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Oral Rehydration Therapy Protocol in Pediatric Dehydration

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1. Oral Rehydration Therapy Protocol in Pediatric Dehydration

Miscellaneous Abuse Cancer Administration 4 Oral Rehydration Therapy Protocol in Pediatric Dehydration Oral Rehydration Therapy Protocol in Pediatric Dehydration Aka: Oral Rehydration Therapy Protocol in Pediatric Dehydration , Dehydration Management in Children with Oral Replacement , Pediatric Diarrhea Fluid Replacement From Related Chapters II. Indications Mild to moderate Mild to moderate III. Precautions Use (ORS) as this most closely mirrors related losses : 50 mEq/L (WHO ORS contains 75 mEq/L, older (...) ) These images are a random sampling from a Bing search on the term "Oral Rehydration Therapy Protocol in Pediatric Dehydration." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Fluids, Electrolytes, and Nutrition About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided

2018 FP Notebook

2. The Use of a Triage-Based Protocol for Oral Rehydration in a Pediatric Emergency Department. Full Text available with Trip Pro

The Use of a Triage-Based Protocol for Oral Rehydration in a Pediatric Emergency Department. Guidelines recommend oral rehydration therapy (ORT) and avoidance of laboratory tests and intravenous fluids for mild to moderate dehydration in children with gastroenteritis; oral ondansetron has been shown to be an effective adjunct.The aim of this study was to determine if a triage-based, nurse-initiated protocol for early provision of ondansetron and ORT could safely improve the care of pediatric (...) , or unscheduled return to care.A triage nurse-initiated protocol for early use of oral ondansetron and ORT in children with evidence of gastroenteritis is associated with increased and earlier use of ondansetron and ORT and decreased use of IV fluids and blood testing without lengthening ED stays or increasing rates of admission or unscheduled return to care.

2017 Pediatric Emergency Care

3. Intravenous rehydration of malnourished children with acute gastroenteritis and severe dehydration: A systematic review. Full Text available with Trip Pro

Intravenous rehydration of malnourished children with acute gastroenteritis and severe dehydration: A systematic review. Background: Rehydration strategies in children with severe acute malnutrition (SAM) and severe dehydration are extremely cautious. The World Health Organization (WHO) SAM guidelines advise strongly against intravenous fluids unless the child is shocked or severely dehydrated and unable to tolerate oral fluids. Otherwise, guidelines recommend oral or nasogastric rehydration (...) using low sodium oral rehydration solutions. There is limited evidence to support these recommendations. Methods: We conducted a systematic review of randomised controlled trials (RCTs) and observational studies on 15 th June 2017 comparing different strategies of rehydration therapy in children with acute gastroenteritis and severe dehydration, specifically relating to intravenous rehydration, using standard search terms. Two authors assessed papers for inclusion. The primary endpoint was evidence

2017 Wellcome open research

4. Oral Rehydration Therapy Protocol in Pediatric Dehydration

Miscellaneous Abuse Cancer Administration 4 Oral Rehydration Therapy Protocol in Pediatric Dehydration Oral Rehydration Therapy Protocol in Pediatric Dehydration Aka: Oral Rehydration Therapy Protocol in Pediatric Dehydration , Dehydration Management in Children with Oral Replacement , Pediatric Diarrhea Fluid Replacement From Related Chapters II. Indications Mild to moderate Mild to moderate III. Precautions Use (ORS) as this most closely mirrors related losses : 50 mEq/L (WHO ORS contains 75 mEq/L, older (...) ) These images are a random sampling from a Bing search on the term "Oral Rehydration Therapy Protocol in Pediatric Dehydration." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Fluids, Electrolytes, and Nutrition About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided

2015 FP Notebook

5. Management of Diarrhoeal Dehydration in Childhood: A Review for Clinicians in Developing Countries Full Text available with Trip Pro

