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]]
*Mild to moderate dehydration: start with trial of [[oral rehydration therapy]]
**Part of [[Choosing wisely ACEP|ACEP Choosing wisely ]]
**Part of [[Choosing wisely ACEP|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)]] only 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



Revision as of 05:52, 15 May 2016

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

See Also

References

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