Dehydration (peds): Difference between revisions
(Created page with "==Treatment== 1kg body wt = to 1 liter flluid Oral rehydration soln should contain 60- 90 meq of Na and 2% dextrose. Can use pedialyte, rehydralyte or infalyte. Home ma...") |
No edit summary |
||
| Line 1: | Line 1: | ||
==Treatment== | ==Treatment== | ||
1kg body wt = to 1 liter flluid | 1kg body wt = to 1 liter flluid | ||
Oral rehydration soln should contain 60- 90 meq of Na and 2% dextrose. Can use pedialyte, rehydralyte or infalyte. | Oral rehydration soln should contain 60- 90 meq of Na and 2% dextrose. Can use pedialyte, rehydralyte or infalyte. | ||
Home made solns: | Home made solns: | ||
| Line 31: | Line 25: | ||
- for mod to severe dehydration, do 100cc/kg over 3- 4hrs | - for mod to severe dehydration, do 100cc/kg over 3- 4hrs | ||
Can do ngt if refuses to take po's- 150 cc/ hr. If not vomiting can infuse faster at 25cc/kg/hr. | Can do ngt if refuses to take po's- 150 cc/ hr. If not vomiting can infuse faster at 25cc/kg/hr. | ||
If fail, do IVF at 30- 40 cc/kg at minimum- replaces 3- 4% body wt | If fail, do IVF at 30- 40 cc/kg at minimum- replaces 3- 4% body wt | ||
==Source== | ==Source== | ||
6/06 MISTRY | 6/06 MISTRY | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 06:37, 6 June 2011
Treatment
1kg body wt = to 1 liter flluid
Oral rehydration soln should contain 60- 90 meq of Na and 2% dextrose. Can use pedialyte, rehydralyte or infalyte.
Home made solns:
- 1 litre water
- 8 teaspoons sugar
- 1 tsp salt
- can add banana or orange juice for potassium
- give Xcc q 5min
- if vomit, wait 10 min and do again
- try to achieve 50cc/kg over 3- 4 hr for mild- mod dehydration
- if diarrheal stool, add 10cc/kg extra
- for mod to severe dehydration, do 100cc/kg over 3- 4hrs
Can do ngt if refuses to take po's- 150 cc/ hr. If not vomiting can infuse faster at 25cc/kg/hr.
If fail, do IVF at 30- 40 cc/kg at minimum- replaces 3- 4% body wt
Source
6/06 MISTRY