Control Of Add

Control of ADD By M.Ayswariya Roll No.15

Diarrhoeal Diseases Control Programme, 1980 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

APPROPRIATE CLINICAL MANAGEMENT ,[object Object],[object Object],[object Object]

Composition of reduced osmolarity ORS Reduced Osmolarity ORS Grams/litre Sodium chloride 2.6 Glucose, anhydrous 13.5 Potassium chloride 1.5 Trisodium citrate, dihydrate 2.9 Total weight 20.5 Reduced Osmolarity ORS mmol/litre Sodium 75 Chloride 65 Glucose, anhydrous 75 Potassium 20 Citrate 10 Total Osmolarity 245

Assessment of Dehydration Features Mild Severe (1) Patient’s appearance Thirsty, alert and restless Drowsy, sweaty, cold, may be comatose (2) Radial pulse Normal rate and volume Rapid, feeble, sometimes inpalpable (3) Blood pressure Normql Less than 80mmHg (4) Skin elasticity Pinch retracts immediately Pinch retracts very slowly (5) Tongue Moist Very dry (6) Anterior fontanelle Normal Very sunken (7) Urine flow Normal Little or none % body weight loss 4-5% 10% or more Estimated fluid deficit 40-50ml/kg 100-110ml/kg

Assessment of Dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],Age Under 4months 4-11 months 1-2 yrs 2-4 yrs 5-14 yrs 15yrs or over Weight (kg) Under 5 5-7.9 8-10.9 11-15.9 16-29.9 30 or over ORS (ml) 200-400 400-600 600-800 800- 1200 1200- 2200 2200- 4000

[object Object],[object Object],[object Object],[object Object]

Preparation of ORS ,[object Object],[object Object]

INTRAVENOUS REHYDRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TREATMENT PLAN FOR REHYDRATION THERAPY ,[object Object],[object Object],Age First give 30ml/kg in Then give 70ml/kg in Infants (under 12 months) 1 hour 5 hours Older 30minutes 2 ½ hours

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BETTER MCH CARE PRACTICES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PREVENTIVE STRATEGIES

Rotavirus vaccine ,[object Object],[object Object],[object Object],[object Object],[object Object]

Control & Prevention of Diarrhoeal Epidemics ,[object Object],[object Object],[object Object],Diarrhoeal Disease Control Programme In India - 1978

Control Of Add

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