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ORS A Solution for Survival
ORS A Solution for Survival

In developing nations, acute diarrheal diseases and dehydration caused by them are one of the most significant causes of death in infants and young children. This dehydration can be managed orally and intravenously, with oral rehydration therapy being the most effective, simple to use, and worthwhile of the two options.

Definition: Dehydration is defined as the loss of water and dissolved salts from the body, occurring, for instance, as a result of diarrhoea and the correction of dehydration is called as Rehydration.

Oral Rehydration Therapy: The Solution is in Your Hands

WHO defines Oral Rehydration Therapy (ORT) as “The administration of fluid by mouth to prevent or correct the dehydration that is a consequence of diarrhoea”. This fluid consists of a special mixture of water, glucose and salts which help to replenish the lost electrolytes and water and bring it back to normal levels. ORT is an effective treatment method to manage dehydration and a powerful alternative to intravenous therapy.

The WHO Department of Child and Adolescent Health and Development (CAH) in collaboration with UNICEF recommend Oral Rehydration Therapy (ORT) as the main strategy to achieve a reduction in diarrhoea-related mortality and malnutrition in children.

ORS Composition

Oral Rehydration Salts (ORS) is the non-proprietary name for a balanced glucose-electrolyte mixture. ORS was approved, recommended and distributed by WHO and UNICEF for the first time in 1969 as a treatment option to manage dehydration throughout the world.

Reduced osmolarity solutions have been introduced by WHO and UNICEF, especially for children, to increase the safety and efficacy and subsequently reduce the stool output.

Reduced osmolarity ORSgrams/litreReduced osmolarity ORSmmol/litre
Sodium chloride2.6Sodium75
Glucose, anhydrous13.5Chloride65
Potassium chloride1.5Glucose, anhydrous75
Trisodium citrate, dihydrate2.9Potassium20
  Citrate10
  Total Osmolarity245

If ORS is unavailable, then a mixture of 6 level teaspoons of sugar, 1/2 level teaspoon of salt dissolved in 1 litre of clean water can be given to a child. Extra care must be taken while mixing the components as too much sugar can worsen diarrhoea and too much salt can be dangerous for the child.

How Oral Rehydration Works?

1.  In a healthy individual, water is continuously exchanged through the intestine’s walls. Nearly 20 litres of water is secreted and reabsorbed every 24 hours. This physiological process also allows the absorption of soluble metabolites (from the digested food) into our bloodstream.

2. In an individual suffering from diarrhoea, this balance of secretion and resorption gets disturbed, resulting in more secretion than resorption. This causes several litres of water loss in a day along with a significant reduction in sodium levels.

3. Sodium is an essential mineral present in the form of Na+ in blood plasma and body fluids i.e. extracellular fluids. Dehydration causes irregulated sodium levels and rapid depletion of water along with Na+. For proper functioning of the body, about 135-150 mmol/l of Na+ are required to be present in the extracellular fluid.

Do you know?
Depletion in more than 10% of the body fluids might result in acute kidney failure subsequently leading to Death.

4. If we only give saline solution to treat diarrhoea, it may worsen the situation. This is because the mechanism for Na+ absorption by the intestinal wall is impaired in diarrhoeal state and the presence of excess Na+ could further result in water secretion worsening diarrhoea.

5.  Adding glucose/dextrose to the saline solution initiates a “co-transport coupling mechanism” as a result of which, each molecule of glucose being absorbed by the intestinal wall helps in the transportation of one molecule of Na+. A relatively increased concentration of sodium inside the intestinal wall pulls water through it, as glucose only co-transports Na+ and not water.

Do you Know?
The co-transport coupling mechanism of Na+ and glucose is reported as “potentially the most important medical advance this century” by THE LANCET journal.

Other molecules with an aptitude to co-transport Na+ through the intestinal wall are amino acids, dipeptides and tripeptides. Oral Rehydration Therapy (ORT) is useful for the treatment of dehydration in patients suffering from prolonged diarrhoea, gastroenteritis, vomiting.

We @ Datt Mediproducts recommend oral rehydration solution as an excellent therapeutic technique for rehydration as “Rehydration Saves More Children

Visit www.dattmedi.com for more infomation.
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Wound Care in Diabetes

Diabetes significantly increases the risk of developing chronic wounds, particularly foot ulcers. Effective wound care is crucial for preventing complications and promoting healing in diabetic patients. In this blog, you will explore the nature of diabetic wounds, prevention techniques, and management strategies to help healthcare professionals and patients navigate these challenges.

Understanding Diabetic Wounds

Diabetic wounds, especially foot ulcers, are common complications resulting from prolonged high blood sugar levels. These wounds often develop due to neuropathy (nerve damage) and peripheral arterial disease, which impair sensation and blood flow. Consequently, minor injuries can go unnoticed and progress into serious ulcers. Left untreated, these ulcers can lead to severe infections and, in extreme cases, amputations.

1. Prevention Techniques for Diabetic Ulcers:

Preventing diabetic ulcers is essential to reduce the risk of severe complications. Here are some effective prevention strategies.

2. Regular Foot Inspections: 

Diabetic patients should inspect their feet (or have someone inspect it) on a daily basis for cuts, blisters, redness, or swelling. Early detection of potential issues can prevent minor problems from becoming serious ulcers.