Management of Diarrhoeal Dehydration in Childhood: A Review for Clinicians in Developing Countries The survival of a child with severe volume depletion at the emergency department depends on the competency of the first responder to recognize and promptly treat hypovolemic shock. Although the basic principles on fluid and electrolytes therapy have been investigated for decades, the topic remains a challenge, as consensus on clinical management protocol is difficult to reach, and more adverse (...) , isonatraemic, and hypernatraemic dehydration. Although oral rehydration therapy is adequate to correct mild to moderate isonatraemic dehydration, parenteral fluid therapy is safer for the child with severe dehydration and those with changes in serum sodium. The article reviews the pathophysiology of water and sodium metabolism and, it uses the clinical case examples to illustrate the bed-side approach to the management of three different types of dehydration using a pre-mixed isotonic fluid solution

2018 Frontiers in pediatrics

6. Pediatric Dehydration Management

Dehydration Management Pediatric Dehydration Management Aka: Pediatric Dehydration Management , Dehydration Management in Children , Intravenous Therapy Protocol in Pediatric Dehydration From Related Chapters II. Indications Severe III. Labs Serum electrolytes Obtain in all cases of severe dehydration (not typically needed in mild to moderate dehydration) Correct serious electrolyte abnormalities prior to starting phase 2 (maintenance replacement) Monitor in infants and toddlers with IV. Management (...) intravenous hydration as below VI. Management: Maintenance Replacement with IV fluids (Phase 2 Resuscitation) See (mild to moderate dehydration) Start the oral rehydration protocol (see above) Calculate 24 hour maintenance requirements See ( ) Calculate Deficit (See ) Mild Dehydration: 3-5% deficit (50 ml/kg deficit, 30 ml/kg if >10 kg) Moderate Dehydration: 6-10% deficit (100 ml/kg deficit, 60 ml/kg if >10 kg) Severe Dehydration: >10% deficit (120 ml/kg deficit) Calculate remaining deficit Subtract fluid

2018 FP Notebook

7. Efficacy of an Oral Rehydration Solution Containing the Probiotic Lactobacillus Reuteri Protectis and Zinc in Infants With Acute Gastroenteritis

gastroenteritis. Condition or disease Intervention/treatment Phase Acute Gastroenteritis Dietary Supplement: ORS rehydration solution Dietary Supplement: placebo Not Applicable Detailed Description: Oral rehydration solution is recommended for treatment and prevention of dehydration due to acute gastroenteritis in infants and children (WHO/UNICEF, 2004; ESPGHAN / ESPID Guidelines, 2008). Acute diarrhoea may lead to zinc depletion in infants, and zinc supplementation is recommended in infants and children (...) ( 3B ISS) stools daily on each of the day of the therapy and up to 5 days. Proportion of children with watery (3A ISS) and soft ( 3B ISS) stools on each of the day 1-5 (Day 0 = day of enrolment and start of treatment, day 1 = first complete day of treatment) Νumber of vomiting episodes: per child on each of the treatment days 1-5. Volume of ORS intake during the first 24h of treatment. Need of hospitalization Absence of workdays for the parents. Child's absence from day care / nursery. Medication

2013 Clinical Trials

8. Oral Administration of Tannins and Flavonoids in Children With Acute Diarrhea

received treatment for seven days, respectively. Patients of Group 1 stopped for their own choice, SOR after the first 24 h and continued only with Actitan F. Condition or disease Intervention/treatment Phase Acute Diarrhea Drug: Actitan F Drug: Standard Oral Rehydration Phase 4 Detailed Description: The investigators included 60 children (mean age: 3.1yrs, range 0.3-12years) with a diagnosis of AG, referred between April and July 2017 to the Department of Translational Medicine, section of Pediatric (...) , University of Naples Federico II. Patients enrolled were children from 3 months to 12 years old, with a diagnosis of acute diarrhea appeared less than 7 days before the admission, capability to oral rehydration, mild to moderate dehydration. Patients with diarrhea over 7 days, serious somatic pathology and severe dehydration were excluded. The study was approved by the Institutional Review Board of the University of Naples "Federico II" with the protocol number 25/17. At admission, written informed

