DEHYDRATION IN PEDIATRICS Part1

Basics of dehydration
types of dehydration(iso, hypo and hypernatremic)
percentage of dehydration( mild, moderate or severe)
overestimating or underestimating?!!
ORS basics
oral management of mild isonatremic dehydration

[@محمدعمر-ه1ب8ب]

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شكرااا جزيلااااا د.علياء...احسنتي...

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thanks a lot dr Alyaa con i get the note please if possible

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[@arsenaldream2156]

السلام عليكم ورحمة الله وبركاته How to calculate deficit loss for mild to moderate dehydrate to be given as ORS, you stated that the calculation based on change in weight or clinical signs. Should for all kids get 50 to 100 ml/kg over 2-4 hours then with each loose motion should be given 10ml/kg and for vomiting 2ml/kg I have been taught to calculate the dose as 5ml*weight and given first then after each time the baby vomit or have diarrhea get same dose is that. Which one is the best way I hope you explain the part of change in weight and clinical signs

[@pediatriccriticalcaredraly8688]

و عليكم السلام ورحمة الله وبركاته These are 2 different calculations; One: is the deficit that has been already lost Two; is the ongoing loss ,that means we give fluids after each diahreal or vomits loss. Deficit is known either by change in pt weight,if I already know his wt before illness...and each 100 gm wt lost equal 100 ml fluid.. Or by clinical signs of dehydration as in table..but this is a subjective method

[@arsenaldream2156]

Thank you so much. So the preferred fluid to be used is N/S 0.9%in Dex 5% in cases of acute gastroenteritis. So I wanted to ask you is it possible to add the amount of ongoing losses for example the child vomited 4 times and had 3 loose motion in the past 6 to 8 hours, is it OK to add 50 ml for each time he had vomiting or diarrhea for child less than 2 years and 100 ml for each time child more than 2 years of course the total will be divided by 12h or 24 hours. So the total fluid the child receives (deficit + maintenance + ongoing loss) /hr? One last question and I really hope to get an answer to that as well Most of the times parents don't want to stay more than an hour for fluid and it's challenging to get them to understand that it has to be done certain way but they don't have the patience and sometimes there might come way sever cases and needed to be looked after and there are limited beds in the facility that I work in, what would be the best solution to get the child at least the minimum so when they are discharged at least they will be in good position to go on with enteral fluid. Sorry for long questions I hope to get your. Valuable opinion

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دكتورة ممكن المحاضرة pdf

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ممكن لينك قناة التليجرام الدكتورة لو لها ؟😢

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لا مش عندى قناة تلجرام

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@@Nora-j9j مش متاح pdf

[@Nora-j9j]

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