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    Management of Dehydration (Nsgeud)

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    Mary Menu
    This document provides guidelines for managing dehydration in children with diarrhea. It outlines 3 treatment plans - Plan A for treatment at home, Plan B for some dehydration using oral rehydration solution, and Plan C for severe dehydration requiring intravenous fluids. The key steps are to give extra fluids, continue feeding, provide zinc supplements, and monitor for danger signs requiring immediate return for medical care. Treatment involves oral or intravenous rehydration depending on severity, with counseling on continued feeding and hygiene.

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    Management of Dehydration (Nsgeud)

    Uploaded by

    Mary Menu
    40 views3 pages
    This document provides guidelines for managing dehydration in children with diarrhea. It outlines 3 treatment plans - Plan A for treatment at home, Plan B for some dehydration using oral rehydration solution, and Plan C for severe dehydration requiring intravenous fluids. The key steps are to give extra fluids, continue feeding, provide zinc supplements, and monitor for danger signs requiring immediate return for medical care. Treatment involves oral or intravenous rehydration depending on severity, with counseling on continued feeding and hygiene.

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    by mary

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    Management of Dehydration(Nsgeud)

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    This document provides guidelines for managing dehydration in children with diarrhea. It outlines 3 treatment plans - Plan A for treatment at home, Plan B for some dehydration using oral rehydration solution, and Plan C for severe dehydration requiring intravenous fluids. The key steps are to give extra fluids, continue feeding, provide zinc supplements, and monitor for danger signs requiring immediate return for medical care. Treatment involves oral or intravenous rehydration depending on severity, with counseling on continued feeding and hygiene.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    40 views3 pages

    Management of Dehydration (Nsgeud)

    Uploaded by

    Mary Menu
    This document provides guidelines for managing dehydration in children with diarrhea. It outlines 3 treatment plans - Plan A for treatment at home, Plan B for some dehydration using oral rehydration solution, and Plan C for severe dehydration requiring intravenous fluids. The key steps are to give extra fluids, continue feeding, provide zinc supplements, and monitor for danger signs requiring immediate return for medical care. Treatment involves oral or intravenous rehydration depending on severity, with counseling on continued feeding and hygiene.

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    MANAGEMENT OF DEHYDRATION: 4.

    When to return: - A total of 100ml/kg of fluid is


    Advise the mother to return immediately with given over 6 hour in children <
    Plan A- Treatment of diarrhoea at the child if the child develops any danger sign 12months and 3 hr in children >12
    home. (lethargy, unconsciousness, convulsions, months.
    inability to eat or drink) - The child should be also given
    Counsel the mother on the 4 rules of home Follow up in 5 days if there is no
    ORS solution if IV fluid cannot be
    improvement.
    treatment. assessed.
    Plan B- Treatment for some dehydration - Then nasogastric feeding is given
    1) Give extra fluid 20ml/kg hr for 6 hours (120ml/kg).
    with ORS.
    2) Give zinc supplements - The child should be assessed every
    3) Continue feeding  Give recommended amounts of ORS 15- 30 min for pulse and hydration
    4) When to return over a 4 hour period
    status after the bolus of 100ml/kg
     Determine amount of ORS to give
    1. Give extra fluid (as much as the child during first 4 hours. of fluid.
    will take)  Show the mother how to give ORS
    solution
    Breastfeed frequently and for longer at each  After 4 hours
    feed. -Reassess the child and classify the
    If the child is exclusively breastfed, give ORS child for dehydration.
    or clean water in addition to breast milk. -Select the appropriate plan to
    If the child is not exclusively breastfed, give continue treatment.
    one or more of the following: food-based -Begin feeding the child in clinic.
    fluids (such as soup, rice water, and yoghurt  Explain the 4 Rules of home treatment.
    drinks) or ORS. -Give extra fluid
    -Give zinc supplements
    2. Give zinc supplements -Continue feeding
    Up to 6 months: 1/2 tablet daily for 14 -When to return
    days(10mg)
    6 months or more: 1 tablet daily for 14 Treatment Plan C:
    days.(20mg)
    - Intravenous fluids should be started
    3. Continue feeding immediately using ringer lactate
    with 5% dextrose, N/4.
    MANAGEMENT WITH MANAGEMENT OF
    DIARRHOEA
    DEHYDRATION AND
    - Treat dehydration as per plan A, B or DIARRHOEA
    C depending on the level of
    dehydration.
    - Advise mother on how to feed her
    child.
    - Give multivitamin supplement every
    day for 2 weeks if possible.
    - Identify and treat infections.
    - Do not give antibiotics to children with
    diarrhoea unless they have dysentery
    or severe cholera.
    - Monitor the child's feeding and
    treatments and the child's response
    (e.g. weight gain).
    - Treat for dehydration.
    - Administer zinc
    o for children less than 6 months: 10
    mg/day for 14 days
    o for children 6 months or older: 20
    mg/day for 14 days.

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