Diagnostic Dilemma

Dehydration correction


Author:
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?
Answer Discussion :
L
LibaanCabdullahi Ahmed
bubble
my be taked ORS
17 hours ago
L
LibaanCabdullahi Ahmed
bubble
1 fluid💟
17 hours ago

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