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

Main Article Content

Hernawan Hernawan
Sunoto Sunoto
Titut S. Pusponegoro
Suharjono Suharjono

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 ¼ 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).

Article Details

How to Cite
1.
Hernawan H, Sunoto S, Pusponegoro T, Suharjono S. Treatment of Acute Infantile Gastroenteritis Dehydration Acidosis with Ringer’s Lactate and Glucose-Electrolyte Solution. PI [Internet]. 13Jun.2017 [cited 12Aug.2020];18(3-4):83-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1465
Section
Articles
Received 2017-05-31
Accepted 2017-05-31
Published 2017-06-13

References

ABRAHAM, S.C.E. and TAN, G.S.G. : Gastroenteritis of infancy. Editorial Medical Progress, July, 1974.

BIDDULPH, J, : Standardized Management of diarrhoea in young children. Paediatr. Indones. 11 : 37 (1972).

BROTOWASISTO : - Surveillance in Gastroenteritis. - Programme of Rehydration in Indonesia. Seminar on Rehydration, Jakarta, August 26-29, 1974.

HARRIS, F. : In Paediatric Fluid Therapy. p. 39 (Blackwell Sci. Publ., Oxford/London/Edinburg/Melbourne, 1972).

IRONSIDE, A.G., TUXFORD, A.F. and HEYWORTH, B. : A survey of Infantile gastroenteritis. Br. med. J. 3:20 (1970).

LUDAN, A.C. and J. DELMUNDO : The Efficacy of Oral Electrolyte fluid in the therapy of diarrhoea. J. Philipp. Med. Ass. 49 : 243 (1973).

MAHALANABIS, D., BRAYTON, J.B., MONDAL, A. and PIERCE, N.F.: The use of Ringer's lactate in the treatment of children with cholera and acute non cholera diarrhoea. Bull. Wld. Hlth. Org. 46 : 311.319 (1972).

NARUKA, O.S., USHA SHARMA and S. SAXENA : A Clinical Profile of Diarrhoea in Infancy and Childhood. A study of 200 cases. Indian J. Pediatr. 41 : 374 (1974).

ORTIZ, A. : Acute infantile diarrhoeal. Disease. Arch. Dis. Childh. 16 : :121 (1974).

ROHDE, J.E. : Rehydration in the Field. Seminar on Rehydration, Jakarta, August 26-29, 1974.

SANTHANA KRISHNAN, B.R., .G. KUMARESAN and V. BALAGOPALA RAJU : Fluid therapy in infants and children with acute gastroenteritis and dehydration. Indian Pediatr. 11 : 345 (1974).

SANTHANA KRISHNAN, K. DEENA DAYULU and V.B. RAJU : The role of Oral Electrolyte iri the management of Acute Gastroenteritis in Non-Hospitalized children. Indian Pediatr. 11 : 351 (1974).

SUNOTO : - Pathogenesis and patofisiologi daripada diare. - Aspek bakteriologik dartpada diare. Seminar Rehidrasi, Jakarta 26-29 Agustus, 1974.

SUNOTO, TITUT S. PUSPONEGORO, SUSILO SURACHMAD and W.R. SANBORN : Treatment of Acute Infantile Gastroenteritis.· Presented at the Vth Asian Pacific Congress of Gastroenterology, Singapore 23-27 May 1976.

SUTOTO, DACHLAN, A.M, TB. BAGDADIJI dan HENTY ANTO HENDARDJI : Angka kematian penderita gastroenteritis dehidrasi pada bayi dan anak selama 3 tahun (1971-1973) di Bagian Ilmu Kesehatan Anak FKUI/RSCM Jakarta. Seminar Rehidrasi, ·Jakarta 26-29 Agustus 1974.

TUMBELAKA, W.A.F.J. : Enteritis dehidrasi pada anak. Proceeding naskah lengkap KPPIK - FKUI ke-Y hal. 505 (1965).

WALKER - SMITH, J. : Gastroenteritis. Austr. med. J. 1 : 329-332 (1972).