This document discusses diarrhea, including its definition, causes, clinical features, management, and prevention. Some key points:
- Diarrhea is defined as passing loose or watery stools at least 3 times in 24 hours. It can be acute (lasting 3-7 days) or chronic (lasting over 3 weeks).
- Causes include intestinal infections from bacteria, viruses, parasites, and other underlying diseases. Risk factors are lack of breastfeeding, poor hygiene, and malnutrition.
- Management involves oral rehydration therapy with ORS and zinc supplements. For severe dehydration IV fluids are given. Diet should continue and antibiotics may be used.
- Prevention strategies are safe water/
Image result for gastritis
Gastritis is a general term for a group of conditions with one thing in common: inflammation of the lining of the stomach. The inflammation of gastritis is most often the result of infection with the same bacterium that causes most stomach ulcers.
Image result for gastritis
Gastritis is a general term for a group of conditions with one thing in common: inflammation of the lining of the stomach. The inflammation of gastritis is most often the result of infection with the same bacterium that causes most stomach ulcers.
Diarrhea is loose, watery stools. Having
diarrhea means passing loose stools three or more times a day. Acute diarrhea
is a common problem that usually lasts 1 or 2 days and goes away on its own.
Diarrhea lasting more than 2 days may be a
sign of a more serious problem. Chronic diarrhea—diarrhea that lasts at least 4
weeks—may be a symptom of a chronic disease. Chronic diarrhea symptoms may be
continual or they may come and go.
Diarrhea of any duration may cause
dehydration, which means the body lacks enough fluid and electrolytes—chemicals
in salts, including sodium, potassium, and chloride—to function properly. Loose
stools contain more fluid and electrolytes and weigh more than solid stools.
People of all ages can get diarrhea. In the
United States, adults average one bout of acute diarrhea each year, and young
children have an average of two episodes of acute diarrhea each year.
Discussion about Acute Gastroenteritis, causes, treatment and management of different types organism that cause AGE. Also had a brief discussion about it's difference from diarrhea. This discussion was taken from WHO 2012(which is currently the latest as of now) and Merck 2016. It also include on how to discuss it.
constipation in children , pediatric constipation , management of constipation in children , understanding constipation , causes of constipation in children , functional constipation in children , treatment of constipation ,approach to constipation in children ,constipation in infants
Diarrhea is loose, watery stools. Having
diarrhea means passing loose stools three or more times a day. Acute diarrhea
is a common problem that usually lasts 1 or 2 days and goes away on its own.
Diarrhea lasting more than 2 days may be a
sign of a more serious problem. Chronic diarrhea—diarrhea that lasts at least 4
weeks—may be a symptom of a chronic disease. Chronic diarrhea symptoms may be
continual or they may come and go.
Diarrhea of any duration may cause
dehydration, which means the body lacks enough fluid and electrolytes—chemicals
in salts, including sodium, potassium, and chloride—to function properly. Loose
stools contain more fluid and electrolytes and weigh more than solid stools.
People of all ages can get diarrhea. In the
United States, adults average one bout of acute diarrhea each year, and young
children have an average of two episodes of acute diarrhea each year.
Discussion about Acute Gastroenteritis, causes, treatment and management of different types organism that cause AGE. Also had a brief discussion about it's difference from diarrhea. This discussion was taken from WHO 2012(which is currently the latest as of now) and Merck 2016. It also include on how to discuss it.
constipation in children , pediatric constipation , management of constipation in children , understanding constipation , causes of constipation in children , functional constipation in children , treatment of constipation ,approach to constipation in children ,constipation in infants
WHO and UNICEF recommended management of Childhood Diarrhoea.
HLFPPT has been implementing Childhood Diarrhea management programmes with UNICEF and Micronutrient Initiative.
gastroenteritis.
most common childhood disorder...gastroenteritis.
most common childhood disorder................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................;kouirydjh;lk;/////mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuudddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxgggggggg
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
2. INTRODUCTION
• According to WHO & UNICEF, diarrhea is the second leading cause of
death after pneumonia among under five globally accounting about 1.5
million deaths each year mostly in developing countries.
• Each child under 5 years of age experiences an average of three episodes of
acute diarrhea each year.
DEFINITION
Diarrhea is the passage of loose or watery stools at least 3 times in a 24hrs
period.
3. ACUTE DIARRHOEA
• Attack of loose motion with sudden onset which usually last 3-7 days, but
may last upto 10-14 days.
