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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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Post Surgery Wound Care Supporting Recovery

Post-surgery wound care is a critical component in the journey towards a smooth recovery, minimizing complications, and promoting effective healing. This blog post seeks to offer comprehensive insights for both patients and healthcare providers, emphasizing key aspects of post-surgery wound care.

Understanding the Healing Process:

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Preparation Before Surgery: 

A proactive approach to wound care begins before the surgical procedure. Adequate preparation involves thorough consultation with healthcare professionals, understanding the surgery specifics, and adhering to pre-surgery instructions. This groundwork sets the stage for a more seamless recovery. 

Maintaining a Sterile Environment: 

Fundamental to effective wound care is the maintenance of a clean and sterile environment. This includes keeping the surgical site and surrounding areas free from contaminants. Proper wound hygiene significantly reduces the risk of infections, a common concern post-surgery. 

Nutrition and Hydration for Optimal Healing: 

Supporting the body’s healing mechanisms requires a well-balanced diet rich in essential nutrients. Proper nutrition promotes tissue repair and helps prevent complications. Adequate hydration is equally crucial, supporting overall bodily functions and facilitating nutrient transportation to the wound site. 

Monitoring and Recognizing Warning Signs: 

Vigilance is key during the recovery phase. Patients should be educated on monitoring wounds for warning signs like increased redness, swelling, or discharge.

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Therefore, post-surgery wound care is a collaborative effort between healthcare providers and patients. Empowering individuals with knowledge about the healing process, preparing adequately before surgery, maintaining a sterile environment, prioritizing nutrition and hydration, and being vigilant for warning signs actively contribute to a successful recovery journey. 

Choosing Velfix® -Edge for optimal post-surgery care is a conscious decision towards improved recovery outcomes, ensuring a holistic and effective approach to the healing process.

Proper wound care is essential for facilitating the healing process and preventing complications. Whether it’s a minor cut or a more severe injury, following the right dos and avoiding the don’ts can significantly contribute to better healing. In this blog, we will explore key practices to ensure optimal wound care.

Dos:

Keep the Wound Clean:

It is crucial to clean the wound gently using mild soap and water. Additionally, consider using a saline solution for cleaning when necessary. A clean wound reduces the risk of infection and promotes a faster healing process.

Use Appropriate Dressings:

Selecting the right dressing based on the type and severity of the wound is vital. Changing dressings regularly, as advised by healthcare professionals, helps maintain a sterile environment and supports the healing process.

Promote Moist Healing:

Create a moist environment conducive to healing. Using gauze or appropriate dressings can help keep the wound moist, facilitating cell growth and minimizing scarring.

Monitor and Seek Medical Advice:

Regularly monitor the wound for any signs of infection or complications. If redness, swelling, or increased pain occurs, seek medical advice promptly. Early intervention can prevent further complications.

Maintain a Healthy Diet and Hydration:

A balanced diet rich in nutrients is essential for the body’s healing process. Adequate hydration supports overall recovery. Ensure that the body receives the necessary vitamins and minerals for optimal wound healing.

Don’ts:

Avoid Harsh Cleaning Agents:

Refrain from using harsh chemicals or alcohol-based solutions on the wound. Hydrogen peroxide should be avoided, as it can impede the natural healing process.

Don’t Pick at Scabs or Wounds:

Resist the temptation to pick at scabs or peel off healing tissue. Allowing the body’s natural healing process to take place without interference is crucial for proper wound healing.

Don’t Apply Excessive Pressure:

Avoid applying excessive pressure or using tight bandages that may impede blood circulation. Dressings should be snug but not constricting to promote proper healing.

Don’t Ignore Signs of Infection:

Ignoring signs of infection, such as increased pain, pus, or foul odour, can lead to severe complications. Seek medical attention promptly if any of these signs appear during the healing process.

Avoid Smoking and Excessive Drinking:

Smoking and excessive alcohol consumption can hinder the body’s ability to heal effectively. To support the healing process, it is crucial to avoid these habits during recovery.

By following these wound care dos and avoiding the corresponding don’ts, individuals can contribute to better healing outcomes. Remember, seeking professional medical advice for any concerns or signs of infection is always a prudent step in the journey to recovery.

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