Oral Rehydration Solution (ORS) Recipes

Below are some recipes for oral rehydration solutions. Patients who have a working colon, might consider adding soluble fiber such as
Benefiber into their ORS to boost the amount of fluid and electrolytes absorbed. Start with 1 tablespoon per day and increase as tolerated.


Homemade ORS with Orange Juice

Shared by Maryann King, MPH, RD, CNSD, (Philadelphia)  

-          ½ tsp salt

-          ½ tsp baking soda

-          8 tsp sugar

-          1 cup unsweetened orange juice without pulp

-          1 liter of water (4 1/2 cups)

 

Contains 90 Eq Sodium, 13 mEq K, 80 mEq Chloride, 20 grams of glucose, 30 mEq citrate (235 mosm)


Beverage or Juice Based ORS Recipes

Shared by Laura Matarese, PhD, RD, CNSD University of Pittsburgh Medical Center. Reference: Parrish, C. Pract Gastroenterol 2005; 14:67

 

Gatorade® Base

-    2 cups Gatorade
(any flavor)

-    2 cups water

-    ½ tsp salt

Grape or Cranberry Juice Base

-    ½ cup juice

-    3 ½ cups water

-    ½ tsp salt

Apple Juice Base

-    1 cup apple juice

-    3 cups water

-    ½ tsp salt

Randy’s Rehydration Drink

-    ¾ tsp salt

-    1 tbsp + 1 tsp sugar

-    2 cups Sprite Zero™

-    1 envelope of orange or lemon sugar-free drink flavoring mix (for 2 cups)

 


World Health Organization ORS Recipe

Shared by Darlene Kelly, MD and Joe Nadeau, RPh

This recipe is best when chilled in refrigerator.

Ingredients:

-          3/8 tsp salt (sodium chloride)

-          ¼ tsp Morton® Salt Substitute® (potassium chloride)

-          ½ tsp baking soda (sodium bicarbonate)

-          2 tbsp + 2 tsp sugar (sucrose)

-          Add tap water  to make one (1) liter

-          Optional: Nutrasweet® or Splenda® based flavoring of choice, to taste


Directions:

1.      Add the dry ingredients to a 1 liter bottle.

2.      Add enough water to make a final volume of 1 liter; mix well.

3.      If desired, add Nutrasweet® or Splenda® based flavoring, to taste. Mix well.

4.      Sip as directed by your physician.

5.      Discard after 24 hours.    

Contains 27 grams of sucrose, 70 mEq per liter of sodium, 20 mEq per liter of potassium and 30 mEq per liter of bicarbonate. The final osmolarity is approximately 245 mOsm per liter.


Commercial ORS Products (list not inclusive)

§         Ceralyte™ 90 - 1 liter contains 90mEq sodium, 20mEq Potassium, 98mEq Chloride, 30mEq Citrate, 235mOsm, 40 gm Glucose - (Mention you are an Oley member to receive a 15% discount)

§         Jianas Brothers™ WHO packet - 1 liter contains 90mEq Sodium, 20 mEq Potassium, 20 gm Glucose, 330 mOsm

§         Pedialyte™ Abbott Nutrition - 1 liter contains 45 mEq Sodium, 20mEq Potassium, 25 gm Glucose, 250mOsm (can add ¼ tsp sodium chloride to increase sodium to 90 mEq)

 

updated September 12, 2013