Ors, Hyd Mix& Road to h Card

8/11/2019 Ors, Hyd Mix& Road to h Card

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ORAL REHYDRATION THERAPY:

Oral rehydration therapy introduced by WHO to establish Oral rehydration treatment can be

safely and successfully used in treating acute diarrhea s due to all etiologies in all age group.

The main aim of oral rehydration therapy:

--To prevent dehydration and reduce mortality.

Oral rehydration therapy is based on the observation that glucose given orally enhances the

intestinal absorption of salt and water and is capable of correcting that electrolyte and water

deficit.

COMPOSITION OF ORAL REHYDRATION:

Composition of oral rehydration salt (O!" recommended by WHO was sodium

bicarbonate based. #nclusion of trisodium citrate in place of bicarbonate made the product more stable and it

resulted in less stool output especially in high output diarrhea as in cholera.

$ropabably because of direct effect of trisodium citrate in increasing intestinal absorption

of sodium and water.

%ore recently an improved O! formulation has been developed which is as safe and

effective as the original in preventing and treating diarrheal dehydration but also reduce

stool output or offers additional clinical benefit or both.

#t is focused on reducing the osmolarity of O! solution to avoid possible adverse effects

of hyper tonicity on net fluid absorption by reducing the concentration of glucose and

sodium chloride in the solution. The need for unscheduled supplemental intravenous therapy in children given the new

O! fell by &&' the stool output is decreased by )*' and vomiting was reduced by

&*'.

RECOMMENED FORMULATION:

+ecause of the effectiveness of reduced osmolarity O! solution WHO and ,#C/ are

recommending that formulation recommended O! solution.


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CO%$O!T#O O/ 0,C0 O!%O12#T3 O!:

0,C0 O!%O12#T3 O! 42%!51#T

!odium chloride ).6gms

4lucose anhydrous 7&.8gms

$otassium chloride 7.8gms

Trisodium citrate dehydrate ).9gms

Total weight )*.8gms

0,C0 O!%O12#T3 O! %%O151#T

!odium 8

Chloride 68

4lucose anhydrous 8

$otassium )*

Citrate 7*

Total O!%O12#T3 );8

DEHYDRATION:

0ehydration occurs when the amount of water leaving the body is greater than the amount being

tasappearance). radial pulse

&. blood pressure

;. s


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FLUID REPLACEMENT THERAPY:

/luid replacement therapy is the medical practice of replenishing body fluids through pathologic

process. /luids can be replaced via oral administration intravenous administration rectally and

the direct inDection of fluid into the subcutaneous tissue.

0ehydration is significant depletion of body water and to varying degrees electrolytes.

CLINICAL CORRELATES OF DEHYDRATION:

!=#T3

%#10

%O02T

!=

/1,#0 0/#C#T in ml5s lactate

The 4O21 is to restore adeBuate circulating volume to restore +$ and perfusion.

#f dehydration is severe dehydration to a deficit of about ?' body wt. #f dehydration is moderate)*ml ()' body wt" is given #= over )*-&*min.

Def%'%t rela'ee!t:

Total deficit volume is essential a deficits are usually about ?*meB5l and deficits

are usually about &*meB5l of fluid deficit.


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O!go%!g losses:

=olume of ongoing losses should be measured or estimated.

Ongoing electrolytes losses can be estimated by source or course.

!T#%2T0 1CTO13T! 0/#C#T! +3 C2,!

C2,! !O0#,% (%F51" $OT2!!#,%

(%F51"

0#H2:

#sotonic dehydration

Hypotonic dehydration

Hypertonic dehydration

$yloric stenosis

0iabetic


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;. supplementary feeding of infants and young children with good Buality of proteins as 0hal

2har and ground nut flour a cheap food proteinE +lac< gram flour should be mi@ed with wheat

flour.

8. $rovision to treat malnutrition with Hyderabad mi@ture that is formulated by ational #nstitute

of utrition.

Hyderabad mi@ture contains:

Whole wheat (roasted" ---------- ;* grams

+engal gram ---------- 76 grams

4round nut ---------- 7* grams

Iaggery ----------- )* grams

Total ---------- ?6grams.

This yields energy of &&*


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ROAD TO HEALTH CARD

The growth or Jroad to healthK chart first designed by 0avid %orley and later modified by WHO

is a visible display of the child>s physical growth and development.

#t is important to note that in the weight-for-age chart the height of the child is not ta


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!pace is also provided on the growth chart for recording information and registrationE

birth date and weightE

chronological age

history of sibling health

immuniLation procedures

supplementary foods

episodes of sic


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#n addition 4rade #= below 8*' has also been added.

,!! O/ 4OWTH CH2T:

The growth chart has many potential usesE

7. /or growth monitoring which is of great value in child health care

). 0iagnostic tool: for identifying high ris< children. /or e@ample malnutrition can be

detected long before signs and symptoms of it become apparent

&. $lanning and policy ma


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/C:

7. .$ar< J$reventive and social medicineK +hanot publications )*thedition )**9 page

noE 796-9?.

). .$ar< J$reventive and social medicineK +hanot publications )*thedition )**9 page

noE ;6?-;7.

&. amala.4 JCommunity health nursimg-7K /lorence publishers 7stedition )*7* page

noE &*?-&7*.

;. +.T.+asavanthappaKCommunity health nursingK Iaypee publishers &rdedition )**&

page noE 7&.

8. www.biomedsearch.com/nih/Road-to-Health-card.

Ors, Hyd Mix& Road to h Card

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