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'''Reduced concentation oral rehydration solution''' (or '''reduced osmolarity oral rehydration solution''') is less concentrated than traditionally used in [[oral rehydration therapy]]. | '''Reduced concentation oral rehydration solution''' (or '''reduced osmolarity oral rehydration solution''') is less concentrated than traditionally used in [[oral rehydration therapy]]. Some tests have found it to result in "reduced need for unscheduled intravenous infusions, lower stool volume, and less vomiting compared with standard WHO rehydration solution."<ref> | ||
[http://bmj.bmjjournals.com/cgi/content/full/323/7304/81 Reduced osmolarity oral rehydration solution for treating dehydration due to diarrhoea in children: systematic review] -- Hahn et al. In contrast, <ref>[http://www.ncbi.nlm.nih.gov/pubmed/10440307 Efficacy and safety of oral rehydration solution with reduced osmolarity in adults with cholera: a randomised double-blind clinical trial] (CHOICE study group, [[ICDDRB]]) failed to find a difference in cholera patients.</ref> | |||
However, concerns have been raised that this is unsuitable for universal use, as it may lead to a negative sodium balance in cholera patients, with very serious consequences.<ref> [http://jama.ama-assn.org/cgi/content/full/291/21/2632?etoc JAMA -- Clinical Concerns About Reduced-Osmolarity Oral Rehydration Solution]; [http://www.ncbi.nlm.nih.gov/pubmed/10440307 Efficacy and safety of oral rehydration solution with reduced osmolarity in adults with cholera: a randomised double-blind clinical trial]. CHOICE study group, [[ICDDRB]] | |||
</ref> For this reason [[starch-based oral rehydration solutions]] may be preferred methods of achieving the same effects with less risk, especially in serious cases. | |||
== Questions and comments == | == Questions and comments == | ||
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==Notes== | ==Notes== | ||
<small><references/></small> | <small><references/></small> | ||
[[Category:Medical care ]] | |||
Revision as of 03:41, 12 May 2008
Template:Notallcases Template:Primarysources
Reduced concentation oral rehydration solution (or reduced osmolarity oral rehydration solution) is less concentrated than traditionally used in oral rehydration therapy. Some tests have found it to result in "reduced need for unscheduled intravenous infusions, lower stool volume, and less vomiting compared with standard WHO rehydration solution."Cite error: Closing </ref> missing for <ref> tag
However, concerns have been raised that this is unsuitable for universal use, as it may lead to a negative sodium balance in cholera patients, with very serious consequences.[1] For this reason starch-based oral rehydration solutions may be preferred methods of achieving the same effects with less risk, especially in serious cases.
Questions and comments
- Perhaps this is suitable when the patient is able to take some other food, and is not relying solely on the ORS? --Chriswaterguy 19:20, 11 May 2008 (PDT)
External links
- New formulation of Oral Rehydration Salts (ORS) with reduced osmolarity - Technical Bulletin from UNICEF, describing the user of a weaker solution, with the aim of reducing stool output.
Questions and comments
In the medical literature available through a Google search, this is referred to as reduced osmolarity oral rehydration solution. To make it more understandable to the lay person, I've changed it to reduced concentation oral rehydration solution, which doesn't have any hits online. Is there a better term to use?