Preparing mother and child for feeding algorithm

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Easily download and save what you find. Please forward this error screen to sharedip-10718025194. Side effects may include vomiting, high blood sodium, or high blood potassium. If vomiting occurs, it is recommended that use be paused for 10 minutes and then gradually restarted. Oral rehydration therapy was developed in the 1940s, but did not come into common use until the 1970s. Mild to moderate dehydration in children seen in an emergency department is best treated with ORT.

Oral rehydration therapy may also be used as a treatment for the symptoms of dehydration and rehydration in burns in resource-limited settings. Case studies in 4 developing countries also demonstrated an association between increased use of ORT and reduction in mortality. The degree of dehydration should be assessed before initiating ORT. ORT is suitable for people who are not dehydrated and those who show signs and symptoms of mild to moderate dehydration.

People who have severe dehydration should seek professional medical help immediately and receive intravenous rehydration as soon as possible to rapidly replenish fluid volume in the body. ORT should be discontinued and fluids replaced intravenously when vomiting is protracted despite proper administration of ORT, signs of dehydration worsen despite giving ORT, the person is unable to drink due to a decreased level of consciousness, or there is evidence of intestinal blockage or ileus. ORT might also be contraindicated in people who are in hemodynamic shock due to impaired airway protective reflexes. Examples of commercially available oral rehydration salts. Examples of commercially available ORS mixing into water. They also describe acceptable alternative preparations, depending on material availability. Commercial preparations are available as either pre-prepared fluids or packets of oral rehydration salts ready for mixing with water.

A basic oral rehydration therapy solution can also be prepared when packets of oral rehydration salts are not available. The optimal fluid for preparing oral rehydration solution is clean water. However, if this is not available the usually available water should be used. When oral rehydration salts packets and suitable teaspoons for measuring sugar and salt are not available, WHO has recommended that homemade gruels, soups, etc. A Lancet review in 2013 emphasized the need for more research on appropriate home made fluids to prevent dehydration.

These guidelines were also updated in 2006. The reduced osmolarity solution has been criticized by some for not providing enough sodium for adults with cholera. Clinical trials have, however, shown reduced osmolarity solution to be effective for adults and children with cholera. ORT is based on evidence that water continues to be absorbed from the gastrointestinal tract even while fluid is lost through diarrhea or vomiting. The World Health Organization specify indications, preparations and procedures for ORT. UNICEF guidelines suggest ORT should begin at the first sign of diarrhea in order to prevent dehydration. Babies may be given ORS with a dropper or a syringe.

Infants under two may be given a teaspoon of ORS fluid every one to two minutes. Older children and adults should take frequent sips from a cup. ORS may be given by aid workers or health care workers in refugee camps, health clinics and hospital settings. Mothers should remain with their children and be taught how to give ORS.