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 ?
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
Intravenous fluids
ORS
Intravenous fluids then ORS
Hospitalise and treat
Gastrointestinal tract