1 / 10

Rehydration Therapy & IMCI

Rehydration Therapy & IMCI . Dr. Shreedhar Paudel 03/30/ 2009. Oral Rehydration Therapy (ORT). Based on principle that– intestinal absorption of sodium (and thus of other electrolytes and water ) is enhanced by the active absorption of certain food molecules such as glucose.

daxia
Télécharger la présentation

Rehydration Therapy & IMCI

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Rehydration Therapy & IMCI Dr. ShreedharPaudel 03/30/ 2009

  2. Oral Rehydration Therapy (ORT) • Based on principle that– intestinal absorption of sodium (and thus of other electrolytes and water ) is enhanced by the active absorption of certain food molecules such as glucose.

  3. Oral Rehydration Therapy (ORT)…… • If patients with secretory diarrhoea drink isotonic salt solution that does not contain a source of glucose or amino acids → sodium is not absorbed and the fluid remains in the gut→ adding to the volume of stool passed by the patient • But if isotonic solution of glucose and salt is given—glucose linked sodium absorption occurs accompanied by absorption of water & other electrolytes

  4. New formulation of Oral Rehydration Salts (ORS) with reduced osmolarity

  5. How to make ORS? • mixed in 1 litre of clean water • A family member should be taught to prepare and give ORS solution. • given to infants and young children using a clean spoon or cup • Feeding bottles should not be used

  6. How to make ORS?........ • For babies, a dropper or syringe (without the needle) can be used to put small amounts of solution into the mouth • Children under 2 years of age should be offered a teaspoonful every 1-2 minutes • older children (and adults) may take frequent sips directly from the cup • Remember -- breastfeeding should be continued for infants and young children

  7. Intravenous therapy • Severe dehydration • Preferred solution:- Ringer’s lactate solution • Supplies adequate concentration of sodium, lactate ( provides bicarbonate for correction of base deficit acidosis) • Potassium is low • No glucose to prevent hypoglycemia

  8. Intravenous therapy…… • Acceptable solutions:- --normal saline --half normal saline • Unacceptable solution:- --plain glucose (dextrose) solution

  9. Integrated Management of Childhood Illness • WHO/UNICEF strategy of Integrated Management of Childhood Illness – children below 5 years • IMCI strategy seeks to reduce childhood mortality and morbidity by adopting a broad, three-pronged approach: --Improving case management skills of health-care staff  --Improving overall health systems --Improving family and community health practices

  10. Integrated Management of Childhood Illness • Includes guidelines for diseases like:- • diarrhoea • acute respiratory infections (including asthma) • upper respiratory infections (including ear infections) • malnutrition • tuberculosis • HIV/Aids • measles

More Related