IDRATON 245 REFERENCES - LETTERATURA
IDRATON 245, PERCHE': New formulation of Oral Rehydration Salts (ORS) with reduced osmolarity
J Am Acad Nurse Pract. 2008 Aug;20(8):402-6.
Treatment of mild to moderate dehydration in children with oral rehydration therapy.
Diggins KC.
Parker Internal Medicine, Charlotte, North Carolina 28173, USA. bj-kris_diggins@sil.org
PURPOSE: To review current literature on the effectiveness of oral
rehydration therapy (ORT) in the treatment of mild to moderate dehydration
in children. DATA SOURCES: Recommendations from American Academy of
Pediatrics (AAP), World Health Organization (WHO), selected research
articles (2000-2006), and Internet sources. CONCLUSIONS: Dehydration is a
common diagnosis in pediatric primary care. The literature indicates that
dehydration is more often treated with intravenous (IV) therapy when ORT
would be equally effective. ORT is an effective treatment for children
with mild to moderate dehydration. ORT could be used more frequently
rather than IV rehydration therapy. The use of ORT versus traditional
methods of IV hydration matches the nursing philosophy of holistic care by
enhancing client comfort and autonomy. IMPLICATIONS FOR PRACTICE: Current
practice in the treatment of mild to moderate dehydration in children does
not match both AAP and WHO guidelines, which are based on evidence
supporting ORT effectiveness. Treatment with ORT allows children more
flexibility to be treated at home and thus decreases hospital stay.
Evidence shows that the time required to initiate ORT is actually quicker
than IV therapy and allows for a less stressful therapy that can be
performed in the home.
Managing Acute Gastroenteritis Among Children Oral Rehydration, Maintenance, and Nutritional Therapy
Prepared by Caleb K. King, M.D.1, Roger Glass, M.D., Ph.D.2, Joseph S. Bresee, M.D.2, Christopher Duggan, M.D.3, 1University of North Carolina, Chapel Hill, North Carolina, 2Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, CDC, 3Children's Hospital Boston Boston, Massachusetts
Symptomatic Hyponatremia During Treatment of Dehydrating Diarrheal Disease With Reduced Osmolarity Oral Rehydration Solution
Scientific Rationale for a Change in the Composition of Oral Rheydration Solution
Oral versus intravenous rehydration for treting dehydration due to gastroenteritis in childeren (Review)
The World Health Organization Oral Rehydration Solution in US Pediatric Practice
A Randomized Trial to Evaluate Parent Satisfaction
Morissa Ladinsky, MD; Anne Duggan, ScD; Mathuram Santosham, MD; Modena Wilson, MD, MPH
Arch Pediatr Adolesc Med. 2000;154:700-705.
Nutr
Rev. 2004 May;62(5):221-31.
A therapeutic approach to wean total parenteral nutrition in the
management of short bowel syndrome: three cases using nocturnal enteral
rehydration.
Nauth
J, Chang
CW, Mobarhan
S, Sparks
S, Borton
M, Svoboda
S.
Department of Internal Medicine, Loyola University Medical Center, Maywood,
IL, USA.
Short bowel syndrome is characterized by severe dehydration and
malnutrition and requires total parenteral nutrition (TPN). Prolonged TPN
has serious complications. Caloric requirements can be met orally but oral
fluid replacement is problematic. Noncompliance and an inability to
discontinue TPN earlier increase the likelihood of complications.
Discontinuation of parenteral support requires an assessment of
gastrointestinal anatomy and absorption capacity. Fluids must be replaced
independently of feedings because the osmotic gradients decrease fluid
absorption. Nocturnal enteral rehydration is an intervention using oral
rehydration solutions through percutaneous endoscopic gastrostomy tubes at
night. Patients given nocturnal enteral rehydration discontinued TPN
earlier and had improved fluid absorption.
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