Diarrhea Prevention Steps in Children
Fluid Therapy in Diarrhea :
1. How do you give fluid therapy in diarrhoea?
PLAN A - TO PREVENT DEHYDRATION
Provide normal daily fluid requirements.
Breast milk or full strngth animal or formula milk.
Semisolid food if eaten by child.
|Replace ongoing losses.|
|Home available fluids- plain water,lemon water,curd water, coconut water,rice kanji, dal without salt. These fluids along with food provide ORT.|
|Avoid aerated drinks, tea or plain glucose water without salt as it may cause osmotic diarrhoea.|
Salt Sugar Solution
A finger pinch of salt plus 1 teaspoon of sugar in a glass of water.
2. How much to give?
|Less than 24 mths of age:- 50-100 ml per loose stool|
|2-10 years of age:- 100-200 ml per loose stool|
|More than 10 years of age:- as much as required|
3. How to give?
One teaspoon every 1-2 mins for child less than 2 years and frequent sips
from cup for older children. If the child vomits, wait for 10 mins and give slowly.
4. What are the DANGER SIGNS?
|Many water stools|
|Eating or drinking poorly|
|Fever - high grade|
|Blood in the stool|
PLAN B- REHYDRATION THERAPY IN A CHILD WITH SOME DEHYDRATION
|75 ml per kg body weight ORS in 1st 4 hrs and then reasess.|
|In children less than 6 months, give 100-200 ml water if not breast-fed.|
|ORS is effective in 95% cases.|
5. When is it not effective?
|High rate of purging > 15 ml /kg /hr|
|Incorrect administration or preparation of ORS|
|Abdominal distension and ileus|
PLAN C - SEVERELY DEHYDRATED CHILDREN
Ringer lactate or Normal saline given Intravenously 100 ml /kg
|1st 30 ml /kg||over 1 hr in child <12 months|
|over 30 mins in child > 12 months|
|2nd 70 ml/ kg||over 5 hrs in child <12mths|
|over 2 1/2 hrs in child>12mths|
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