Quickly master these principles of fluid rehydration in children

When using pediatric rehydration, you must pay attention to the principles and choose the dosage according to the degree of dehydration. Different nature of dehydration requires different methods of nourishment. However, everyone should note that it can only be used in the hospital. You cannot buy it at home for your child to take without authorization, because ordinary people cannot grasp the dosage well. Taking it without examination will cause many complications.

Principles of fluid replacement in children :

⑴ Determine the total amount of fluid replacement based on the severity of dehydration.

⑵ Determine the type of fluid replacement based on the nature of dehydration, the presence or absence of acidosis and hypokalemia, etc.

⑶ When replenishing fluids, it is generally advisable to do so quickly first and then slowly, concentrated first and then diluted, salt first and then sugar, and follow the principle of replenishing potassium based on urine output. The total amount of fluid replacement should be completed at the prescribed rate.

How do I know the severity of my child’s illness? How to easily determine the degree of dehydration in children?

Diarrhea is usually divided into three types according to its severity: mild, moderate and severe.

Mild : No symptoms of dehydration or poisoning, the child is in good spirits, and the appetite is not significantly affected.

Moderate : Mild to moderate dehydration or mild poisoning symptoms.

Severe dehydration or irritability, listlessness, pale complexion, etc.

Show symptoms of poisoning .

Dehydration mainly occurs in the child's anterior fontanelle, eye sockets, skin elasticity, tears, urine volume, thirst, etc.

To judge by degree, etc.

Mild dehydration : The child's anterior fontanelle collapses slightly, the child cries with fewer tears, and the skin is not as smooth as usual.

The amount of urine is slightly less than usual.

Moderate dehydration : may show poor spirit, crying but with few tears, eye sockets and anterior fontanelles

There is obvious depression, dry skin and lips, and a significant decrease in urine output.

Severe dehydration : Children lose a lot of water, the above symptoms are more obvious, mental fatigue

Due to thirst, the patient desperately sucks milk or water, and the lips and tongue become dry and irritated.

If you have not urinated for more than 6 hours, the skin on your abdomen or inner thighs will become noticeably loose. If you don't go now

The hospital would be life-threatening.

Misunderstandings in Preparing Oral Rehydration Salts

When a child is dehydrated due to diarrhea and has not been taken to the hospital in time, oral rehydration is a good way to buy time and save the child.

One of the ways for children. Parents should be informed to read the instructions carefully and avoid using boiling water when preparing the mixture.

Do not use boiling water, otherwise it will affect its composition and cause chemical changes. Since it already contains sugar, don't

Add more sugar. Add water according to the required amount and don’t make it too concentrated, otherwise the consequences will be disastrous. I

I once met a parent who was eager to give his child fluids and poured two bags of rehydration salts into a 500ml container.

In the teacup, the child showed increased muscle tension and irritability, and blood biochemistry showed that the blood sodium

It has reached 165mmol/L (normal is 130-150mmol/L).

Fluid replacement: 50-60 ml/kg for mild dehydration, 80-100 ml/kg for moderate dehydration

g. The cumulative loss of fluid replacement time should be 4 to 6 hours. If dehydration is corrected after rehydration, but the child

If the child still has diarrhea, then according to the principle of "replenish as much as the diarrhea", ORS (oral

The concentration of rehydration salt can be slightly lower than before (for example, the original concentration is 500ml water/bag, and now it can be added to 750ml water

/bag). The prepared rehydration salt should not be kept for more than 24 hours and should be discarded if it exceeds this time.

How to know the water content of each stool? There is a simple way: use a scale

Put a certain amount of water (such as 30ml) into the container and pour it on a dry diaper.

(cloth), observe the degree of penetration and use it as a measure. Families with conditions can use a scale to weigh the urine.

The weight of the cloth (diaper) can be used to estimate the water content of the stool. Stop oral rehydration if stool is dry.