Use patient's actual weight for computing volume required; if weighing scale is not available, follow the dosage guidelines of Glucost R.
Deficit Therapy (First 4-6 hrs):
Dissolve 2 sachets of Glucost R in 200 mL of distilled/boiled water. For higher volumes required, use proportionate number of sachets and amount of water (eg, 10 sachets of Glucost R in 1000 mL or 1 L of distilled/boiled water).
Required Volume of Glucost R Solution (to be given within 4-6 hrs): Mild Dehydration: Adults and Children:
30 mL/kg. Infants ≤2 years:
Moderate Dehydration: Children:
60 mL/kg. Infants:
If weighing scale is not available, use as guide the approximate weight in the table as follows.
Click on icon to see table/diagram/image
Dissolve 1 sachet of Glucost R in 100 mL of distilled/boiled water and cooled-down water. For higher volumes required, use proportionate number of sachets and amount of water (eg, 10 sachets in 1000 mL or 1 L of distilled/boiled water) and cooled-down water.
Required Volume of Glucost R Solution (to be given within the next 24 hrs alternately with breastmilk, cow's milk if tolerated, plain or rice water, fruit juice, tea, broth): Based on the patient's actual weight, the volume required is: Adults and Children:
60 mL/kg/day. Infants:
100 mL/kg/day. If weighing scale is not available, use as guide the approximate weight mentioned previously under Deficit Therapy. (See table.)
Use the maintenance dose to replace fluid and electrolyte losses associated with vigorous exercises and athletics.
Active Replacement Therapy:
If diarrhea persists even after deficit therapy, reconstitute Glucost R as maintenance therapy.
Required Volume of Glucost R Solution (volume to be given until the diarrhea stops, after which maintenance rehydration should be started): Practical Dosing: Adults:
200 mL for every large watery stool; Children:
100 mL; Infants:
50 mL; or as follows:
Volume of Glucost per Actual or Approximate Body Weight: Based on Frequency of Stools: If patient has 1 stool every ≥2 hrs: 100-200 mL/kg/body weight (5-10 mL/kg/hr); if frequency is >1 stool every 2 hrs (severe diarrhea): 15 mL/kg/hr; if after several hrs severe diarrhea persists: 10 mL/kg/hr by IV route and IV solution, 20 mL/kg/hr orally.
Based on Weight Loss (if weight is being monitored): Weight loss (eg, 250 g): Fluids loss (250 mL) = 250 mL of Glucost R solution to be given within 2 hrs of weight loss detection.
To replenish water and electrolyte losses at the onset of diarrhea, follow direction and dosage as in Active Replacement Therapy.