Dehydration (peds): Difference between revisions

(added choosing wisely, reorded therapies)
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**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
*Consider [[Fluid Repletion (IVF)]] only if severely dehydrated, not tolerating oral intake or failed oral rehydration therapy


==See Also==
==See Also==

Revision as of 22:57, 4 September 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

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) only if severely dehydrated, not tolerating oral intake or failed oral rehydration therapy

See Also

References

  1. Steiner, M. J. (2004) ‘Is This Child Dehydrated?’, JAMA, 291(22), p. 2746. doi: 10.1001/jama.291.22.2746