What does ReSoMal stand for?

Abbreviations: ORS (Oral rehydration solution), ReSoMaL (Oral rehydration solution for malnourished children), WHO (World Health Organization) Severe malnutrition remains an important cause of childhood mortality in developing countries.

What is the meaning of ReSoMal?

ReSoMal is a powder

✓ For the preparation of an Oral Rehydration Solution (ORS) ReSoMal is used for the preparation of an oral rehydration solution (ORS) exclusively for people suffering from severe acute malnutrition.

What is the difference between ORS and ReSoMal?

At that time WHO guidance advised that children with SAM should be given a modified version of oral rehydration solution (ORS) called ReSoMal (rehydration solution for malnutrition), which has lower sodium, higher potassium and glucose and lower osmolarity than Old WHO ORS ( Table 2) ^{5, 6}.

Why is ReSoMal preferred in malnutrition?

The attraction of RESOMAL is that it is much easier to handle, hence its great success in emergency situations. Other advantages of RESOMAL are that it has additional sugar and Magnesium, Zinc and Copper.

How do you prepare ReSoMal for malnutrition?

1. Add two pkts of ORS in 2 litres of water (instead of 1 litre)
2. Add 50gm ( 10 rounded 5mls teaspoon of sugar)
3. Add 3 vials of the 10 ml vial of 15% KCL (20mmol/10ml) in the 2 liters.

ORS - Oral Rehydration Salt | ReSoMal | Reduced osmolarity ORS, Homemade ORS

How is Resomal given?

Child and adult: 5 ml/kg every 30 minutes over the first 2 hours, then 5 to 10 ml/kg/hour for the next 4 to 10 hours, until dehydration is corrected.

What is the difference between f75 and F100?

F-75 contains 75 kcal and 0.9 g protein per 100 ml. As soon as the child is stabilized on F-75, F-100 is used as a "catch-up" formula to rebuild wasted tissues. F-100 contains more calories and protein: 100 kcal and 2.9g protein per 100 ml.

How do you dilute ReSoMal?

ReSoMal (ORS for severely malnourished children), 42g sachet to be diluted in 1 litre of purified/boiled and cooled water, carton of 100 sachets.

How do you get F-75?

Preparation of F75 therapeutic milk using the red NUTRISET scoop: Mix one level measuring scoopful of Nutriset F-75 therapeutic milk powder in with 20 ml of water. This dilution is only valid for F75.

What is F-75 in nutrition?

F-75 is considered the "starter" formula, and F-100 the "catch-up" formula. The designations mean that the product contains respectively 75 and 100 kcals per 100 ml. Both are very high in energy, fat, and protein, and provide a large amount of nutrients.

What is F100 milk?

The World Health Organization recommends a liquid, milk-based diet (F100) during the rehabilitation phase of the treatment of severe malnutrition. A dry, solid, ready-to-use food (RTUF) that can be eaten without adding water has been proposed to eliminate the risk of bacterial contamination from added water.

Why ORS is not given in diarrhea?

ORS does not stop diarrhoea. It prevents the body from drying up. The diarrhoea will stop by itself. If child vomits, wait ten minutes and give it ORS again.

Who malnutrition 10 steps?

10 steps of routine care

• Treat/ prevent hypoglycaemia. Treat hypoglycaemia with glucose immediately. ...
• Treat/prevent hypothermia. ...
• Treat/prevent dehydration. ...
• Correct electrolyte imbalance. ...
• Treat/prevent infection. ...
• Correct micronutrient deficiencies. ...
• Start cautious feeding. ...
• Achieve catch-up growth.

WHO ORS content?

For more than two decades, the World Health Organization (WHO) has recommended the standard formulation of glucose‐based ORS with 90 mmol/L of sodium and 111 mmol/L of glucose and a total osmolarity of 311 mmol/L.

How do you feed a severely malnourished child?

Treating malnutrition

1. Eat 'little and often' – 3 small meals a day with 2-3 snacks in-between meals.
2. Include protein at each meal such as meat, fish, chicken, eggs, beans or lentils.
3. Avoid low fat, sugar-free, diet foods and drinks for example skimmed milk.

Why don't we give iron in malnutrition?

7.4.

All severely malnourished children have vitamin and mineral deficiencies. Although anaemia is common, do not give iron initially, but wait until the child has a good appetite and starts gaining weight (usually in the second week), because iron can make infections worse.

How is chronic malnutrition treated?

Treatment may involve:

1. dietary changes, such as eating foods high in energy and nutrients.
2. support for families to help them manage factors affecting the child's nutritional intake.
3. treatment for any underlying medical conditions causing malnutrition.
4. vitamin and mineral supplements.

Why glucose is added in oral rehydration therapy?

Even though the person may still be experiencing diarrhea, ORT works to replenish the body in two ways: sugar or glucose makes the absorption of salt into the intestine more efficient, and salt promotes water's absorption into the intestinal walls.

How is severe malnutrition treated in adults?

In most patients with malnutrition the intake of protein, carbohydrates, water, minerals and vitamins need to be gradually increased. Supplements of vitamins and minerals are often advised. Those with protein energy malnutrition may need to take protein bars or supplements for correction of the deficiency.

What is the difference between Iycf and Cmam?

“Integration of IYCF Support in CMAM” has been developed to train health care personnel and community health workers in the integration of recommended infant and young child feeding (IYCF) practices within CMAM in order to enable them to support mothers/caregivers.

When do we give F-75 and F-100?

If the child has severe wasting and/or oedema it is best to be cautious and start with F75. The signs for readiness for transition from F75 to F100 are that the child is very hungry, reduced/minimal oedema, and the child has been tolerating F75 well with little watery diarrhoea.

What is the indication of IV fluid in acute severe malnutrition?

the only indication for intravenous infusion in a child with severe acute malnutrition is circulatory collapse caused by severe dehydration or septic shock when the child is lethargic or unconscious (excluding cardiogenic shock);

How do you manage dehydration in malnutrition?

1. Children with severe acute malnutrition who present with some dehydration or severe dehydration but who are not shocked should be rehydrated slowly, either orally or by nasogastric tube, using oral rehydration solution ORS (5–10 mL/kg/h up to a maximum of 12 h).