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Cues Objective: - last platelet result of 51 - irritable - with a actual vital signs of: Temp: 38.

6 RR: 25 PR: 84 HR: 85 BP: 100/80 - IV: D5NSS 140 cc/hr - few bruises in the lower extremities Need HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN Diagnosis Risk for Injury: Bleeding related to decreased platelet count. Rationale: Thrombocytopenia (low platelet level) can result in various factors: decreased production of platelets, or increased destruction of platelets, or increased consumption of platelets. This disorder results from the circulating antiplatelet autoantibodies that bind to the patients antibodies. The body attempts to compensate for this destruction by increasing platelet production. Its common manifestations are easy bruising, heavy menses, or petechiae. Objectives At the end of my 8 hours span of care, patient will be free from injury as evidenced by: a. Demonstrate behaviors(lifestyle changes to reduce risk factors and protect self from injury); b. Modify environment to enhance safety; and c. Verbalize understanding of factors that contribute to possibility of injury. Interventions 1. Assess mood, coping abilities, and personality styles. R: to evaluate the degree/source risk inherent to the individual. 2. Provide information regarding the condition that may result in risk for injury. R: to promote awareness 3. Monitor pulse, Blood pressure. R: An increase in pulse with decreased Blood pressure can indicate loss of circulating blood volume and may point out to bleeding. 4. Check on patient at least every 2 hours.

R: this is a primary preventive measure to ensure patient safety. 5. Keep bed in low position and at least 30 degrees R: to reduce risk factors, injury. 6. Keep the patients room free from clutter. R: to promote individual safety. 7. Assist patient with transfer/ambulation. R: to aid in preventing from tripping off on the floor or from the bed. 8. Encourage use of soft toothbrush, avoiding straining for stool, and forceful nose blowing. R: Minimizes damage to tissues, reducing risk for bleeding 9. Recommend avoidance of aspirin containing products. R: Prolongs coagulation, potentiating risk of hemorrhage. 10. Emphasize the importance of safety measures R: This promotes education and increases the awareness of the client on the condition. Evaluation At the end of 8 hours span of care, patient was able to be free from injury as evidenced by: a. demonstrating corrective measure such as avoid using too much force upon toothbrushing;and b. Modifying the environment by removing mess in her room that might cause injury to her

ursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders

Evaluation Goals Interventions

Knowledge deficient: disease states, treatments, community resources, nutrition, and wellness activities r/t information misinterpretation, unfamiliarity with information resources and lack of exposure as evidenced by verbalized deficiency in knowledge, inaccurate perceptions of health status and failure to correctly perform prescribed health behaviors.

Short term goals: 1. Client will demonstrate motivation to learn as measured by verbalization of desire and asking questions related to health by 15:00 on [Month] 14, [Year]. 2. Client will identify perceived learning needs as measured by verbalization of at least 2 topics by 15:00 on [Month] 14, [Year]. Long term goals: 1. Client will understand disease processes, causes and factors contributing to symptoms as measured by verbalization of knowledge by 15:00 on [Month] 21st, [Year]. 2. Client will identify medications used for symptom control of each medical condition as measured by verbalization of accurate knowledge by 15:00 on [Month] 21, [Year]. 3. Client will understand how to incorporate new health regimens into lifestyle measured by verbalization of

Asses the clients ability, readiness to learn and previous knowledge r/t health preservation, medication management, disease states and community resources. Learning best occurs when learners are motivated and when instruction is tailored to the clients cognitive ability (Olinzock, 2004). Assess personal context and meaning of illness including perceived changes in lifestyle, financial concerns and impact on culture. Providing interventions that incorporate personal perspectives and meaning of illness results in improved symptom management and client satisfaction (Hornsten, Lundman, Stenlund, & Sandstrom, 2005). Provide information to support self-efficacy, self-regulation and self-management by focusing on problem solving and decision making. Educational programs based on empowerment have demonstrated effectiveness(Deakin, McShane, Cade, & Williams, 2005). Tailor the delivery of instruction to the clients cognitive level by using visual aids (medication chart, brochures on Oak & Acorn and Elderserves Companion Program) and accessible word choices. Clients with lower literacy benefit from welltailored materials (DeWalt, et al., 2004). Evaluate learning outcomes using patient