2017 Clinical Trials

9. Diabetes (type 1 and type 2) in children and young people: diagnosis and management

If a child or young person with type 1 diabetes does not have optimal blood glucose control (see recommendations 1.2.54 and 1.2.67): offer appropriate additional support such as increased contact frequency with their diabetes team, and if necessary, offer an alternative insulin regimen (multiple daily injections, continuous subcutaneous insulin infusion [CSII or insulin pump] therapy or once-, twice- or three-times daily mixed insulin injections). [new 2015] [new 2015] Or Oral medicines for children (...) under 8 years old (or who weigh less than 25 kg) 500 micrograms of glucagon. Seek medical assistance if blood glucose levels do not respond or symptoms persist for more than 10 minutes. As symptoms improve or normoglycaemia is restored, and once the child or young person is sufficiently awake, give oral complex long-acting carbohydrate to maintain normal blood glucose levels. Recheck the blood glucose repeatedly in children and young people who have persistently reduced consciousness after a severe

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

10. Slow Versus Rapid Rehydration of Severely Malnourished Children

): International Centre for Diarrhoeal Disease Research, Bangladesh Study Details Study Description Go to Brief Summary: The recommendation for correction of dehydration of severely malnourished children with diarrhoea includes oral rehydration and if parenteral rehydration is necessary (for example, in severe dehydration) to infuse intravenous fluids very slowly due to the concern of heart failure. There is not enough evidence to convince some of the physicians dealing with severely malnourished children (...) will be rehydrated with intravenous fluid over 6 hours. Children of either gender, age 6 to 60 months, severely malnourished (Wt for length <-3 Z score of WHO growth chart or with nutritional oedema) with a history of watery of <24 hours with signs severe dehydration attending the ICDDRB Dhaka hospital will be asked to participate in this study. After the parents'/Legal guardian's consent, the children will be transferred to the study ward and will be treated according to the protocol. All children will receive

2014 Clinical Trials

11. Comparison of three oral rehydration strategies in the treatment of acute diarrhea in a tropical country. Full Text available with Trip Pro

in infants and children with acute diarrhea.Infants and children aged <5 years with acute diarrhea and dehydration (body weight loss of ≥10%) observed from January to August 2001 at Saint Camille Medical Center, Ouagadougou, Burkina Faso, were enrolled. Patients were randomized to 1 of 3 treatment protocols. Patients in group A received, via NGT, rehydration with a high-osmolarity solution for 3 hours, followed by a low-osmolarity solution for at least 3 additional hours. Patients in group B were given (...) Comparison of three oral rehydration strategies in the treatment of acute diarrhea in a tropical country. The administration of hydrating solutions and early refeeding improve recovery for infants and children with diarrhea.The aim of this study was to assess the efficacy of a low-osmolarity (30 mEq/L Na(+)) solution administered after the standard, high-osmolarity (90 mEq/L Na(+)) solution via a nasogastric tube (NGT) and followed by early refeeding to achieve more rapid body weight recovery

2014 Current therapeutic research, clinical and experimental Controlled trial quality: uncertain

12. Efficacy and safety of gelatine tannate for the treatment of acute gastroenteritis in children: protocol of a randomised controlled trial. Full Text available with Trip Pro

Efficacy and safety of gelatine tannate for the treatment of acute gastroenteritis in children: protocol of a randomised controlled trial. Worldwide, acute gastroenteritis in children, usually caused by viruses, leads to considerable morbidity and mortality. The treatment is aimed at preventing and treating dehydration, promoting weight gain after rehydration, and reducing the duration and severity of diarrhoea. Effective and inexpensive interventions that could add to the effect of oral (...) rehydration therapy are of interest. Recently, in many European countries, gelatine tannate is being widely marketed for treating acute gastroenteritis. Gelatine tannate is a complex of tannic acid, which possesses astringent and anti-inflammatory properties, and a protective gelatine. Currently, there is no evidence to support the use of gelatine tannate for treating acute gastroenteritis in children and only scant evidence to support the use of gelatine tannate in adults. We aim to assess the efficacy

