Review ORS & ReSoMal malnourished rehydration .pptx

Review ORS & ReSoMal

1. New WHO Low Osmolar ORS Recomended <5yrs old Osmolarity: 245 NaCl: 2.6gm Glucose: 13.5gm Comes in sachet for 1L & for 500ml (OSMOLAR)

2. Old WHO Regular ORS For adults. Can be given to older children Osmolarity: 311 NaCl: 3.5gm Glucose: 20gm For 1L

3. Rehydration Solution for Malnutrition (ReSoMal) ReSoMal (Modified ORS) Low (Half) Sodium High (Double) Potassium High Sugar: 25gm/L Micronutrients: Mg,Zn,Cu Comes in sachet for 1L & 2L Dificult to find in market & often expensive. **Avoid IV Fluids in Malnourished**

4. Difference between Regular ORS vs ReSoMal For 1L

5. How to make 2L ReSoMal with 1 Sachet Regular ORS in Hospital. Add 1 Sachets of Regular ORS (which contains 3.5gm NaCl & 20gm Dextrose) in 2 Liter water. Add 50gm Sugar (5ml spoon full X 10) Add 3 vials of Inj. KCl 20ml (7.5% | 1meq/ml) in 2 Liter solution. Give PO or PNG.