Electrolyte changes during the first six days of hospitalization of Bantu male infants with gastro-enteritis.
1970
5 and Ringer's lactate in 2 patients. Ringer's lactate solution (IO ml/lb body-weight) was infused first in those patients who were in a shock-like state. Sodium bicarbonate (IO rnl/lb body-weight of a 1'4% solution) was given first in those who appeared clinically severely acidotic. One patient had a subcutaneous infusion of half-strength Ringer's lactate with 2t% dextrose. The quantity of fluid, replacement and maintenance, was estimated according to the degree of dehydration and body-weight of the patient. Some of this was allowed by mouth as half-strength Hartmann's solution in patients receiving parenteral fluid and electrolytes. Oral feeds were commenced the morning after admission. Intravenous therapy was discontinued at this stage unless dehydration was still present. Fifty of the 68 patients received a food formulat containing Casilan, sunflowerseed oil, electrolytes, water and either no sugar or one of 4 different sugars (details to be pub lished). Eighteen patients received 1 of 4 different proprie tary milk powders prepared in full strength.! The quantity of feeds offered was 2t - 3 oz/lb/day. Tetracycline phos phate (40 mg/kg/day for 5 days) was prescribed for all patients. It was, however, replaced if indicated after stool culture. RESULTS
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