Acute salt poisoning due to different oral rehydration solution (ORS) packet sizes.

Abstract
The packing and composition of ORS has undergone a change since its introduction. In India, some companies are manufacturing smaller pouches (4.2 g) to be dissolved in 200 ml of water. Therefore, out of confusion some prescribers routinely advise the patients to dissolve the standard formulation ORS pouch (21 g) in a glass (200 ml) of water. Two cases are discussed. First patient developed salt poisoning due to improper dilution and recovered after rapid correction. In the second patient improper reconstitution led to hypernatremia and death.
Description
Keywords
Oral rehydration solution, Hypernatremia
Citation
Quereshi Umar A, Bhat Javeed I, Ali Syed W, Mir Abid A, Kambay Altaf H, Bhat Imtiyaz N. Acute salt poisoning due to different oral rehydration solution (ORS) packet sizes. Indian Journal of Pediatrics. 2010 June; 77(6): 679-680.