A | B | C | |
Look at the issda situation Eyes Tears Mouth - tongue Thirst | Well,alert Normal Present Moist Drinks archetypally, Not thirsty | Restlessness, petulant Sunken Absent Dry Thirsty, drinks eagerly | Tired or unconscious,floppy Very sunken and thirsty Absent Very dry Drinks unwell |
Feel:skin squeeze | Goes back in right time | Goes back softly | Goes back very softly |
Decide | The patient does not have sign of dehydration | If the patient has twice or more signs counting at least one sign,there is some dehydration | If the patient has twice or more signs counting at least one sign,there is unadorned dehydration |
Maintenance of the patient should be done according to the degree of dehydration.Treatment should be designed accordint to this dehydration.
Step 2: prevention of dehydration (if there is no sogn of dehydration)
Give ORS
Sufficiently fluids should be taken in addition to normal daily fluid requirements.
Breast-fed babies should be given breast milk after every 3 hours.
Bottle-fed children should be given milk formula normally taken diluted with an alike volume of water.
Total of ORS to be given after each wobbly seat at home
Age | Amount of (ORS) | Packet of ORS nedded |
<2 years | 50-100 ml (1/4-1/2 cup) | 3 packets (1/day) |
2-9 years | 100-200 ml (1/2-1 cup) | 6 packets (2/day) |
14 years and below | As much as if needed to | 12 packets (4/day) |
Diarrhoea usually lasts for 3 days.
Step 3: Rehydration therapy ( if signs of dehydration are present)
A.dehydration:
ORS is given as follows:
Predictable total of ORS solution to be fixed in the correct time first 4 hours
Age | < 4 month | 4-11 months | 12-23 months | 2-4 years | 5-14 years | 15> years |
Weight | < 5 kg | 8-7.9 kg | 8-10.9 kg | 11-15.9 kg | 16-29.9 kg | 30 kg or more |
In ml | 200-400 | 400-600 | 600-800 | 800-1200 | 1200-2200 | 2200-4000 |
Patients’s age is used only when weight is not known.
