By G. J. Ebrahim (auth.)
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Additional resources for A Handbook of Tropical Paediatrics
25 Ribofl. 0 Vito C (mg) Not taking accou nt of 2nd helping. e. assuming not eating lunch, supper or paw paw. Made with dried skimmed milk, casilan sugar and oil. Remarks 65 500 13 Iron (mg) 15 400 2850 2150 70 M. g. g. ) Soya beans Groundnuts Cereals Dally Requirement FOOD SOURCE and approximate nutritive value (In units given below each nutrient in col. 1) Child per 100 9 (3t oz) of edible portion F. g. ground nuts, cashew Sesame, sunflower Liver, heart, kidney Milk powder Dark green leaves Mid-green leaves Carrots Pumpkins Mangos Paw paws Cooking bananas Sweet potatoes Jak fruit Yellow maize Daily Requirement FOOD SOURCE and approximate nutritive value (in units given below each nutrient in col.
POST-OPERATIVE PHASE In the immediate post-operative phase, there will be a period of antidiuresis dependent upon the length of anaesthesia. During th is phase water and sodium retention may occur. Later, excessive urinary excretion of nitrogen and potassium occurs. In addition, there may be further losses from gastric aspiration, ileostomy, etc. In the early post-operative period, 1/5th normal saline in dextrose should be continued as a slow drip - 4-5 drops per minute. When urine flow is established Hartman's solution should be substituted.
F. is purulent a smear should be made for gram staining to see whether the infecting organism is gram positive or negative. F. is clear, it should be examined by Pandy's test, by gram staining, and for the presence of acid-fast bacilli. Treatment is begun by control of convulsions. Intravenous drip of dextrose in N/5 saline is set up to provide 50 cc/lb body weight in twenty-four hours. F. has been found to be gram negative. (1) For meningitis due to gram + ve organism: (a) Penicillin - intravenous 1 million units 12 hourly for first two days.