Gastroenterology Book

http://www.fpnotebook.com/

Pediatric Diarrhea Fluid Replacement

Aka: Pediatric Diarrhea Fluid Replacement
Advertisement
  1. See Also
    1. Oral Rehydration Solution
    2. Pediatric Dehydration
    3. Diarrhea in Children
    4. Diarrhea Management in Children
    5. Management of Moderate Diarrhea under age 2 years
    6. Management of Mild Diarrhea under age 2 years
  2. Management: Phase 1 Rehydration Fluids
    1. Oral Rehydration Solution (ORS) with 50-90 meq/L Sodium
      1. Mild Dehydration: ORS 50 ml/kg over 4-6 hours
      2. Moderate Dehydration: ORS 100 ml/kg over 4-6 hours
      3. Severe Dehydration: See Pediatric Dehydration
    2. Vomiting
      1. Small feeds of 5ml q2-5 min by tsp or oral syringe
  3. Management: Phase 2 Maintenance Fluids
    1. Oral Rehydration with 40-60 meq/L Sodium
      1. May alternate formula and Oral Rehydration Solution
    2. Calculating maintenance replacement
      1. Base: 150 ml/kg/day
      2. Add ongoing loss of Diarrhea stools
        1. Method 1: 10 ml/kg per stool or
        2. Method 2: 1/2 to 1 cup ORS per stool

Navigation Tree