• It can be caused by an infection of the large intestine, but may be associated
with infection of gastric mucosa or small intestine.
• The term gastro enteritis is most frequently used to describe acute diarrhoea.
CHRONIC DIARRHOEA
• It is termed when loose motion occurring more than 3 weeks or more.
4. • It is usually caused by underlying disease
• Diarrhoea with watery stools and visible blood in the stools is called
dysentery
• The disease is most common in age between 6 months to 2 years.
• The incidence higher during weaning period.
6. • Systemic infections like urinary tract infection or otitis media
• Certain drugs and food allergy
• Malabsorption
• Malnutrition
• Immunocompromised state like HIV infection
• It occurs due to combined effect of maternal antibodies, lack of active
immunity and introduction of contaminated food or direct spread through
child’s hand
7. • Diarrhoea is more common in artificial feeding, specially with contaminated
cow milk or unhygienic preparation of tin milk
PREDISPOSING FACTORS OF DIARRHOEA
• Prematurity
• Immunodeficiency conditions
• Lack of personal hygiene
• Poor socio economic status
• Poor infant feeding practices
8. HIGH RISK GROUPS
• Lack of breast feeding
• Children
• Immunodeficient children
• Malnutrition
• Poor maternal education
• Exposure to unsanitary conditions
9. PATHOPHYSIOLOGY
• Etiological factors attach to the intestinal mucosa
• Bowel mucosa secretes excessive amounts of fluid into the gut lumen
• Large amount of water, nutrients and vitamins are lost from the body
• Excessive sodium loss results in hyponatremia
• Movement of water from extracellular to intracellular compartment
• Reduces extracellular volume
10. • Decreased blood volume results in weak thready pulse, low blood pressure,
cold extremities, shrinkage of skin
• Filtration of urine is reduced due to low hydrostatic pressure in renal
glomeruli
• Potassium and bicarbonate are lost in diarrhoeal stool
• Acidosis may result with dehydration
11. CLINIAL FEATURES
• Frequent loose watery stool, may be greenish or yellowish in colour with
offensive smell, may contain mucous, pus or blood, may expelled with force,
precede by abdominal pain
• Frequency of stools may be 2 to 20 per day or more
• Irritability, lethargy, delirium, stuper, flaccidity
• Signs of dehydration
12. • Abdominal distension
• Weak & thread pulse, hypotension, tachycardia, rapid respiration
• ECG changes with ST depression and flat T waves
• Kussamaul breathing in acidosis
• Cold extremities, collapse
• Decreased or absent urine output
• Convulsions or loss of consciousness in some children
13. Assessment of dehydration
• Dehydration is excess loss of fluid more than fluid intake
Clinical features of dehydration
• Sunken fontanelle
• Sunken eyes
• Non tears from eyes
• Reduced level of consciousness
15. Assessment No dehydration Some dehydration Severe dehydration
Look at
General condition
Eyes
Tears
Mouth and tongue
Thirst
Well alert
Normal
Present
Moist
Drinks normally, no
thirst
Restless, irritable
Sunken
Absent
Dry
Drinks eagerly, thirsty
Lethargic/unconsciou
s
Sunken
Absent
Very dry
Unable to drink or
drinking poorly
Feel
Skin pinch Goes back quickly Goes back slowly Goes back very
slowly
16.
17.
18. DIAGNOSTIC FINDINGS
• History collection
• Physical examination
• Stool examination can be done for routine and microscopic study to find
causative agent
• Blood investigations to detect electrolyte imbalances, acid base disturbances
19. MANAGEMENT
Rehydration therapy
• It is done with ORS solution and continued feeding
• Oral rehydration therapy is the drinking of clean water, sugar and mineral
salt to replace water and salt loss from the body during diarrhoea, especially
when accompanied by vomiting, eg in gastro enteritis
• The management of child with diarrhoea and dehydration can be given under
3 catagory
20. Plan A for child with no dehydration
• A child with no signs of dehydration needs home treatment to treat current
episodes of diarrhoea and prevent dehydration
Give child more fluids than usual to prevent dehydration
• Breastfeed frequently and for longer at each feed
• If child is exclusively breastfeed give ORS or clean water along with breast
milk
• If child is not exclusively breastfeed, give one or more of the following:
21. • ORS solution, food based fluids such as soup, rice water and yoghurt drinks
or clean water.
