Acute diarrhoea: Hydration status and biochemical parameters. (Record no. 504)

MARC details
000 -LEADER
fixed length control field 03273 a2200253 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20220906184544.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190207b ||||| |||| 00| 0 eng d
060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number THS-00051
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Sharma, Parasnath.
9 (RLIN) 1638
245 ## - TITLE STATEMENT
Title Acute diarrhoea: Hydration status and biochemical parameters.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. c2000.
300 ## - PHYSICAL DESCRIPTION
Extent ix, 80p.
500 ## - GENERAL NOTE
General note Thesis Report.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: 100 children of age group from 2 months to 5 years with acute diarrhoea admitted at Oral Rehydration Threapy Center in Kanti Children Hospital were taken into study. The socioeconomic background of the children was studied. The grades of dehydration in the children were assessed and serum glucose and serum electrolytes were measured. The children were treated with ORS for 24 hours. After 24 hours the grades of dehydration were reassessed and serum glucose and serum electrolytes measured again. Routine and microscopic examination of stool was done in all cases. 73% of the children had family income less than Rs. 5,000. 78% of the children had father's education below intermediate and 88% had mother's education below intermediate. 43% of the children's family lived in a single room, 80% of the children were given ORS at home. Out of them 75% used prepacked ORS sachets and other 5% made ORS at home, 80% of the mothers prepared ORS correctly. Out of 100 children, 46 presented with no signs of dehydration, 48 with some dehydration and 6 with severe dehydration at the time of admission. 21% of the children had hyponatraemia, 6% hypernatraemia, 45% hypokalaemia and 2% hyperkalaemia. 14% of them children had hypoglycaemia and other 14% hyperglycaemia. 88% of the children were managed with ORS, while 12% were given intravenous fluid in addition to ORS. After giving ORS for 24 hours, 95% of the children had no sings of dehydration and 5% had some dehydration, there was no case of serve dehydration; 2% of the children remained hyponatraemic and none hypernatiraemic. 10% of the children remained hypokalaemic and 1% hyperkalaemic. Similarly, 12% of the children were hypoglycaemic and 7% hyperglycaemic. Increase in mean serum sodium level in hyponatraemic children and decrease in mean serum level in hypernatraemic children was statistically significant. Increase in serum glucose level in hypoglycaemic children was also significant but change in serum glucose level in the children with normal serum glucose les and hyperglycaemia was not statistically significant. On stool examination, 15% had RBC in stool, 8% had cyst of E. histolytica, 4% ova of Ascaris, 3% cyst of Giardia lambia and 1% trophozoites of E. histolytica. It may therefore be concluded that ORS was effective to treat dehydration as well as electrolyte abnormalitie. ORS corrected hypertraemia, hyponatraemia as well as hypokalaemia. In hypoglycaemic children, it also corrected hypoglycaemia. Keywords: Acute diarrhoea, dehydration, serum glucose, serum sodium, and serum potassium,
546 ## - LANGUAGE NOTE
Language note Eng.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Acute diarrhoea.
9 (RLIN) 1715
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Dehydration.
9 (RLIN) 1716
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Serum glucose.
9 (RLIN) 1717
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Serum sodium.
9 (RLIN) 1718
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Serum potassium.
9 (RLIN) 1719
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a>
Link text Visit NHRC Library
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type Thesis Report
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Library of Congress Classification     Nepal Health Research Council Nepal Health Research Council Reference 07/12/2012   THS-00051/SHA/2000 THS-00051 07/12/2012 07/12/2012 Thesis Report

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