Short term goals: 1. Goal met. Client asked questions related to the purpose of her medications, what they treated and expressed desire for reference materials. Client also expressed desire to learn of community resources and ways to not see the doctor. 2. Goal met. Client identified learning needs as: medication information and management, community resources, and nutrition suggestions. Long term goals: 1. Goal not met. The client has made no progress towards this goal. Evaluation of knowledge r/t disease processes, causes and factors set for 15:00, [Month] 21, [Year]. 2. Goal partially met. Client identified Ativan as her sleeping medication. Continue d education required. Evaluation set for 15:00 on [Month] 21, [Year]. 3. Goal not met. The client has made no progress towards this goal. Client has not described how to incorporate new health regimens into her lifestyle. Evaluation

Assessment of clients abilities, readiness to learn and previous knowledge performed. Client expressed desire to learn and identified baseline knowledge. Client is not interested in smoking or alcohol cessation information, but is motivated to learn wellness behaviors, medication information and community resources. Client is unable to read and write, but is able to retain verbal information and understands visual aids. Assessment of personal context and meaning of illness performed. Client expressed difficulty with incorporating good food choices for health conditions due to finances, lack of knowledge and unfamiliarity with certain foods. She cited financial strain as a reason for not refilling medications promptly. Client expressed fear of others in the community and uncertainty of minimum exercise recommendations for her age and health. Continuation of providing information to support selfefficacy, self-management and self-regulation required. Client identified a few ways she could maintain health (walk more) and solve specific health problems (use my breathing machine when its hot as a solution to difficulty breathing), more progress is achievable. Continuation of tailoring of instruction required. Provided medication information verbally and in writing, however reinforcement is

Assessment Subjective Data: Verbalizations indicating lack of knowledge including: I forget what all is wrong with me. I know I got hernia and I take stuff for it. I dont know what all of these (medications) are for, I just take them when I have the money for them. I take most of them for my hernia and one for my sleeping. Theres nothing to do and they dont do the craft anymore, I dont know why. I got no place to go to do anything. Objective Data Client asks questions regarding health conditions. Nonverbal behaviors indicate attentiveness and concern for knowing.

Nursing Diagnosis: Activity intolerance NANDA Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities Defining Characteristics: Verbal report of fatigue or weakness, abnormal heart rate or blood pressure response to activity, exertional discomfort or dyspnea, electrocardiographic changes reflecting dysrhythmias or ischemia Related Factors: Bed rest or immobility; generalized weakness; sedentary lifestyle; imbalance between oxygen supply and demand NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Endurance Energy Conservation Activity Tolerance Self-Care: Activities of Daily Living (ADLs) Client Outcomes Participates in prescribed physical activity with appropriate increases in heart rate, blood pressure, and breathing rate; maintains monitor patterns (rhythm and ST segment) within normal limits States symptoms of adverse effects of exercise and reports onset of symptoms immediately Maintains normal skin color and skin is warm and dry with activity Verbalizes an understanding of the need to gradually increase activity based on testing, tolerance, and symptoms Expresses an understanding of the need to balance rest and activity Demonstrates increased activity tolerance NIC Interventions (Nursing Interventions Classification) Suggested NIC Labels Energy Management Activity Therapy Nursing Interventions and Rationales Determine cause of activity intolerance (see Related Factors) and determine whether cause is physical, psychological, or motivational.

