The document provides guidelines for treating no or mild dehydration from diarrhea. For no dehydration, it recommends giving fluids and food at home, including oral rehydration solution, food-based fluids, or clean water. For some dehydration, it recommends rehydration therapy including oral rehydration solution and continuing breastfeeding, as well as advising the mother when to return immediately. It also provides details on replacement of fluid loss and the composition of oral rehydration therapy.
The document provides guidelines for treating no or mild dehydration from diarrhea. For no dehydration, it recommends giving fluids and food at home, including oral rehydration solution, food-based fluids, or clean water. For some dehydration, it recommends rehydration therapy including oral rehydration solution and continuing breastfeeding, as well as advising the mother when to return immediately. It also provides details on replacement of fluid loss and the composition of oral rehydration therapy.
The document provides guidelines for treating no or mild dehydration from diarrhea. For no dehydration, it recommends giving fluids and food at home, including oral rehydration solution, food-based fluids, or clean water. For some dehydration, it recommends rehydration therapy including oral rehydration solution and continuing breastfeeding, as well as advising the mother when to return immediately. It also provides details on replacement of fluid loss and the composition of oral rehydration therapy.
DEHYDRATION at home (PLAN A) ◆ If child not exclusively breastfeed: ORS solution, food-based fluids, or clean water ◆ 2 years and more: 100-200ml after each loose stool and between them ◆ Zinc: 6 months or more: 1 tablet per day for full 14 days ➔ Advise mother when to return immediately ➔ Follow-up in 5 days if not improving WHO Nelson’s WHO SOME REHYDRATION THERAPY ➔ Give fluid, zinc supplements and DEHYDRATION food (PLAN B) ➔ ORS: 50-100 mL/kg over 3-4hrs ◆ Age 2-5 y/o: 900-1400 mL/kg ➔ Continue Breastfeeding or Child’s weight (kg) x 75 ➔ AFter 4 hours, give food every 3-4 ➔ Advise mother when to return hours for those who normally receive immediately solid food ➔ Follow-up in 5 days if not improving ➔ If confirmed/ symptomatic HIV, follow REPLACEMENT OF LOSS DURING MAINTENANCE up in 2 days if not improving ➔ <10KG BODY WEIGHT: 50ml ORS for ORAL REHYDRATION THERAPY each diarrheal stool or vomiting episodes up to ~500mL/day ➔ 75 mEq Na+ ➔ >10KG BODY WEIGHT: 100-200ml for ➔ 64 mEq Cl- each diarrheal stool or vomiting episode; ➔ 20 mEq K+ up to 1L/day ➔ 75 mmol/L Glucose = 245 mOsm/L total WHO