• Teach mother how to prepare the ORS
• Fluid intake upto 2 years of age 50-100ml after each loose stool and in
between them and for 2 years or more, give 100-200 ml after each loose
stool or in between them
• Give frequent small sips from a cup
• If the child vomits, wait 10 minutes, then continue, but more slowly
22. • Continue giving extra fluids until the diarrhoea stops
Give zinc supplements
• Amount: upto 6 months- half tablet per day for 14 days and 6 month or
more- 1 tablet per day for 14 days
• For infants dissolve the tablet in a small amount of expressed breast milk,
ORS or clean water, in a small cup or spoon
Continue feeding
• Up to 6 months of age: breast feed atleast 8 times in 24 hrs
23. • 6 months to 1 year: Breastfeed and 3 meals per day , if not breast feed 5
meals per day
• 1-2 years: Breastfeed and 5 meals per day
• Above 2 years: family foods 3 meals per day 2 times nutritious foods
between meals.
• Offer cereal, pasta, or potato mixed with legumes, vegetables, fish or
chicken and freshly prepared ground or mashed foods
• Provide fresh fruit juice, coconut milk or banana to provide potassium
24. • After diarrhoea stops, give an extra meal each day for 2 weeks, until child’s
weight before illness is attained.
Return to health worker
• Advise to take the child to a healthcare worker if he or she does not get
better in 3 days or develops any of the following:
• Many watery stools, fever, poor eating or drinking, marked thirst, repeated
vomiting and blood in the stools
25. PLAN B FOR CHILD WITH SOME DEHYDRATION
Give ORS in the health centre until the skin pinch is normal, the thirst is
over , the child is calm
• Four hours of rehydration are usually necessary for this
• If the patient wants more than recommended amount, give more
• For infants below 6 months who are not breastfeed , give 100-200ml clean
water in addition during this period
26. Observe the child closely and help to give the ORS
• Show how much solution to give and how to give to the child
• Give frequent small sips from a cup
• If the child vomits, wait 10 mts , then continue, but more slowly
• Continue breastfeeding whenever the child wants
After 4 hours
• Reassess the child and select plan A, B, or C to continue the treatment
27. • If there are no signs of dehydration, then shift to plan A
• If signs indicate that some dehydration is still present, repeat plan B and
reassess 2 hrs later or signs indicate that severe dehydration has occurred,
shift to plan C
If the mother must leave before completing treatment:
• Show her how to prepare ORS solution at home
• Show her how to continue with the rest of the 4hr treatment at home
• Supply enough ORS packets to complete rehydration and to continue
28. • For 2 more days as recommended in plan A
Explain the 4 rules in plan A for treating her child at home
• Give ORS or other fluids continuously until diarrhoea stops
• Give the zinc supplements for 10-14 days
• Continue feeding
• Come back to the healthcare worker if necessary
29. PLAN C FOR CHILD WITH SEVERE DEHYDRATION
• Children with severe dehydration should be treated by IV drip as soon as
possible and admitted to the hospital or health centre
If IV fluid can be given immediately:
• Start IV immediately, if the child is able to drink, give ORS by mouth until
the drip is set up.
• Give 100ml/kg Ringer lactate solution ( or if not available normal saline) as
following
30. • Infants (under 12 months): first give 30ml/kg in 1 hour and give rest
70ml/kg in next 5 hours
• Children ( 12 months upto 5 years): first give 30ml/kg in 30 min and give
rest 70ml/kg in next 2 ½ hrs
• Repeat once if radial pulse is still very weak or not detectable
• Reassess the child every 1-2 hrs
• If hydration status is not improving give IV drip more rapidly
• Also give ORS (about 5ml/kg/hr) as soon as the child can drink, usually
after 3-4hrs (infants) or 1-2hrs (children)
31. • Reassess an infant after 6 hrs and a child after 3 hrs and choose the
appropriate plan (A,B, or C) to continue treatment
If IV treatment available nearby (within 30 min):
• Refer urgently to hospital for IV treatment
• If the child can drink, provide the mother with ORS solution and advise to
give frequent sips during the trip.
• If IV therapy is not possible immediately insert nasogastric tube and start
rehydration by nasogastric tube or by mouth with ORS : give 20ml/kg/hr for
6 hrs(total of 120ml/kg)
32. • Reassess the child every 1-2hrs
• If not improving after 3 hrs refer to the hospital urgently for IV therapy
• After 6hrs, reassess the child and select the appropriate plan A, B or C to
continue the treatment.
