Depending on the degree of dehydration, health professionals are advised to follow one of the three management plans.
Plan A: There is no dehydration. It is enough to give nutritional advice and increase fluid use (soup, rice, water, yoghurt, or even water). For children younger than 6 months who have not started eating solid foods, oral rehydration solution should be provided before serving milk. Breast milk or powdered yogurt should be given without any particular restrictions. In the case of breast feeding with formula, the contribution of breastfeeding should be increased.
Plan B: Average dehydration. A 4-hour treatment line should be applied regardless of the age of the child, so as to avoid problems that occur in the short term. Breastfeeding should not be considered initially. It is recommended to show parents how to give 75 ml / kg of oral rehydration solution with a spoon over a 4-hour period and suggests that parents should note how they do this at the beginning of treatment. A larger amount of solution can be given if the child continues to produce repeated stool. In the case of vomiting, stop the rehydration for 10 minutes and then resume at a slower rate (about 1 teaspoon every 2 minutes). The child's condition must be reassessed after 4 hours to determine the next most appropriate treatment. Oral rehydration solution should continue to be administered once the dehydration has been controlled throughout the child's period of diarrhea.
Plan C: Drying and Trembling. Hospitalization is necessary, but the most urgent priority is to start the rehydration. In the hospital (or other), if the child can drink, an oral rehydration solution should be given for intravenous infusion or even during it (20 ml / kg orally every hour before infusion, and 5 ml / kg / hour by Mouth during intravenous dilution). For intravenous supplements, it is recommended to give a complex solution of sodium lactate (see section 26.2) at a rate consistent with the child's age (infant less than 12 months: 30 ml / kg over 1 hour and 70 ml / kg over 5 hours; Baby is greater than 12 months: the same amounts over 30 minutes and 2.5 hours respectively). If the vein route is not available, the gastrointestinal tube is also suitable for oral rehydration solution, at a rate of 20 ml / kg / h. If the baby vomits, the oral administration should be reduced.
Plan A: There is no dehydration. It is enough to give nutritional advice and increase fluid use (soup, rice, water, yoghurt, or even water). For children younger than 6 months who have not started eating solid foods, oral rehydration solution should be provided before serving milk. Breast milk or powdered yogurt should be given without any particular restrictions. In the case of breast feeding with formula, the contribution of breastfeeding should be increased.
Plan B: Average dehydration. A 4-hour treatment line should be applied regardless of the age of the child, so as to avoid problems that occur in the short term. Breastfeeding should not be considered initially. It is recommended to show parents how to give 75 ml / kg of oral rehydration solution with a spoon over a 4-hour period and suggests that parents should note how they do this at the beginning of treatment. A larger amount of solution can be given if the child continues to produce repeated stool. In the case of vomiting, stop the rehydration for 10 minutes and then resume at a slower rate (about 1 teaspoon every 2 minutes). The child's condition must be reassessed after 4 hours to determine the next most appropriate treatment. Oral rehydration solution should continue to be administered once the dehydration has been controlled throughout the child's period of diarrhea.
Plan C: Drying and Trembling. Hospitalization is necessary, but the most urgent priority is to start the rehydration. In the hospital (or other), if the child can drink, an oral rehydration solution should be given for intravenous infusion or even during it (20 ml / kg orally every hour before infusion, and 5 ml / kg / hour by Mouth during intravenous dilution). For intravenous supplements, it is recommended to give a complex solution of sodium lactate (see section 26.2) at a rate consistent with the child's age (infant less than 12 months: 30 ml / kg over 1 hour and 70 ml / kg over 5 hours; Baby is greater than 12 months: the same amounts over 30 minutes and 2.5 hours respectively). If the vein route is not available, the gastrointestinal tube is also suitable for oral rehydration solution, at a rate of 20 ml / kg / h. If the baby vomits, the oral administration should be reduced.
