Dehydration (peds): Difference between revisions
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==Treatment== | ==Treatment== | ||
*[[Ondansteron]] | *[[Ondansteron]] | ||
* | *For mild to moderate dehydration start with trial of oral rehydration therapy | ||
**Part of [[Choosing wisely ACEP|ACEP Choosing wisely ]] | |||
===ORS=== | ===ORS=== | ||
*Pedialyte, rehydralyte or infalyte. | *Pedialyte, rehydralyte or infalyte. | ||
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**1 tsp salt | **1 tsp salt | ||
**Can add banana or orange juice for potassium | **Can add banana or orange juice for potassium | ||
*Consider [[Fluid Repletion (IVF)]] if severely dehydrated, not tolerating oral intake or failed oral rehydration therapy | |||
==See Also== | ==See Also== | ||
Revision as of 04:05, 30 August 2015
Background
1kg body wt = to 1 liter fluid
Clinical Presentation
- Decreased urine output
- Sunken fontanelle
- Most reliable: [1]
- Abnormal capillary refill
- Abnormal respiratory pattern
- Decreased skin turgor
Differential Diagnosis
Diagnosis
Treatment
- Ondansteron
- For mild to moderate dehydration start with trial of oral rehydration therapy
- Part of ACEP Choosing wisely
ORS
- Pedialyte, rehydralyte or infalyte.
- Or, home made solution:
- 1 litre water
- 8 teaspoons sugar
- 1 tsp salt
- Can add banana or orange juice for potassium
- Consider Fluid Repletion (IVF) if severely dehydrated, not tolerating oral intake or failed oral rehydration therapy
See Also
References
- ↑ Steiner, M. J. (2004) ‘Is This Child Dehydrated?’, JAMA, 291(22), p. 2746. doi: 10.1001/jama.291.22.2746