DEFINITION Oral rehydration therapy (ORT) is a type of fluid replacement used to prevent and treat dehydration, especially that due to diarrhea.
PRINCIPLE Glucose when given orally enhances the intestinal absorption of salt & water. Thus it can correct electrolyte & water deficit. It can be given to all age group people.
CONTENTS
BEFORE ADMINISTRATION Ask and collect the history and information from the patient and his relatives regarding diarrhea- duration, frequency, appearance, consistency, color, smell, present of blood. Vomiting Thirst Urine output Look for signs of dehydration – presence or absent of tear, dry mouth and tongue, frontanele , sunken eye, dry skin, rapid pulse, temperature, loss of weight, rapid breathing, etc.
PREPARATION AND ADMINISTRATION Wash your hands with soap and water before preparing solution. Prepare a solution, in a clean pot, by mixing 1 packet of Oral Rehydration Salts (ORS) with one litre of clean drinking water. Stir the mixture till all the contents dissolve. Wash your hands and the baby's hands with soap and water before feeding solution. Give the sick child as much of the solution as it needs, in small amounts frequently. Give child alternately other fluids - such as breast milk and juices.
PREPARATION OF ORS AT HOME
Take a litre of clean drinking water Add 2 finger pinch of salt, stir it. Taste a spoon full of the solution, it should not be more salty than tears. Add a large fistful of sugar Stir the mixture with clean spoon till the sugar has dissolved Give ¼ to ½ cup (50-100ml) of this mixture after each loose stool to the child less than 2 years of age and twice the amount in children above 2 years of age. Give small sips of drink if the child vomits, repeat it.
Rules <2yrs :- give 1-2 teaspoon every 2-3 minutes Older children :- offer frequent sips out of a cup Adults:- drink as much as they can. Give the estimated amount within 4hrs If the child vomits?? Wait for 10 minutes Give a teaspoonful every 2-3 minutes