Copyright
©The Author(s) 2000.
World J Gastroenterol. Aug 15, 2000; 6(4): 497-500
Published online Aug 15, 2000. doi: 10.3748/wjg.v6.i4.497
Published online Aug 15, 2000. doi: 10.3748/wjg.v6.i4.497
1. Look at: | Conditiona | Well, alert | Restless, irritable | *Lethargic or unconscious; floppy* |
Eyesb | Normal | Sunken | Very sunken and dry | |
Tears | Present | Absent | Absent | |
Mouth and tonguec | Moist | Dry | Very dry | |
Thirst | Drinks normally, not thristy | *Thirsty, drinks eagerly* | *Drinks poorly, or not able to drink* | |
2. Feel: | Skin pinchd | Goes back quickly | *Goes back slowly | **Goes back very slowly* |
3. Decide: | The patient has no signs of | If the patient has two or more signs, including | If the patient has two or more signs, | |
dehydration | at least one *sign*, there is some dehydration | including at least one *sign* , there is | ||
severe dehydration | ||||
4. Treat: | Use Treatment Plan A | Weigh the patient, if possible, and use | Weigh the patient and use Treatment | |
Treatment Plan B | Plan C urgently |
Approximate amount of ORS solution to give in the first 4 h | |||||
Agea | Less than 4 months | 4-11 months | 12-23 months | 2-4 years | 5-14 years |
Weight: | Less than 5 kg | 5-7.9 kg | 8-10.9 kg | 11-15.9 kg | 16-29.9 kg |
In mL | 200-400 | 400-600 | 600-800 | 800-1200 | 1200-2200 |
In local measure |
·Start IV fluids immediately. If the patient can drink, give ORS by mouth until the drip is set up. Give 100 mL/kg Ringer’s Lactate Solutiona divided as follows: | ||
Age | Fisst give 30 mL/kg in: | Then give 70 mL/kg in: |
Infants (under 12 months) | 1 hb | 5 h |
Older | 30 minb | 2.5 h |
·Reassess the patient every hour. If hydration is not improving, give the IV drip more rapidly. | ||
·After 6 h (infants) or three hours (older patients), evaluate the patient using the assessment chart. Then choose the appropriate Treatment Plan (A,B or C) to continue treatment. |
- Citation: Bhattacharya S. Therapeutic methods for diarrhea in children. World J Gastroenterol 2000; 6(4): 497-500
- URL: https://www.wjgnet.com/1007-9327/full/v6/i4/497.htm
- DOI: https://dx.doi.org/10.3748/wjg.v6.i4.497