Determining the cause of a disease can help direct appropriate interventions. Assess client daily for appropriateness of activity and bed rest orders. Inappropriate prolonged bed rest orders may contribute to activity intolerance. A review of 39 studies on bed rest resulting from 15 disorders demonstrated that bed rest for treatment of medical conditions is associated with worse outcomes than early mobilization (Allen, Glasziou, Del Mar, 1999). Minimize cardiovascular deconditioning by positioning clients as close to the upright position as possible several times daily. The hazards of bed rest in the elderly are multiple, serious, quick to develop, and slow to reverse. Deconditioning of the cardiovascular system occurs within days and involves fluid shifts, fluid loss, decreased cardiac output, decreased peak oxygen uptake, and increased resting heart rate (Resnick, 1998). If appropriate, gradually increase activity, allowing client to assist with positioning, transferring, and self-care as possible. Progress from sitting in bed to dangling, to chair sitting, to standing, to ambulation. Increasing activity helps to maintain muscle strength, tone, and endurance. Allowing the client to participate decreases the perception of the client as incapable and frail (Eliopoulous, 1998). Ensure that clients change position slowly. Consider using a chair-bed (stretcher-chair) for clients who cannot get out of bed. Monitor for symptoms of activity intolerance. Bed rest in the supine position results in loss of plasma volume, which contributes to postural hypotension and syncope (Creditor, 1993). When getting clients up, observe for symptoms of intolerance such as nausea, pallor, dizziness, visual dimming, and impaired consciousness, as well as changes in vital signs. Heart rate and blood pressure responses to orthostasis vary widely. Vital sign changes by themselves should not define orthostatic intolerance (Winslow, Lane, Woods, 1995). Perform range-of-motion exercises if client is unable to tolerate activity. Inactivity rapidly contributes to muscle shortening and changes in periarticular and cartilaginous joint structure. These factors contribute to contracture and limitation of motion (Creditor, 1994). Refer client to physical therapy to help increase activity levels and strength. Monitor and record client's ability to tolerate activity: note pulse rate, blood pressure, monitor pattern, dyspnea, use of accessory muscles, and skin color before and after activity. If the following signs and symptoms of cardiac decompensation develop, activity should be stopped immediately (ACSM, 1995): o Excessive fatigue o Lightheadedness, confusion, ataxia, pallor, cyanosis, dyspnea, nausea, or any peripheral circulatory insufficiency o Onset of angina with exercise o Palpitations o Dysrhythmia (symptomatic supraventricular tachycardia, ventricular tachycardia, exercise-induced left bundle block, second- or third-degree atrioventricular block, frequent premature ventricular contractions) o Exercise hypotension (drop in systolic blood pressure of more than 10 mm Hg from baseline blood pressure despite an increase in workload, when accompanied by other evidence of ischemia) o Excessive rise in blood pressure (systolic greater than 220 mm Hg or diastolic greater than 110 mm Hg); NOTE: these are upper limits; activity may be stopped before reaching these values o Inappropriate bradycardia (drop in heart rate greater than 10 beats/min) with no change or increase in workload o Increased heart rate above the prescribed limit Instruct client to stop activity immediately and report to physician if experiencing the following symptoms: new or worsened intensity or increased

