Quereshi, Umar ABhat, Javeed IAli, Syed WMir, Abid AKambay, Altaf HBhat, Imtiyaz N2012-10-302012-10-302010-06Quereshi 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.http://imsear.searo.who.int/handle/123456789/142605The 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.enOral rehydration solutionHypernatremiaAdministration, OralDiarrhea, Infantile --therapyFatal OutcomeHumansHypernatremia --etiologyInfantMaleSaline Solution, Hypertonic --administration & dosageSaline Solution, Hypertonic --adverse effectsSaline Solution, Hypertonic --poisoningSodium Chloride --administration & dosageSodium Chloride --adverse effectsSodium Chloride --poisoningTreatment OutcomeArticle