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Dehydration correction
Author:
Pediatric Oncall
Question
A 1-year-old girl presented with fever, vomiting, and diarrhea for one day. She is on bottle feeds for 6 months, is immunized to date. On examination, she was dehydrated, had dry mucosa, delayed skin turgor, tachycardia (pulse = 140/min), hypotension (BP = 70/40 mm of Hg) with poor perfusion. Other systems were normal. She was treated as viral diarrhea with moderate dehydration and received fluids as maintenance + 10% dehydration correction. She was also advised replacement fluids as 50cc
ORS
for every loose stool passed. After 16 hours, the child had gallop rhythm and puffiness of eyes. The total fluids that she had received were 750cc of 1/3rd
Dextrose
Normal Saline
(DNS) and 1000cc of ORS. The motions that the child had passed in the 16 hours were 11 semi-loose stools. The weight of the child was 5 kg. The child was passing urine every 10 minutes.
Is oral ORS or intravenous fluids, the cause of fluid overload in the child?
2
Is oral ORS or intravenous fluids, the cause of fluid overload in the child?
Answer Discussion :
L
LibaanCabdullahi Ahmed
0
Report Spam
my be taked ORS
17 hours ago
L
LibaanCabdullahi Ahmed
0
Report Spam
1 fluid💟
17 hours ago
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Disease A-Z
Health Topics
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
Pediatric Dermatology
View all topics
Featured Articles
Urticaria (hives) and angioedema
Anal itching
Circumcision
Diabetic ketoacidosis
Hypospadias
Skin allergies
Kids Corner
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