frequency of discomfort, tightness, or pressure in chest, back, neck, jaw, shoulders, and/or arms; palpitations; dizziness; weakness; unusual and extreme fatigue; excessive air hunger. These are common symptoms of angina and are caused by a temporary insufficiency of coronary blood supply. Symptoms typically last for minutes as opposed to momentary twinges. If symptoms last longer than 5 to 10 minutes, the client should be evaluated by a physician (McGoon, 1993). The client should be evaluated before resuming activity (Thompson, 1988). Allow for periods of rest before and after planned exertion periods such as meals, baths, treatments, and physical activity. Rest periods decrease oxygen consumption (Prizant-Weston, Castiglia, 1992). Observe and document skin integrity several times a day. Activity intolerance may lead to pressure ulcers. Mechanical pressure, moisture, friction, and shearing forces all predispose to their development (Resnick, 1998). Assess urinary incontinence related to functional ability. Assess independent ability to get to the toilet and remove and adjust clothing. The loss of functional ability that accompanies disease often leads to continence problems. The cause may not be the person's bladder instability but his or her ability to get to the toilet quickly (Nazarko, 1997). Assess for constipation. Impaired mobility is associated with increased risk of bowel dysfunction, including constipation. Constipation increases the risk of urinary tract infection and urge incontinence (Nazarko, 1997). Consider dietitian referral to assess nutritional needs related to activity intolerance. Severe malnutrition can lead to activity intolerance. Dietitians can recommend dietary changes that can improve the client's health status (Peckenpaugh, Poleman, 1999). Refer the cardiac client to cardiac rehabilitation for assistance in developing safe exercise guidelines based on testing and medications. Cardiac rehabilitation exercise training improves objective measures of exercise tolerance in both men and women, including elderly patients with coronary heart disease and heart failure. This functional improvement occurs without significant cardiovascular complications or other adverse outcomes (Wenger et al, 1995). Ensure that the chronic pulmonary client has oxygen saturation testing with exercise. Use supplemental oxygen to keep oxygen saturation 90% or above or as prescribed with activity. Supplemental oxygen increases circulatory oxygen levels and improves activity tolerance (Petty, Finigan, 1968; Casaburi, Petty, 1993). Monitor a chronic obstructive pulmonary disease (COPD) client's response to activity by observing for symptoms of respiratory intolerance such as increased dyspnea, loss of ability to control breathing rhythmically, use of accessory muscles, and skin tone changes such as pallor and cyanosis. Instruct and assist COPD clients in using conscious controlled breathing techniques such as pursing their lips and diaphragmatic breathing. Training clients with COPD to slow their respiratory rate with a prolonged exhalation (with or without pursed lips) helps control dyspnea and results in improved ventilation, increased tidal volume, decreased respiratory rate, and a reduced alveolar-arterial oxygen difference. This breathing pattern not only helps relieve dyspnea but can improve the ability to exercise and carry out ADLs (Mueller, Petty, Filley, 1970; Casaburi, Petty, 1993). Provide emotional support and encouragement to client to gradually increase activity. Fear of breathlessness, pain, or falling may decrease willingness to increase activity. Refer the COPD client to a pulmonary rehabilitation program. Pulmonary rehabilitation has been shown to improve exercise capacity, walking ability, and sense of well-being (Fishman, 1994). Observe for pain before activity. If possible, treat pain before activity, and ensure that client is not heavily sedated. Pain restricts the client from

achieving a maximal activity level and is often exacerbated by movement. Obtain any necessary assistive devices or equipment needed before ambulating client (e.g., walkers, canes, crutches, portable oxygen). Assistive devices can increase mobility by helping the client overcome limitations. Use a walking belt when ambulating a client who is unsteady. With a walking belt the client can walk independently, but the nurse can provide support if the client's knees buckle. Work with client to set mutual goals that increase activity levels. Geriatric Slow the pace of care. Allow client extra time to carry out activities. Encourage families to help/allow elder to be independent in whatever activities possible. Sometimes families believe they are assisting by allowing clients to be sedentary. Encouraging activity not only enhances good functioning of the body's systems but also promotes a sense of worth by providing an opportunity for productivity (Eliopoulous, 1997). When mobilizing the elderly client, watch for orthostatic hypotension accompanied by dizziness and fainting. Orthostatic hypotension is common in the elderly as a result of cardiovascular changes, chronic diseases, and medication effects (Mobily, Kelley, 1991). Home Care Interventions Begin discharge planning as soon as possible with case manager or social worker to assess need for home support systems and the need for community or home health services. Assess the home environment for factors that precipitate decreased activity tolerance: presence of allergens such as dust, smoke, and those associated with pets; temperature; energy-intensive activity patterns; and furniture placement. Refer to occupational therapy if needed to assist the client in restructuring the home and activity of daily living patterns. Clients and families often estimate energy requirements inaccurately during hospitalization because of the availability of support. Teach the client/family the importance of and methods for setting priorities for activities, especially those having a high energy demand (e.g., home/family events). Provide client/family with resources such as senior centers, exercise classes, educational and recreational programs, and volunteer opportunities that can aid in promoting socialization and appropriate activity. Social isolation can contribute to activity intolerance. Discuss the importance of sexual activity as part of daily living. Instruct the client in adaptive techniques to conserve energy during sexual interactions. Families may make unsafe choices for sexual activity or place added stress on themselves trying to cope with this issue without proper support or teaching. Instruct the client and family in the importance of maintaining proper nutrition and rest for energy conservation and rehabilitation. Refer to medical social services as necessary to assist the family in adjusting to major changes in patterns of living. Assess the need for long-term supports for optimal activity tolerance of priority activities (e.g., assistive devices, oxygen, medication, catheters, massage), especially for hospice patients. Evaluate intermittently. Assessments ensure the safety and appropriate use of these supports. Refer to home health aide services to support the client and family through changing levels of activity tolerance. Introduce aide support early. Instruct the aide to promote independence in activity as tolerated. Providing unnecessary assistance with transfers and bathing activities may

