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Volume Twenty-Two - Are You Sodium Smart?
Volume Twenty-Two - Are You Sodium Smart?

... Healthy Americans should try to eat less than 2,300 mg of salt a day. That amount equals 1 teaspoon of salt. African Americans, middle Knowing how aged and older adults and those salt is used in with high blood pressure need less foods helps than 1,500 mg per day. you know which foods Depending on h ...
Pediatric Wilderness Medicine Concerns
Pediatric Wilderness Medicine Concerns

... Gastrointestinal illness • Dehydration occurs much more quickly – Appropriate oral rehydration solution (ORS) • Sports drinks NOT acceptable substitute – too much glucose, not enough sodium • Commercially available preparations or home-made solution ...
Readers` Guides for an Article About Therapy
Readers` Guides for an Article About Therapy

... duration – a slow pace of correction prudent – full dissipation of brain solutes occurs over several days – maximum rate 0.5 mmol/L/hr to prevent cerebral edema – A targeted fall in Na+ of 10 mmol/L/24 hr ...
B2-. Chronic Malnutrition
B2-. Chronic Malnutrition

... able to drink or drinks poorly. Treat with IV fluids and ORS as soon as the child can swallow. Severe: sunken eyes, skin pinch slow, irritable and drinking eagerly. Treat with ORS rapid rehydration for the first 4 hours. Not dehydration: give fluid and food to treat diarrhea at home C.- ...
HYDROCORTISONE (as SODIUM SUCCINATE) 100 mg FOR
HYDROCORTISONE (as SODIUM SUCCINATE) 100 mg FOR

... be a very small risk of cleft palate and intrauterine growth retardation in the fetus; there is evidence of harmful effects on pregnancy in animals. Neonates of mothers who received such therapy during pregnancy should be observed for signs of hypoadrenalism and appropriate measures instituted if su ...
Constipation / diarrhoea
Constipation / diarrhoea

... Treatment -antidiarrheal Agents Loperamide – preferred; non-febr., non-bloody Dose:4 mg initially, followed by 2 mg after each loose stool (maximum:16 mg/24 h) Bismuth subsalicylate : 2 tb., or 30 mL four times daily (traveler's diarrhea) Codeine - addictive potential - generally avoided except in ...
SODIUM BICARBONATE 4.2% NEUTRALIZING ADDITIVE SOLUTION
SODIUM BICARBONATE 4.2% NEUTRALIZING ADDITIVE SOLUTION

... has been implicated as a factor in the production of postinfusion (chemical) phlebitis not caused by obvious infection. Vein irritation, with local redness and tenderness near the site of venipuncture or along the course of a vein, appears to be related to the nature of the substances in the infusio ...
ARTIFICIAL_SWEETENERS
ARTIFICIAL_SWEETENERS

... their lifetimes. U.S. government agencies advise limiting the sodium in our diets to 2,400 mg or less per day, the guideline used on food and nutrition labels. In reading the food label, however, don’t be misled into thinking the 2,400 mg “daily value” is a recommended amount. For many—especially th ...
What is the outpatient treatment protocol utilized for the
What is the outpatient treatment protocol utilized for the

...  Glucose supplementation should be provided for dogs that have a BG <80 mmol/L. o Dogs should be administered simple syrup (Karo) 1-5 ml bucally, every 2-6 hours. o In the previous study, about 75% of dogs required glucose supplementation.  Potassium supplementation should be provided to dogs that ...
The Importance of Adequate Hydration
The Importance of Adequate Hydration

... malnourished patients can be given nutrient-dense supplements in addition to meals; whereas, persons who would benefit from weight loss or weight maintenance could be given calorie-free plain water most often. A large number of specialized nutrient-added waters and juices have recently become availa ...
gastroenteritis
gastroenteritis

... stomach distension and vomiting), as much as they want, after each loose stool. As the child has not yet lost much in the way of electrolytes, the specific type of fluid to be given at this stage is not critical: extra water is the issue. However, the presence of glucose and sodium improves water ab ...
File
File

... • a synthetic triazole, is a broadspectrum antifungal structurally similar to itraconazole. • It is available, as an oral suspension, oral tablet, or IV formulation. • Posaconazole is commonly used for the treatment and prophylaxis of invasive Candida and Aspergillus infections in severely immunocom ...
Prebiotics in acute diarrhoea in children
Prebiotics in acute diarrhoea in children

... • To prevent reoccurence of clostridium difficile, Precosa is used as soon as possible after starting an antibiotic that can cause infection of clostridium difficile or as an adjuvant to metronidazole in the dosages used above for 4 weeks • To prevent any other diarrhea caused by antibiotics use Pre ...
Fall 2011 - American Certification Agency
Fall 2011 - American Certification Agency

... flattened T waves, depressed ST segments and prominent U waves as well as lifethreatening dysrhythmias. Neuromuscular assessments should be done to look for the absence of deep tendon reflexes and myalgia. Other symptoms include skeletal muscle cramps and weakness, progressing from mild lower extrem ...
Hypophosphataemia management
Hypophosphataemia management

... The tablet of choice within the Trust is Phosphate Sandoz. Each tablet contains 16.1 mmol of phosphate.4 Caution in patients with sodium restriction (e.g CCF). Each tablet also contains 20.1mmol of sodium and 3.1mmol of potassium4. Tablets should be dissolved in ½ glass of water before taking4. The ...
CC295 How Much Sodium are You Eating?
CC295 How Much Sodium are You Eating?

