Dehydration (peds): Difference between revisions
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*[[Ondansteron]] for [[vomiting]] | *[[Ondansteron]] for [[vomiting]] | ||
*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]] | ||
**Provide ORS solution (e.g. Pedialyte) at 50 to 100 mL/kg over 2-4 hours in small doses q5min | |||
**If the child vomits, wait 15 minutes then try again | |||
**Provide additional ORS to replace ongoing GI losses | |||
*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 00:59, 19 November 2020
This page is for pediatric patients. For adult patients, see: dehydration
Background
1kg body wt = to 1 liter fluid
Clinical Features
- Decreased urine output
- Sunken fontanelle
- Most reliable: [1]
- Abnormal capillary refill
- Abnormal respiratory pattern
- Decreased skin turgor
Differential Diagnosis
Evaluation
Management
- Ondansteron for vomiting
- Mild to moderate dehydration: start with trial of oral rehydration therapy
- Part of ACEP Choosing wisely
- Provide ORS solution (e.g. Pedialyte) at 50 to 100 mL/kg over 2-4 hours in small doses q5min
- If the child vomits, wait 15 minutes then try again
- Provide additional ORS to replace ongoing GI losses
- Consider Fluid Repletion (IVF) only if severely dehydrated, not tolerating oral intake or failed oral rehydration therapy
See Also
External Links
References
- ↑ Steiner, M. J. (2004) ‘Is This Child Dehydrated?’, JAMA, 291(22), p. 2746. doi: 10.1001/jama.291.22.2746