promote dependence and a loss of mobility (Mobily, Kelley, 1991). Be aware of increased risk of bone fracture even after muscle strength is normalized, especially in osteopenic-prone individuals such as estrogen-deficient women and the elderly. Reduction in weight bearing muscle activity during bed rest invariably produces significant changes in calcium balance and, in weeks, changes in bone mass (Bloomfield, 1997) Allow terminally ill clients and their families to guide care. Control by the client or family promotes effective coping. Provide increased attention to comfort and dignity of the terminally ill client in care planning. For example, oxygen may be more valuable as a support to the client's psychological comfort than as a booster of oxygen saturation.

Client/Family Teaching Instruct client on rationale and techniques for avoiding activity intolerance. Teach client to use controlled breathing techniques with activity. Teach client the importance and method of coughing, clearing secretions. Instruct client in the use of relaxation techniques during activity. Help client with energy conservation and work simplification techniques in ADLs. Teach client the importance of proper nutrition. Describe to client the symptoms of activity intolerance, including which symptoms to report to the physician. Explain to client how to use assistive devices or medications before or during activity. Help client set up an activity log to record exercise and exercise tolerance
NANDA Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. This is especially apparent in elderly patients with a history of orthopedic, cardiopulmonary, diabetic, or pulmonary- related problems. The aging process itself causes reduction in muscle strength and function, which can impair the ability to maintain activity. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications (e.g., Beta-blockers), or emotional states such as depression or lack of confidence to exert ones self. Nursing goals are to reduce the effects of inactivity, promote optimal physical activity, and assist the patient to maintain a satisfactory lifestyle.

Defining Characteristics:

Verbal report of fatigue or weakness

Inability to begin or perform activity Abnormal heart rate or blood pressure (BP) response to activity Exertional discomfort or dyspnea

Related Factors:

Generalized weakness Deconditioned state Sedentary lifestyle Insufficient sleep or rest periods Depression or lack of motivation Prolonged bed rest Imposed activity restriction Imbalance between oxygen supply and demand Pain Side effects of medications

Expected Outcomes

Patient maintains activity level within capabilities, as evidenced by normal heart rate and blood pressure during activity, as well as absence of shortness of breath, weakness, and fatigue. Patient verbalizes and uses energy-conservation techniques.

NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels

Activity Tolerance Energy Conservation Knowledge: Treatment Regimen

NIC Interventions (Nursing Interventions Classification) Suggested NIC Labels

Energy Management Teaching: Prescribed Activity/Exercise

Nursing Goal
Client can perform the activity without complications

Nursing Intervention:

Assess the influence of activity on wound condition and general body condition R: Activity stimulate increased vascularization and the pulsation of the reproductive organs, but can affect postoperative wound conditions and reduced energy.