... from intestines into the body. A little extra salt on food is usually sufficient for the athlete. Replacing water during exercise, however, is very important. - When pregnant a little extra sodium is needed but the increased food eaten will probably supply it. It is unwise to reduce salt below a nor ...
Specialized Diets In-Service Presentation
Specialized Diets In-Service Presentation

... soaking helps remove the potassium from potatoes. This can be done at MUSC giving renal patients more food choices. ...
increasing confusion and lethargy within the last week, decreased
increasing confusion and lethargy within the last week, decreased

... A 65-year-old white woman is brought to the emergency room by her family for increasing confusion and lethargy over the past week. She was recently diagnosed with small cell cancer of the lung. She has not been febrile or had any other recent illnesses. She is not taking any medications. Her blood p ...
The physician`s order reads flush NG tube with 30 to 50 ml saline
The physician`s order reads flush NG tube with 30 to 50 ml saline

... and Chvostek’s signs. The nurse suspects that patient may have which of the following electrolyte imbalances? a. hyponatremia b. hyperkalemia ...
product information - Fresenius Kabi Australia
product information - Fresenius Kabi Australia

... Bisacodyl may cause abdominal discomfort such as colic or cramps. Prolonged use can result in diarrhoea with excessive loss of water and electrolytes. Hypersensitivity reactions including angioedema and anaphylactoid reactions have been reported rarely. Other adverse effects from Go-Kit include naus ...
Avoiding hypotonic solutions in paediatrics: Keeping our patients safe
Avoiding hypotonic solutions in paediatrics: Keeping our patients safe

... The patient was admitted with a working diagnosis of bacterial meningitis, given a 20 mL/kg normal saline bolus and commenced on intravenous (IV) vancomycin and ceftriaxone. She was started on maintenance IV fluids, consisting of dextrose 3.3% in NaCl 0.3% (‘2/3 – 1/3’) with KCl 20 mmol/L at 50 mL/h ...
Case Studies of Electrolyte Disorders
Case Studies of Electrolyte Disorders

... • A SMALL correction can lead to a good outcome. (2-3 mEq/l initially) Do not over correct or normalize. • Do not correct unless evidence of hyponatremia is present or compelling clinical situation e.g. seizure, myoclonus, confusion, coma, etc. • 100 ml of 3% saline should provide some improvement, ...
Food
Food

... • Check for loose teeth • Teach child and parent what to expect postop – May see dried blood in mouth and teeth – Will still be able to talk – Pain management for optimal recovery ...
Endocrine Electrolyte Disturbances
Endocrine Electrolyte Disturbances

... Fluid restriction (aim for restriction that is 500 cc less than the 24 hour urine output) NaCl tabs might be useful in preventing hypovolemia due to fluid restriction Stop SSRI if on one Consider Vaptan if failure to respond to fluid restriction (can correct start to correct sodium by 8 hours) Consi ...
Blood loss
Blood loss

... any fluid or deficits & ongoing losses. Errors in fluid replacement or transfusion may result considerable morbidity or even death. ...
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Oral rehydration therapy



Oral rehydration therapy (ORT) is a fluid replacement strategy used to prevent or treat dehydration. Dehydration is most commonly caused by diarrhea. It involves drinking water with modest amounts of sugar and salt added, while continuing to eat. When diarrhea is severe or long-lasting, the therapy also includes supplemental zinc. Caretakers are taught the signs of dehydration and/or worsening dehydration. The World Health Organization and UNICEF specify indications, preparations and procedures for ORT.Vomiting seldom prevents successful rehydration since much of the fluid is still absorbed. If the patient vomits, the World Health Organization (WHO) recommends taking a pause of five to ten minutes and then restarting the solution more slowly. For example, a child under two can be given a teaspoonful of fluid every two to three minutes.Since its introduction and development for widespread use in the latter part of the 20th century, oral rehydration therapy has decreased human deaths from dehydration in vomiting and diarrheal illnesses, especially in cholera epidemics occurring in children. It represents a major advance in global public health. It is on WHO's List of Essential Medicines, a list of the most important medication needed in a basic health system.Prior to the introduction of ORT, death from diarrhea was the leading cause of infant mortality in developing nations. Between 1980 and 2006, the introduction of ORT is estimated to have decreased the number of infant deaths, worldwide, from 5 to 3 million per year. However, in 2008, diarrhea remained the second most common cause of death in children under five years (17 percent), (after pneumonia (19 percent)). Moreover, by the same year, the use of ORT in children under five had declined.In situations where an oral rehydration solution (ORS) is not available, homemade solutions are sometimes used. However, there is currently insufficient evidence to recommend usage of these homemade solutions.
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