Treatment of Acute Infantile Gastroenteritis Dehydration Acidosis with Ringer's Lactate and Glucose-Electrolyte Solution

Hernawan Hernawan; Sunoto Sunoto; Titut S. Pusponegoro; Suharjono Suharjono

doi:10.14238/pi18.3-4.1978.83-90

Hernawan Hernawan Department of Child Health, Medical School, University of Indonesia, Jakarta.
Sunoto Sunoto Department of Child Health, Medical School, University of Indonesia, Jakarta.
Titut S. Pusponegoro Department of Child Health, Medical School, University of Indonesia, Jakarta.
Suharjono Suharjono Department of Child Health, Medical School, University of Indonesia, Jakarta.

DOI: https://doi.org/10.14238/pi18.3-4.1978.83-90

Keywords: gastroenteritis, dehydration, acidosis, ringer's lactate, glucose-electrolyte solution

Abstract

Fifty patients hospitalized with severe gastroenteritis - dehydration with acidosis were investigated. The age average was 8 months with the range of 1-18 months. The amount of the Ringer's lactate solution given was as follows:

1st hour : 30 ml/kg b.w.
the following 7 hours: 70 ml/kg b.w. or 10 ml/kg b.w./hour.

After 8 hours on parenteral treatment, the child was given oral solution, either glucose-electrolyte solution or milk formula in Â¼ dilution. The mortality rate was 6% (3 out of 50 patients) i.e. one due to seizures suspected encephalitis, one due to potasium deficiency (K = 2.1 mEq/l) and the third due to dehydration itself because the child was admitted already in a moribund stage (subvinum vitae).

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