Help clients to meet the needs of everyday activities R: Resting client optimally. Help clients to act in accordance with the capability / condition of the client R: Optimizing conditions for the client, on abortion imminens, rest is absolutely indispensable. Evaluate the development of the clients ability to do activities R: Assessing the clients general condition

Ingredients: Glucose anhydrous ................................................ ........ 20 g Sodium chloride ................................................ 3.5 g ............ DOSAGE: Powder. INDICATIONS: - Prevention and treatment of water and electrolytes lost during diarrhea with mild to moderate levels. Dosage and dosages: United tan all in one liter water-cooled package - Children under 6 months: 0.25 to 0.50 lit/24 hours. - Children from 6 months-2 age: 0.50 to 1.0 lit/24 hours. - Child over 5 years of age and adults: the demand. Note: Service was mixed only in 24 hours.

CONTRAINDICATIONS: - Television urinary or lower urinary. - Deaths with symptoms of severe shock. - Severe diarrhea (diarrhea when excess body weight 30ml/kg per hour). - Vomiting and prolonged. - Code intestine, listed intestine, intestinal perforation. - Patients sensitive to components of the drug. PHARMACEUTICAL RESOURCES STUDY: - When normal digestion, fluid containing food and other services to the feedback colorectal gastrointestinal primary as a salt solution similar to plasma colleges account for sodium and potassium ion content. Feedback colon absorbs about 10% of this solution with active transport mechanisms different. The remainder is distributed to keep the information on distribution not dry. Cells with small bowel function has absorbed just export more services and electrolytes, but mostly absorbed. Pharmacokinetics: - Drugs drinking water compensation - electrolyte absorption from the gastrointestinal tract. Sodium and water absorption of the intestine was increased by glucose and other carbohydrates

Manufacturer Distributor Contents Indications

Westmont United Lab Per tab NaCl 350 mg, Na bicarbonate 250 mg, KCl 150 mg, anhydrous glucose 2 g. Per sachet NaCl 520 mg, trisodium citrate dihydrate 580 mg, KCl 300 mg, anhydrous glucose 2.7 g Replacement of fluid and electrolyte losses due to diarrhea and/or vomiting: Prevention of dehydration when taken at the onset of diarrhea and/or vomiting; correction of mild to moderate dehydration during the initial phase of rehydration therapy and prevention of recurrence of dehydration if diarrhea continues after the initial correction of dehydration. Table 1 shows how to recognize signs of dehydration. If there is no sign of dehydration, patients can be safely treated at home. However, if there are signs of dehydration, a physician or health care worker should be consulted immediately for proper rehydration therapy. Click on icon to see table/diagram Prevention of Dehydration (Treatment Plan A): Direction: Dissolve 2 tabs or 1 sachet in every glass (200 mL) of drinking water. Give as much fluid as the child or adult wants until diarrhea or vomiting stops or the following guide may be used: (See Table 2.) Click on icon to see table/diagram Give other suitable fluids including plain clean water, rice water (am), vegetable or chicken soup, green coconut water (buko water), yoghurt drink, weak tea (unsweetened) and unsweetened fresh fruit juice. Continue usual feeding as tolerated: Frequent (6 times a day) small feedings are better tolerated. Continue breastfeeding. Treatment of Dehydration (Treatment Plan B): Replacement of Mild to Moderate Fluid Loss: It is best to consult a physician or health care worker for proper use of ORS solution once dehydration is noted. Direction: Dissolve 2 tabs or 1 sachet in every glass (200 mL) of of drinking water. See Table 3. Click on icon to see table/diagram The approximate volume (mL) of ORS solution to give within the first 4 hrs can also be calculated by multiplying the patient's weight (in kg) by 75 mL.