2016 BMJ open Controlled trial quality: predicted high

13. DeHydration: Assessing Kids Accurately

compromise, organ ischemia, and death, children with mild to moderate dehydration have a significant reduction in hospital length of stay and fewer adverse events when treated with relatively inexpensive oral rehydration solution (ORS). The World Health Organization (WHO), the US Centers for Disease Control and Prevention (CDC), and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) recommend separating children with acute diarrhea into three groups to determine (...) to moderate dehydration have a significant reduction in hospital length of stay and fewer adverse events when treated with relatively inexpensive oral rehydration solution (ORS). While several clinical scales have been developed for assessing dehydration in children, these scales have never been prospectively validated in a low-income country setting, where the vast majority of diarrhea morbidity and mortality occurs in children. The investigators hypothesize that new clinical and ultrasound-based tools

2013 Clinical Trials

14. CCS and CPCA Position Statement on the Approach to Syncope in the Pediatric Patient Full Text available with Trip Pro

in Chinese children. Acta Paediatr . 2007 ; 96 : 1505–1510 | | | Inadequate history-taking and overemphasis on positive family history for seizures were important causes of misdiagnosis of epilepsy. x 17 Sabri, M.R., Mahmodian, T., and Sadri, H. Usefulness of the head-up tilt test in distinguishing neurally mediated syncope and epilepsy in children aged 5-20 years old. Pediatr Cardiol . 2006 ; 27 : 600–603 | | | Medications, medical history, and family history Medications that alter vascular tone (...) unconscious, so family members and witnesses might benefit from this education. It is crucial to educate the patient about the importance of recognizing and reacting to presyncopal prodromes. Avoidance of precipitating factors like prolonged standing, dehydration, and hot crowded environments is beneficial in preventing recurrences. An increase in dietary salt and fluid intake should be encouraged. In a randomized trial of 166 children and adolescents oral rehydration salts (a mixture of NaCl, KCl

2016 Canadian Cardiovascular Society

15. Pediatric Dehydration Management

Dehydration Management Pediatric Dehydration Management Aka: Pediatric Dehydration Management , Dehydration Management in Children , Intravenous Therapy Protocol in Pediatric Dehydration From Related Chapters II. Indications Severe III. Labs Serum electrolytes Obtain in all cases of severe dehydration (not typically needed in mild to moderate dehydration) Correct serious electrolyte abnormalities prior to starting phase 2 (maintenance replacement) Monitor in infants and toddlers with IV. Management (...) intravenous hydration as below VI. Management: Maintenance Replacement with IV fluids (Phase 2 Resuscitation) See (mild to moderate dehydration) Start the oral rehydration protocol (see above) Calculate 24 hour maintenance requirements See ( ) Calculate Deficit (See ) Mild Dehydration: 3-5% deficit (50 ml/kg deficit, 30 ml/kg if >10 kg) Moderate Dehydration: 6-10% deficit (100 ml/kg deficit, 60 ml/kg if >10 kg) Severe Dehydration: >10% deficit (120 ml/kg deficit) Calculate remaining deficit Subtract fluid

2015 FP Notebook

16. Variation in paediatric clinical practice

, Craig JC. Management of children with otitis media: a survey of Australian Aboriginal Medical Service practitioners. J Paediatr Child Health 2009;45(7–8):457– 63. PAEDIATRIC FINAL GROVE KELLICK 310315 DONNA | SAX INSTITUTE 32 17. Bruckner TA, Hodgson A, Mahoney CB, Fulton BD, Levine P et al. Health care supply and county-level variation in attention-deficit hyperactivity disorder prescription medications. Pharmacoepidemiol Drug Saf 2012;21(4):442–49. 18. Morawetz DY, Hiscock H, Allen KJ, Davies S (...) , Danchin MH. Management of food allergy: a survey of Australian paediatricians. J Paediatr Child Health 2014;50(6):432–37. 19. Hoagwood K, Jensen PS, Feil M, Vitiello B, Bhatara VS. Medication management of stimulants in pediatric practice settings: a national perspective. J Dev Behav Pediatr 2000;21(5):322–31. 20. Bhatara VS, Aparasu RR. Pharmacotherapy with atomoxetine for US children and adolescents. Ann Clin Psychiatry 2007;19(3):175–80. 21. Bergman DA, Mayer ML, Pantell RH, Finch SA, Wasserman RC

