By ULY CLINIC staff
Treatment of severe dehydration after initial management of shock
Dehydration is defined as the condition that results from excessive loss of body water. In children with severe acute malnutrition, dehydration is caused by untreated diarrhea disease which leads to the loss of water and electrolytes. Severe acute malnutrition and diarrhea disease can be the causes of each other respectively. Please see click the picture above or on the left
Reassess the child every 1-2 hours. If the hydration status is not improving, give the IV drip more rapidly.
Also give ORS solution (about 5 ml/kg/hour) as soon as the child can drink; this is usually after 3-4 hours (in infants) or 1-2 hours (in children).
Reassess after 6 hours (infants) and after 3 hours (children). Classify dehydration.
Then choose the appropriate diarrhea treatment plan (A, B, or C) to continue treatment.
If possible, observe the child for at least 6 hours after rehydration to be sure that the mother can maintain hydration by giving the child ORS solution by mouth.
Maintenance fluids
Give maintenance fluid to all sick child calculated using holliday-Seger method as shown in the table below;
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References,
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WHO. http://helid.digicollection.org/en/d/Jwho89e/8.4.10.html#Jwho89e.8.4.10. August 20.2020
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Tanzania pediatric standard treatment guideline 2017 edition page