Acute dehydrating gastro-enteritis in undernourished infants
AbstractIn 80 undernourished infants with acute dehydrating gastro-enteritis a pattern of electrolyte and metabolic disturbances was found, including acidosis, hyponatraemia and hypokalaemia. Clinical assessment of acidosis and dehydration was reliable in most cases, but electrolyte disturbances, including hypernatraemia, could not be accurately diagnosed. In the majority of infants presenting with dehydrating gastro-enteritis, electrolyte and acid-base investigations are not obligatory. The use of half-strength Oarrow's solution in 2;5% dextrose water, with supplementary intravenous sodium bicarbonate and oral potassium, rapidly corrected the electrolyte and acid-base disturbances. No significant difference resulted when this regimen was modified by variations in the rate, volume or type of intravenous fluid given.
S. Afr. Med. J., 48, 1563 (1974)
Copyright remains in the Author’s name. The work is licensed under a Creative Commons Attribution - Noncommercial Works License. Authors are required to complete and sign an Author Agreement form that outlines Author and Publisher rights and terms of publication. The Agreement form should be uploaded along with other submissions files and any submission will be considered incomplete without it [forthcoming].
Material submitted for publication in the SAMJ is accepted provided it has not been published or submitted for publication elsewhere. Please inform the editorial team if the main findings of your paper have been presented at a conference and published in abstract form, to avoid copyright infringement. The SAMJ does not hold itself responsible for statements made by the authors.
Previously published images
If an image/figure has been previously published, permission to reproduce or alter it must be obtained by the authors from the original publisher and the figure legend must give full credit to the original source. This credit should be accompanied by a letter indicating that permission to reproduce the image has been granted to the author/s. This letter should be uploaded as a supplementary file during submission.