Continue breastfeeding even during the rehydration period. For infants <9 months who are not breastfed, give also -1 glass (100-200 mL) clean water during this period. After 4 hrs, re-assess the patient using the assessment chart and select the appropriate treatment plan. If there are no signs of dehydration, shift to Treatment Plan A. If signs indicating some dehydration are still present, repeat Treatment Plan B and continue to re-assess the patient frequently. If signs of severe dehydration have appeared, bring the patient to the hospital immediately for urgent IV rehydration. For this to happen is unusual, however, occurring only in children who drink ORS solution poorly and pass large amounts of watery stools frequently during the rehydration period. When rehydration is complete, skin pinch is normal, thirst subsides, urine is passed and the patient is no longer irritable. Continue usual feeding as tolerated after the initial 4-hr rehydration period. Administration Warnings Special Precautions May be taken with or without food Phenylketonurics: Hydrite contains phenylalanine, 6.96 mg/tab or sachet. Follow direction for dilution and recommended amounts of ORS solution according to weight and age of patient and intended use (prevention or treatment of dehydration) (see tables) to avoid underdosing or overdosing. Do not give ORS tablet or granules without mixing first with a suitable amount of clean drinking water. ORS may be used in severe dehydration only if IV fluid is not available. Consult a physician or health care worker if the patient, especially a child or an elderly: Starts to pass many watery stools, has repeated vomiting, becomes very thirsty, is eating or urinating poorly, develops a fever, has blood in the stool and does not get better in 3 days. None expected if recommended dilution and volume of solution to be administered are followed. Click to view ADR Monitoring Website The tablet or granules should be made into solution immediately before use. If not refrigerated, discard any remaining solution an hour after reconstitution. If refrigerated, the reconstituted solution can be kept for 24 hrs, after which, it should no longer be used. Use cool drinking water for reconstituting the tablet or granules. The reconstituted solution should never be boiled. When reconstituted, Hydrite granules give a cloudy solution; Hydrite tablets give a clear solution. Always shake or stir well before feeding. Store well-sealed packs or sachets at temperatures not exceeding 30C. Each tablet for reconstitution contains sodium chloride 350 mg, sodium bicarbonate 250 mg, potassium chloride 150 mg and glucose (anhydrous) 2 g. Hydrite tablet provides in 1 L: Sodium 90 mmol, potassium 20 mmol, chloride 80 mmol, bicarbonate 30

Adverse Drug Reactions Caution For Usage

Storage Description

mmol and glucose 111 mmol. Each sachet of Hydrite granules for solution contains sodium chloride 520 mg, potassium chloride 300 mg, trisodium citrate dihydrate 580 mg and glucose (anhydrous) 2.7 g. Hydrite (5 sachets) granules for solution provides in 1 L: Glucose (anhydrous) 75 mmol, sodium 75 mmol, chloride 65 mmol, potassium 20 mmol and citrate 10 mmol. Total Osmolarity: 245 mOsm/L. Mechanism of Action Oral rehydration salt (ORS) solution eg, Reformulated Hydrite ORS solution or Hydrite tablet, is a mixture of glucose and salts in water. Glucose found in the solution enables the intestines to absorb the water and salts more efficiently, thus preventing or treating dehydration. Clinical studies on reduced osmolarity glucose-based ORS have shown the following: In Children with Acute Non-cholera Diarrhea: Reduced stool output, reduced vomiting and reduced need for unscheduled IV therapy compared with standard WHO-ORS; safe. In Children with Cholera: At least as effective as standard ORS; safe. In Adults with Cholera: As effective as standard ORS but associated with an increased risk of transient asymptomatic hyponatremia; may be used for treatment of adults with cholera but further monitoring is required to better assess the risk, if any, of asymptomatic hyponatremia. Electrolytes A07CA - Oral rehydration salt formulations ; Used in the treatment of diarrhea. Non-Rx Tab 100's, (banana & apple) 100's. Powd for oral soln (sachet) 20's, 100's

MIMS Class ATC Classification Poison Schedule Presentation/Packing