3. Proper Footwear: 

  • Wearing well-fitting shoes and socks designed for diabetics can prevent pressure points and reduce the risk of injuries. 
  • Avoid wearing tight stockings or socks with elastic tops as they can reduce blood flow.
  • Avoid extreme hot or cold temperatures.
  • Do not treat corn or calluses on your own. 
  • Avoiding barefoot walking, even at home, is crucial.

4. Good Hygiene: 

Keeping feet clean and dry is essential. Patients should wash their feet daily with mild soap and water, then dry them thoroughly, especially between the toes.

5. Blood Sugar Control: 

Maintaining optimal blood sugar levels through diet, exercise, and medication can significantly reduce the risk of neuropathy and poor circulation, which contribute to ulcer formation.

6. Regular Medical Foot Check-Ups: 

Routine visits to a healthcare provider or a podiatrist for foot exams can help identify and address problems early.

7. Management Strategies for Diabetic Patients:

When ulcers do occur, effective management is vital to promote healing and prevent complications.

Here are some key strategies:

  • Wound Cleaning and Dressing: Keeping the ulcer clean and protected is essential. Cleaning the wound with a saline solution and using appropriate dressings, such as those provided by DMP Velvert®, can create an optimal healing environment. It provides a barrier to external contaminants, aids absorption of exudates and accelerates wound healing.
  • Debridement: Removing dead tissue from the wound (debridement) can accelerate the healing process. This procedure should be performed by a healthcare professional.
  • Pressure Offloading: Reducing pressure on the affected area is crucial. Patients may need special footwear, casts, or braces to alleviate pressure on the ulcer. Foot or mobility exercises also help in decreasing peak pressure, increasing foot and ankle range of motion and it improves neuropathy symptoms.
  • Infection Control: Monitoring for signs of infection and using antibiotics when necessary is critical. Proper wound care products, like Velvert®, which offer antimicrobial properties, can help prevent infections.
  • Blood Flow Improvement: Enhancing blood circulation through medical treatments or lifestyle changes can aid in the healing process. This might include medications, physical therapy, or surgical interventions. Revascularization results in increased tissue perfusion, which can further reduce amputation rates.
Diabetic ulcers are a serious complication of diabetes, but with proper prevention and management strategies, their impact can be significantly reduced. Regular foot inspections, good hygiene, appropriate footwear, and effective blood sugar control are key preventive measures. When ulcers do develop, it is best to catch them in the early stages when they are small, products combined with professional medical care, can promote healing and prevent complications.

At Datt Mediproducts, we offer Velvert®, an advanced wound care solution designed to aid in the management of diabetic ulcers. Velvert® dressings are crafted to provide superior moisture retention and protection, creating an optimal environment for wound healing. They also incorporate antimicrobial properties to reduce the risk of infection, which is crucial for diabetic patients. Velvert® is easy to apply and remove, ensuring minimal discomfort for patients.

Wound Care Myths Debunked

When it comes to wound care, there’s a lot of advice floating around. Some of it is helpful, while other bits are more myth than fact. Let’s clear up some common wound care myths and get to the truth behind them.

Myth 1: Wounds Need Sunlight to Heal

Fact: While sunshine is great for your mood, it’s not beneficial for healing wounds. In fact, direct sunlight can actually cause burns and damage the tissues that are trying to heal. So, to promote proper healing, keep wounds covered and out of direct sunlight.
Source : Cleveland Clinic

Myth 2: Wound Itching Means Healing

Fact: A bit of itching around a wound can be a sign that it’s healing, but it’s not always the case. Itching might also indicate an allergic reaction or infection. Monitor any itching along with other symptoms to ensure the healing process is on track.
Source : Advanced Tissue

Myth 3: Hydrogen Peroxide is the Best Cleaner for Wounds

Fact: Using hydrogen peroxide to clean wounds can actually slow down the healing process by damaging healthy cells. Instead, stick to gentle cleansing with mild soap and water to keep things clean without causing additional damage.
Source : University of Utah Healthcare & Atlantic Foot & Ankle Specialists

Myth 4: Keep Wounds Dry for Faster Healing

Fact: While it’s essential to keep wounds clean, keeping them too dry can actually slow down the healing process. Wounds heal better in a moist environment, so using dressings to maintain the right level of moisture can speed up recovery.
Source : LifeMD™

Understanding the Importance of Proper Wound Care

Wound care isn’t just about cleaning and covering a wound; it’s about understanding the underlying processes that help your body repair itself. Following evidence-based practices ensures that wounds heal properly and complications are minimized. Here’s why these practices are crucial:

  • Preventing Infections: Proper wound care minimizes the risk of infection, which can complicate healing and lead to more serious health issues.
  • Promoting Faster Healing: By maintaining a moist environment and protecting the wound, you accelerate the natural healing process.

When to Seek Professional Help

While minor cuts and scrapes can often be treated at home, certain situations warrant professional medical attention:

  • Deep or Large Wounds: Significant injuries that penetrate deep into the skin or are extensive in size require medical assessment.
  • Signs of Infection: Redness, swelling, increased pain, warmth around the wound, or pus are signs of infection that need medical intervention.
  • Delayed Healing: If a wound does not show signs of healing within a reasonable period, it’s important to consult a healthcare provider.

In a nutshell, taking care of wounds isn’t complicated, but it’s important to distinguish fact from fiction. By following evidence-based practices and seeking professional advice when needed, you can ensure your wounds heal properly and without unnecessary complications.

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