Dehydration (peds): Difference between revisions
ClaireLewis (talk | contribs) No edit summary |
ClaireLewis (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
1kg body wt = to 1 liter fluid | 1kg body wt = to 1 liter fluid | ||
| Line 16: | Line 15: | ||
==Management== | ==Management== | ||
*[[Ondansteron]] | *[[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 ]] | ||
Revision as of 18:51, 14 September 2019
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
- 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