Oral Rehydration Therapy for Gastroenteritis Exam Questions and Answers Already Passed
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Oral Rehydration Therapy for Gastroenteritis
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Oral Rehydration Therapy For Gastroenteritis
Oral Rehydration Therapy for Gastroenteritis Exam Questions and Answers Already Passed
Treatment of choice for child with mild to moderate dehydration. - Answers ORT - less traumatic, cheaper, easier to administer, can be done at home
Children without dehydr should be fed age appropriate diet. W...
Oral Rehydration Therapy for Gastroenteritis Exam Questions and Answers Already Passed
Treatment of choice for child with mild to moderate dehydration. - Answers ORT - less traumatic,
cheaper, easier to administer, can be done at home
Children without dehydr should be fed age appropriate diet. When should children with dehydration be
fed age approp diet? - Answers as soon as they are rehydrated
Why discourage carbonated drinks and sweetened frut juices? - Answers high carb content, low
electrolyte content and high osmolarity - can cause osmotic diarrhea if given in large quantities
Contraindications to ORT as outlined by CPS. - Answers 1. protracted vomiting despite small frequent
feeding
2. severe dehydration with shock like state
3. impaired consciousness
4. paralytic ileus
5. monosaccharide malabsorption
How many diarrheal episodes/year do children <5yo experience in industrialized countries? - Answers
2.2
2 primary causes of M&M in Canadian native populations with acute gastroenteritis? - Answers 1.
prolonged diarrhea
2. malnutrition
Why hasn't ORT been used extensively in developed countries? - Answers lack of familiarity with ORT,
fear of induction of iatrogenic hypernatremia, entrenched patterns of practice
What is scientific basis for use of ORS? - Answers Cotransport of glucose and sodium across intestinal
membrane.
Na-K-ATPase bump on basolateral membrane of enterocyte enhances gradient - glucose enhances
sodium and then water absorption - cotransport system is intact in infective diarrhea due to viruses or
enteropathogenic bact, whether invasive or enterotoxigenic.
What is optimal glucose to sodium ratio to ensure maximal sodium absorption? - Answers 1:1
What is the ideal composition of ORS for ORT? - Answers Na - 90mmol/L
glucose - 111mmol/L
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