This document discusses oral rehydration solutions (ORS) for treating diarrhea and dehydration. It describes different types of ORS, including sodium bicarbonate-based, tri-sodium citrate-based, and reduced osmolarity ORS. The World Health Organization now recommends a single, low osmolar ORS for all ages and types of diarrhea. The key ingredients in ORS - sodium chloride, potassium, trisodium citrate, and glucose - help replace lost electrolytes and fluids. While bicarbonate-based and tri-citrate ORS differ in stability and stool output, the reduced osmolarity ORS lowers risks of vomiting and hypernatremia.

1. ORAL REHYDRATION
SOLUTION
DR. Zubair A Bhat.

2. A compound powder for the use of
diarrhoea and dehydration.

3. Types of ORS
.Sodium Bicarbonate based
.Tri Sodium Citrate based
.Reduced Osmolarity ORS
.Super ORS

4. Sodium bicarbonate based
Contents gm
Sodium Bicarbonate 2.5
Sodium Chloride 3.5
Potassium Chloride 2.5
Glucose 20

5. Tri sodium citrate based
Contents Gm.
TRI SODIUM CITRATE 2.0
SODIUM CHLORIDE 3.5
POTASSIUM CHLORIDE 1.5
GLUCOSE 20

6. Composition of new WHO ORS

8. Based on WHO-IAP recommendations,
The govt. of India has adopted a single low
osmolar ORS as a single universal ORS for all
ages and types of DIARROHEA

9. Advantages of reduced osmolarity ORS
REDUCTION IN STOOL OUTPUT
DECREASES VOMITING
LOWERS RISK OF HYPERNATRREMIA

10. ACTIONS OF INGRIDENTS
SODIUM CHLORIDE:- Facilitates water absorption in small intestines plus replacement of sodium.
POTTASIUM:- treats Hypokalaemia.
TRISODIUM CITRATE :- Corrects Acidosis.
GLUCOSE :- facilitates absorption of Sodium.
WATER:- for hydration and as vehicle.

11. Bicarb vs Tri-citrate
Stability
Stool volume

12. SUPER ORS
It is ORS with AMINO ACIDS,
ALANINE & GLYCINE

13. RESOMAL
Rehydration Solution for Malnutrition (ReSoMal)

14. Home made Oral Rehydration Salts (ORS)

15. THANK YOU