Cholera today: bedside evaluation and treatment
Southeast Asia Treaty Organization. Cholera Research Program
National Institutes of Health (U.S.)
United States. Agency for International Development
National Medical Audiovisual Center.
Atlanta : National Medical Audiovisual Center, 
Cholera -- diagnosis
See catalog record: 7600648A
This program shows and explains a systematic method for evaluating and treating cholera patients in the Pakistan-SEATO (Southeast Asia Treaty Organization) Cholera Research Laboratory in Dacca, East Pakistan (now Bangladesh). When patients enter this facility, they are weighed to judge the amount of fluid needed. They are placed on cholera cots and rapidly evaluated. Patients with cholera are presented to aid in the visualization of the clinical manifestations of this disease. The primary goal of treatment is the prompt restoration of lost fluids and salts. In severely dehydrated patients, intravenous infusion of fluids is initiated. Venipuncture techniques for adults and children are briefly described. The rate of infusion as well as the composition of intravenous solution, namely 5 grams per liter of NaCl, 4 grams of NaHCO3, and 1 gram of KCl is detailed. Criteria for discontinuing intravenous therapy and for administering oral fluids as the sole means of restoring fluids are also included. The composition of the oral solution in grams per liter is NaCl 4.2 grams, NaHCO3 4.0 grams, KCl 1.8 grams, and glucose 20.0 grams. Tetracycline or furazolidone is given to stop the diarrhea. Rectal swabs are taken to confirm the diagnosis and to provide accurate public health reporting.