2014 Sax Institute Evidence Check

17. Expert opinion on rotavirus vaccination in infancy

- or hypertonic dehydration that may require prolonged rehydration treatment). Further complications may include seizures due to high fever or electrolyte disturbances, encephalitis/meningitis, shock and possibly death. Long-term, some children develop chronic diarrhoea and in more deprived settings malnutrition. In an observational retrospective cohort study conducted in Sweden (n=987), complications requiring additional medical attention, other than general dehydration, were observed in >15% of hospitalised (...) countries ’ rotavirus reference laboratories for genotyping 2006 –2016 and reported to EuroRotaNet*, showing that the major burden of disease is in the 0 –3 year age group but disease is reported in all age groups *Further information available at www.eurorota.net Complications In some children extensive nausea and vomiting results in difficulties in providing oral rehydration in home settings, and may lead to severe fluid loss with or without accompanying electrolyte disturbances (hypo-, iso

2017 European Centre for Disease Prevention and Control - Expert Opinion

18. Palliative care - oral

cancer receiving radiotherapy with or without chemotherapy found that the mean incidence of mucositis was 80% [ ]. Risk factors Risk factors for oral problems The risk factors for oral problems are [ ] : Debility. Dry mouth. Poor oral intake. Dehydration. Chemotherapy: mucositis occurs about 5–7 days after drug administration. Radiotherapy: mucositis occurs about 2 weeks after the initiation of therapy. Oral tumours. Bisphosphonate: may cause osteonecrosis of the jaws. The most significant risk (...) complicates dryness or ulceration of the mucosa. Common oral problems include: Less common problem: [ ; ] Dry mouth Dry mouth The possible causes of a dry mouth are: Dehydration due to fluid loss (for example vomiting, diarrhoea, hypercalcaemia, uncontrolled diabetes mellitus). Reduction in the production of saliva: Drugs that reduce the secretion of saliva (Table 1). Poor oral intake (for example dysphagia). Oxygen without humidification. Damage to the salivary glands after radiotherapy to the head

2018 NICE Clinical Knowledge Summaries

19. Oral Nitazoxanide in Acute Gastroenteritis in Australian Indigenous Children

9, 2017 See Sponsor: Telethon Kids Institute Collaborators: The University of Western Australia Menzies School of Health Research Information provided by (Responsible Party): Telethon Kids Institute Study Details Study Description Go to Brief Summary: This is a multi-centre (RDH and ASH), phase IV, double-blind, randomised, placebo-controlled trial of oral NTZ for the treatment of acute gastroenteritis requiring admission to hospital. Four hundred children aged between three months and less than (...) health care attendances following discharge. Condition or disease Intervention/treatment Phase Gastroenteritis Drug: Nitazoxanide Drug: Placebo Phase 2 Detailed Description: This is a multi-centre (RDH and ASH), phase IV, double-blind, randomised, placebo-controlled trial of oral NTZ for the treatment of acute gastroenteritis requiring admission to hospital. Four hundred children aged between three months and less than five years of age will be enrolled. Study participation would be from the point

2014 Clinical Trials

20. Consensus guidelines for the safe prescription and administration of oral bowel-cleansing agents

for the administration of intravenous medi- cations (evidence: grade 2D). Patients with diabetes mellitus receiving treatment with insulin will also require speci?c advice, which should be agreed locallysoastobeconsistentwithlocalpracticeandguidancefor management of diabetes mellitus while ‘nil by mouth’ or on reduced oral intake. Relative contraindications to the use of oral bowel-cleansing preparations: circumstances in which the choice of a particular oral bowel-cleansing agent or administration protocol may (...) preparation, and advise the patient to avoid dehydration. Non-steroidal anti-in?ammatory drugs Thesemedicationsreducerenalperfusionandthereforelimitthe kidneys’ capacity to compensate for reduced renal perfusion through volume depletion. Where possible therefore NSAIDs should be discontinued on the day of administration of oral bowel-cleansing preparations and withheld until 72h after the procedure (evidence: grade 1D). Once daily, low-dose aspirin is commonly prescribed to patients with cardio

2012 Royal College of Radiologists

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