Treatment of child with blood in the stools
• These children should be treated for dehydration and Shigella infection
• Treat severe dehydration and severe malnutrition in hospital
• Administer prescribed antibiotics effective against Shigella
33. • Provide zinc supplement
DRUG THERAPY
Symptomatic treatment-
• If vomiting Antiemetics-ondansetron(0 .1-0.2 mg/kg/dose)
• Hypokalemia with paralytic ileus –KCL(30-40 mEq/l)iv infusion
• Antibiotics,
• Antimotility agents –lomotil or loperamide should not used
34. • Antisecretory agents-in acute diarrhea –Racecadotril
• Probiotics –microorganisms that exert beneficial effects on human health
when they colonize the bowel eg.enterogermina.
ZINC IN DIARRHOEA
• During diarrhoea zinc is lost from body
• Treatment with zinc reduces the duration and severity of acute diarrhoea and
reduces the frequency of further episodes during subsequent 2-3 months
• WHO recommends that children suffering from diarrhoea should be given
zinc for 10-14 days
35. • 10mg daily for children less than 6 months
• 20 mg daily for children more than 6 months
Home available fluids
• Rice water
• Home made ORS
• Dhal water
• Lemon juice
• Soups
36. • Lassi
• Coconut water
• Plain water
DIETARY MANAGEMENT
• Diet should be planned to prevent malnutrition and to provide adequate nutritional
requirement
• Continue breastfeeding as the child wants
• Provide energy dense soft diet like cereals, legumes, vegetables, freshly prepared
mashed foods
37. • Provide fresh fruit juices and bananas which are helpful as they contain
potassium
• Avoid high fibre or bulky foods or foods with a lot of sugar
• Advice to prepare foods by cooking well, fermenting, mashing or grinding
which is easier to digest
• Provide small and frequent feeding
• After diarrhoea has stopped, give the child one extra meal each for a week to
regain weight
38. NURSING MANGEMENT
Nursing Assessment
• Assess for frequency and consistency and signs of dehydration
• Monitor urine output
• Check vital signs
Nursing Diagnosis
• Fluid volume deficit r/t diarrhoea
39. • Risk for infection r/t contamination during episodes of diarrhoea
• Impaired skin integrity r/t skin irritation caused by frequent stool
• Imbalanced nutrition less than body requirement r/t inadequate intake and
malabsorption
Nursing Interventions
• Maintain fluid volume
• Prevention of infection
• Maintain skin integrity
40. • Maintain nutrition
• Care of oral mucosa
• Health education
COMPLICATIONS
• Dehydration
• Hypovolemic shock
• Renal failure
• Paralytic ileus
42. • Avoidance of exposure of food to dust and dirt
• Fly control. Washing of fruits and vegetables before eating
• Avoidance of bottle feeding
• Safe drinking water
• Balanced diet
• Immunization
43. ORAL REHYDRATION THERAPY
Definition
• It is the administration of solution of rehydration salts orally to prevent or
correct diarrhoeal dehydration
Aim
• To correct water electrolyte imbalance
• To prevent dehydration
• To reduce mortality
44. WHO recommended ORS
• Sodium chloride- 3.5gm.
• Potassium chloride-1.5 gm
• Trisodium citrate - 2.9 gm
• Glucose - 20 gm
• in 1 liter of clean drinking water
• ORS day is celebrated every year on 29th July
45. • If the child is less than 2 years give 1-2 teaspoon every 2-3 minutes
• In older children offer frequents sips out of a cup
• Adults can drink as much as they can
• Give the estimated amount within 4 hours
• If the child vomits, then wait for 10 minutes and then give a teaspoon full
every 2-3 minutes
• In breastfed child give ORS along with breastfeed and in non breastfeed
children give extra clean water 100-200 ml for first 4 hours along with ORS
46. Home preparation of ORS with ORS packet
• Put the content of ORS packet in to a clean container, check the packet for
directions and add the amount clean water as indicated
• Add water only, do not add ORS to milk, soup, fruit juice or any soft drinks
• Stir it well and feed it to child from a clean cup
How do ORS is prepared in home
• Clean water- 1 litre-5 cupful ( each cup about 200ml)
• Sugar- 6 lever teaspoons (1 tsp=5grams)
47. • Salt- half level spoons
• Stirr mix till the sugar dissolves
• Too much sugar can make the diarrhoea worse, and too much salt can be
harmful to child
• ORS solution should be covered and should not store more than 24 hrs.