A child 4 month old has 10 episodes of vomiting and 2-3 episodes of loose stools and crying since the last 24 hours, best line of management will be ?: (A) Intravenous fluids, (B) ORS, (C) Intravenous fluids then ORS, (D) Hospitalise and treat
Answer is B. In the given case baby is crying(irritable,restless state)it denotes some dehydration. so we opt for treatment plan B:patients with some dehydration need to be treated in a health centre .however, oral fluid therapy must be commenced promptly, Rehydration therapy :give 75 ml/kg of ORS in the first 4 hours. Maintainance flulid therapy:when signs of dehydration begins to disappear ,usually within 4 hours, ORS is administered in volume equal to diarrhoea loses. Approximately 10-20 ml /kg bw for each liquid stool Ref : ESSENTIAL PEDIATRICS, O.P.GHAI, 7 th edition PG NO:264,265