Dehydration Treatment and Complications Guide
Learn about dehydration treatment options, complications to watch out for, rehydration therapy, and antibiotic therapy for common causes like Shigella and Salmonella. Discover essential information on hydration, diet selection, and types of fluids to manage dehydration effectively.
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Presentation Transcript
Treatment and Complications
01 02 03 Zinc 05 Antibiotic Therapy 06 Prevention 07 Chronic diarrhea TABLE OF CONTENTS TABLE OF CONTENTS Hydration Enteral Feeding 04 Additional Therapies 08 Complications 3
Hydration More susceptible than adults to dehydration Dehydration must be evaluated rapidly correct in 4-6 hr ORT or IV?? ORS emesis 4
Dehydration mild moderate severe 7
Rehydration Therapy mild 1cc/kg Q5min over 4 h moderate 2cc/kg Q5min over 4 h 8
Rehydration Therapy severe 20 cc/kg over 20 min x 3 shock
types of fluid Ongoing loss deficit maintenance 10
Ongoing loss 6 h 11
Diet Selection Diet Selection Zinc Zinc Additional Therapies Additional Therapies 12
Antibiotic Therapy Shigella ETEC STEC Ciprofloxacin Ceftriaxone Azithromycin Cefixime Trimethoprim- sulfamethox azole Azithromycin Ciprofloxacin Avoid antimicrobials and anti- motility drugs 13
Antibiotic Therapy Salmonella , non-typhoidal Yersinia spp. Campylobacter Erythromycin Azithromycin Fluoroquinolone cephalosporins. doxycycline Aminoglycoside TMP-SMX fluoroquinolone. treatment of Shigella 14
Clostridium Difficile Entamoeba Histolytica Giardia Intestinalis Metronidazole Vancomycin Metronidazole Tinidazole Paromomycin Iodoquinol Tinidazole Metronidazole 15
Cryptosporidium Cyclospora Blastocystis Hominis Nitazoxanide paromomycin +azithromycin TMP and SMX Metronidazole 16
Prevention Rotavirus Immunization Breastfeeding Vitamin A 17
Chronic diarrhea replacement of fluid and electrolyte Nutritional rehabilitation Zinc Micronutrient and vitamin lactose-free diet Functional diarrhea 4F parenteral nutrition 18
Complications Intussusceptio n Hemolytic uremic syndrome (HUS) Shock 19
