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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