Dehydration (peds): Difference between revisions

Revision as of 07:20, 1 May 2015

1kg body wt = to 1 liter fluid

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

Authors:

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-==Fluid Requirements==
+==Background==
-*4-2-1 Rule (insensible losses only)
+kg body wt = to 1 liter fluid
-**For 0-10kg: 4 mL/kg/hr
-**For 10-20kg: + 2 mL/kg/hr
-**For >20kg: + 1 mL/kg/hr
-*Sodium
-**3 mEq/kg/d
-*Potassium
-**2 mEq/kg/d
-==Treatment==
+==Clinical Presentation==
-kg 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.
+==Differential Diagnosis==
-Home made solns:
+==Diagnosis==
-- 1 litre water
+==Treatment==
+*[[Ondansterone]]
-- 8 teaspoons sugar
+*Consider [[Fluid Repletion (IVF)]]
-- 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.
+===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
-If fail, do IVF at 30- 40 cc/kg at minimum- replaces 3- 4% body wt
+==See Also==
+*[[Fluid Repletion (IVF)]]
 ==Source==
-/06 MISTRY
 [[Category:Peds]]