ReSoMal,42g sachet for 1 litre/CAR-100

General description:
ReSoMal (Rehydration solution for severely malnourished children) 42 g powder for solution in a sachet to be diluted in 1 litre of purified/boiled and cooled water, carton of 100 sachets, including patient information leaflet/directions for use.

Technical specifications:
Mixture of glucose, electrolytes and minerals, dry, homogenously powdered, packed in hermetically sealed, laminated sachets, each sachet contains 42 g of powder.
Composition:
Glucose125 mmol/L
Sodium45 mmol/L
Potassium40 mmol/L
Chloride70 mmol/L
Citrate7 mmol/L
Magnesium3 mmol/L
Zinc0.3 mmol/L
Copper0.045 mmol/L
Osmolarity of prepared solution:300 mmol/L

Indication:
Treatment of dehydration in severely malnourished children.

Target population:
Children 6-59 months old suffering from Dehydration AND Severe Acute Malnutrition
**Should not be used for cholera patients. **

Dosage, Instructions for use:
ReSoMal is a powder for preparation of oral solution for treatment of dehydration in children with Severe Acute Malnutrition (SAM.)
ReSoMal must be used only after dehydration in SAM children is carefully assessed, based on medical history and clinical signs and ONLY in Inpatient facilities under medical supervision with strict monitoring.

The use of ReSoMal should be stopped if:
— The respiratory and pulse rates increase;
— The jugular veins become engorged; or
— There is an increasing oedema (e.g. puffy eyelids).
The assessment of need for rehydration with ReSoMaL and monitoring during treatment, as well as dosage should be done strictly according to national guidelines for the management of severe acute malnutrition, WHO 1999 Management of Severe Malnutrition: a manual for physicians and other senior health workers or WHO 2013 Guideline Updates on the management of severe acute malnutrition in infants and children.
ReSoMaL should never be freely available for caretakes to give it to their children whenever they have a loose stool as this practice is dangerous and may seriously worsen child’s medical condition.

Shelf life:
36 months

Storage conditions:
Do not store above 30 C.
**Once prepared, the solution should be used within 24 hours. **

Emergency Item:
Yes
This Material is part of the Emergency Supply List for Nutrition.