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    803302

    Hyperkalaemia and UNICEF type rehydration solutions. [Letter]

    Kahn A; Blum D

    Lancet. 1980 May 17; 1(8177):1082.

    This letter reports rehydration of 7 infants by an oral solution similar to the UNICEF formulation. This solution contained: sodium chloride (3.5 gm), sodium bicarbonate (2.5 gm), potassium chloride (1.5 gm), and glucose (20 gm) dissolved in 1 liter of potable water. When admitted, 2 patients were hypernatremic and 5 had normal sodium levels. All children were well-nourished. They were given the oral glucose-electrolyte solution at admission, and in all cases treatment had to be interrupted after a mean period of 41+ or -9 hours due to high levels of potassium in 6 cases and aggravation of preexisting hypernatremia in the other. Average oral volume was 140 ml/kg. It is recommended that well-nourished children be given the UNICEF oral therapy formulation for no more than 24 hours, since potassium loading seems probable.
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