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Acute salt poisoning due to different oral rehydration solution (ORS) packet sizes. 2010
Umar A Quereshi, and
Javeed I Bhat, and
Syed W Ali, and
Abid A Mir, and
Altaf H Kambay, and
Imtiyaz N Bhat
Department of Pediatrics and Neonatology, Sher-i-Kashmir Institute of Medical Sciences, Jammu and Kashmir, India.
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.
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