1. Control of ADD By M.Ayswariya Roll No.15

4. 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

5. 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

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