What is the alternative to commercially-prepared oral rehydration solution (ORS) for the treatment of pediatric dehydration?

Updated: Nov 12, 2018
  • Author: Alex Koyfman, MD; Chief Editor: Muhammad Waseem, MBBS, MS, FAAP, FACEP, FAHA  more...
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Answer

If commercially prepared ORS is not available, the following recipe may be used:

  • In 1 L of water, add 2 level tablespoons of sugar or honey, a quarter teaspoon of table salt (NaCl), and a quarter teaspoon of baking soda (bicarbonate of soda)

  • If baking soda is not available, use another quarter teaspoon of salt instead

  • If available, add one-half cup of orange juice, coconut water, or a mashed ripe banana to the drink

  • Use a safe water source, boil water if source is questioned

Inpatient therapy generally is not indicated for mild volume depletion. However, it is prudent to arrange outpatient follow-up evaluation within 48 hours, with instructions to return sooner if symptoms worsen.

Guidelines from the American Academy of Pediatrics on fruit juice in infants, children and adolescents recommend against the use of fruit juice in the treatment of dehydration or the management of diarrhea. [13]


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