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Acute diorrhoel diseae

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Dr. Sagar M V
Dr. Sagar M V

Short term measures for controlling acute diarrhoeal diseases include appropriate clinical management, oral rehydration therapy (ORT), and home remedies. ORT involves replacing lost water and electrolytes and has been shown to treat 90-95% of cases. Improved ORT solutions have reduced osmolality and included additional ingredients like trisodium citrate to make the packet more stable. Guidelines are provided for assessing dehydration levels and administering ORT based on age. Homemade ORS and home available fluids like rice water or weak tea can also be used if commercial ORT is unavailable. Other nutritional support like continuing usual foods and breastfeeding are important along with ORT.

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CONTROL OF ACUTE DIARRHOEAL DISEASES Dr .M.V.Sagar department of community medicine Subbaiah institute of medical sciences shivamogga
CONTROL OF ACUTE DIARRHOEAL DISEASES SHORT TERM MEASURES Short term measures 1. Appropriate clinical management 2. Oral rehydration therapy 3. 90 to 95 % of cases can be treated by O R T 4. Based on following observation 5. Glucose given orally enhance the Intestinal absorption of water and electrolytes and is capable of correcting water and electrolytes deficit
IMPROVED ORT Inclusion of trisodium citrate in place of sodium bicarbonate make ore packet more stable Improved O . R .S . By reducing the osmolality (decreasing sodium to 75 mill moll ) Total osmolality reduced to 275 m mole
GUIDELINES FOR ASSESSMENT OF DEHYDRATION
Age Ors to be given Within 4 hours Maintence dose For remaining days 4 to11 months 200to 400 m l 75 m l per kg body weight 1 to 2 years 600to 800 ml Same 2to 4 years 800to 1200 m l Same
HOME MADE O R S AND HOME AVAILABLE FLUIDS How to prepare home made O R S One level teaspoon of salt(table salt) and 6level tea spoon of sugar dissolved in one litter of water Home available fluid
HOME MADE O R S AND HOME AVAILABLE FLUIDS (H A F) Rice water Unsalted soup Weak tea Add 3 gram of salt for soup or rice water
FLUIDS NOT TO BE GIVEN Commercial Carbonated water Commercial fruit juice Sweetened tea
OTHER NUTRITIONAL SUPPORT ALONG WITH O R S Infants usual food cereals and pulses and vegetables to be continued FOOD SHOULD NEVER BE WITHHELD CHILD FOOD SHOULD NEVER BE DILUTED MULTI NUTRIENT RICH FOOD
OTHER NUTRITIONAL SUPPORT ALONG WITH O R S BREAST FEEDING ZINC SUPPLEMENTATION
Acute diorrhoel diseae
W H O PLAN A TREATMENT FOR DEHYDRATION W H O PLAN B TREATMENT FOR DEHYDRATIO N C TREATMENT PLAN FOR DEHYDRATI ON

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Acute diorrhoel diseae

  • 1. CONTROL OF ACUTE DIARRHOEAL DISEASES Dr .M.V.Sagar department of community medicine Subbaiah institute of medical sciences shivamogga
  • 2. CONTROL OF ACUTE DIARRHOEAL DISEASES SHORT TERM MEASURES Short term measures 1. Appropriate clinical management 2. Oral rehydration therapy 3. 90 to 95 % of cases can be treated by O R T 4. Based on following observation 5. Glucose given orally enhance the Intestinal absorption of water and electrolytes and is capable of correcting water and electrolytes deficit
  • 3. IMPROVED ORT Inclusion of trisodium citrate in place of sodium bicarbonate make ore packet more stable Improved O . R .S . By reducing the osmolality (decreasing sodium to 75 mill moll ) Total osmolality reduced to 275 m mole
  • 4. GUIDELINES FOR ASSESSMENT OF DEHYDRATION
  • 5. Age Ors to be given Within 4 hours Maintence dose For remaining days 4 to11 months 200to 400 m l 75 m l per kg body weight 1 to 2 years 600to 800 ml Same 2to 4 years 800to 1200 m l Same
  • 6. HOME MADE O R S AND HOME AVAILABLE FLUIDS How to prepare home made O R S One level teaspoon of salt(table salt) and 6level tea spoon of sugar dissolved in one litter of water Home available fluid
  • 7. HOME MADE O R S AND HOME AVAILABLE FLUIDS (H A F) Rice water Unsalted soup Weak tea Add 3 gram of salt for soup or rice water
  • 8. FLUIDS NOT TO BE GIVEN Commercial Carbonated water Commercial fruit juice Sweetened tea
  • 9. OTHER NUTRITIONAL SUPPORT ALONG WITH O R S Infants usual food cereals and pulses and vegetables to be continued FOOD SHOULD NEVER BE WITHHELD CHILD FOOD SHOULD NEVER BE DILUTED MULTI NUTRIENT RICH FOOD
  • 10. OTHER NUTRITIONAL SUPPORT ALONG WITH O R S BREAST FEEDING ZINC SUPPLEMENTATION
  • 12. W H O PLAN A TREATMENT FOR DEHYDRATION W H O PLAN B TREATMENT FOR DEHYDRATIO N C TREATMENT PLAN FOR DEHYDRATI ON