Lactobacillus rhamnosus
2. Zinc : 2 RDA (i.e 2 x 10 mg/day) during diarrhoea + 2 wks after diarrhoea subsides

3. Anti Secretory : Racecadotril- enkephalinase inhibitor



MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

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