Dehydration (peds)
Revisión del 04:05 30 ago 2015 de Kghaffarian (discusión | contribs.) (added choosing wisely, reorded therapies)
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
- Ondansteron
- For mild to moderate dehydration start with trial of oral rehydration therapy
- Part of 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) if severely dehydrated, not tolerating oral intake or failed oral rehydration therapy
See Also
References
- ↑ Steiner, M. J. (2004) ‘Is This Child Dehydrated?’, JAMA, 291(22), p. 2746. doi: 10.1001/jama.291.22.2746