Acute salt poisoning due to different oral rehydration solution (ORS) packet sizes

The packing and composition of ORS has undergone a change since its introduction. In India, some companies are manufacturing smaller pouches (4.2 g) to be dissolved in 200 ml of water. Therefore, out of confusion some prescribers routinely advise the patients to dissolve the standard formulation ORS...

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Bibliographic Details
Published in:Indian journal of pediatrics 2010-06, Vol.77 (6), p.679-680
Main Authors: Quereshi, Umar A., Bhat, Javeed I., Ali, Syed W., Mir, Abid A., Kambay, Altaf H., Bhat, Imtiyaz N.
Format: Article
Language:English
Subjects:
Administration, Oral
Biological and medical sciences
Clinical Brief
Diarrhea, Infantile - therapy
Fatal Outcome
General aspects
Gynecology
Humans
Hypernatremia - etiology
Infant
Male
Medical sciences
Medicine
Medicine & Public Health
Pediatrics
Saline Solution, Hypertonic - administration & dosage
Saline Solution, Hypertonic - adverse effects
Saline Solution, Hypertonic - poisoning
Sodium Chloride - administration & dosage
Sodium Chloride - adverse effects
Sodium Chloride - poisoning
Treatment Outcome
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Summary:The packing and composition of ORS has undergone a change since its introduction. In India, some companies are manufacturing smaller pouches (4.2 g) to be dissolved in 200 ml of water. Therefore, out of confusion some prescribers routinely advise the patients to dissolve the standard formulation ORS pouch (21 g) in a glass (200 ml) of water. Two cases are discussed. First patient developed salt poisoning due to improper dilution and recovered after rapid correction. In the second patient improper reconstitution led to hypernatremia and death.
ISSN:0019-5456
0973-7693
DOI:10.1007/s12098-010-0095-0