Indications
Prevention and treatment of dehydration from acute diarrhoea, cholera, etc.
PDF page 242
Loading InternPractice…
Drug reference
Prevention and treatment of dehydration from acute diarrhoea, cholera, etc.
PDF page 242
If the eyelids become puffy during the treatment: stop ORS, give plain water then, resume ORS according to Treatment plan A when the puffiness is gone. If case of vomiting, stop ORS for 10 min and then resume at a slower rate (very small, frequent, amounts); do not stop rehydration. Pregnancy: no contra-indication Breast-feeding: no contra-indication
PDF page 243
Sachet of powder to be diluted in 1 litre of clean water. WHO formulation:
PDF page 242
Prevention of dehydration (WHO - Treatment plan A) Child under 24 months: 50 to 100 ml after each loose stool (approximately 500 ml daily) Child from 2 to 10 years: 100 to 200 ml after each loose stool (approximately 1000 ml daily) Child over 10 years and adult: 200 to 400 ml after each loose stool (approximately 2000 ml daily) Treatment of moderate dehydration (WHO - Treatment plan B) Child and adult: Over the first four hours: Age under 4 to 11 12 to 23 2 to 4 5 to 14 15 years 4 months months years years and over months Weight under 5 kg 5 to 7.9 kg 8 to 10.9 kg 11 to 15.9 kg 16 to 29.9 kg 30 kg and over ORS in 200 to 400 400 to 600 600 to 800 800 to 1200 1200 to 2200 2200 to 4000 ml After four hours: If there are no signs of dehydration: follow Treatment plan A. If there are signs of severe dehydration: start IV therapy (Treatment plan C). Treatment of severe dehydration (WHO - Treatment plan C) In combination with IV therapy and only to a conscious patient: Child and adult: 5 ml/kg per hour After 3 hours (6 hours in infants), reassess and choose the appropriate plan A, B or C.
PDF pages 242, 243
As long as diarrhoea and signs of dehydration persist.
PDF page 243
A special ORS-formula, ReSoMal, is used under medical supervision, for severely malnourished children only. However, in malnourished children with cholera, standard ORS- formula is used instead of ReSoMal. Comes in flavoured and unflavoured ORS sachets.
PDF page 243
– Below 25 °C Do not use the powder if it has turned into a yellow-brownish sticky substance. Once prepared, the solution must be used within 24 hours.
PDF page 243
200 to 400 ml after each loose stool (approximately 2000 ml daily)
PDF page 242
5 ml/kg per hour
PDF page 243