![]() ![]() By continuing supplemental zinc for 10–14 days, this will also reduce the risk of new episodes of diarrhea in the following 2–3 months. Zinc (10–20 mg per day) should be given to all children as soon as the duration and severity of the episodes of diarrhea start to reduce, thereby reducing the risk of dehydration. ORS can either be prepared from a ready-to-dilute sachet (as per supplier’s instructions). ![]() Signs of improved hydration status and over hydration should be checked every half hour for the first 2 h, then hourly Then, if the child is still dehydrated, 5–10 mL/kg/h ORS should be given in alternate hours with F-75, up to a maximum of 10 h not further diluted.Īny Child with acute diarrhea should go to the oral rehydration center (ORC), in which MUAC screening is ensured, if the child is malnourished, he should be shifted to Dirrhea treatment center (DTC) to be rehydrated, once rehydrated and diarrhea & vomiting improved, he should be referred to OTP or TFC/SC as per his malnutrition conditionĬhild with severe acute malnutrition should be rehydrated by using ORS in the diarrhea treatment centers as per WHO guidelines till he becomes rehydrated, (no use for IV fluids unless it is required as per the guidelines), once rehydrated, the child with SAM should be referred to TFC/SC.Ĭhildren with severe acute malnutrition and who have some or severe dehydration but no shock should receive 5 mL/kg ORS every 30 min for the first 2 h. Such children should be given standard WHO low-osmolality oral rehydration solution that is normally made, i.e. ![]() ReSoMal (or locally prepared ReSoMal using standard WHO low-osmolality oral rehydration solution) should not be given if children are suspected of having cholera or have profuse watery diarrhea (Three or more loose or watery stools in a day, for more than 14 days). Fluid management in children with severe malnutrition and dehydration without shockĬhildren with severe acute malnutrition who present with some dehydration or severe dehydration but who are not shocked should be rehydrated slowly, either orally or by nasogastric tube, using oral rehydration solution ORS (5–10 mL/kg/h up to a maximum of 12 h). ![]()
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