Diagnosis and Treatment of Severe Dehydration in Children
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Questions and Answers

What is the first step in treating a child with severe dehydration?

  • Start IV fluids immediately (correct)
  • Administer an antibiotic effective against cholera
  • Give oral rehydration therapy
  • Give ORS solution if the child can drink

Why should 5% glucose (dextrose) solution not be used for IV rehydration?

  • It increases the risk of hyponatraemia (correct)
  • It is not effective against cholera
  • It is only suitable for children above 12 months
  • It is not isotonic

How much of the chosen IV solution should be given to a severely dehydrated child?

  • 150 ml/kg
  • 200 ml/kg
  • 50 ml/kg
  • 100 ml/kg (correct)

What is a sign of severe dehydration in a child with diarrhoea?

<p>Slow return of skin pinch (D)</p> Signup and view all the answers

Why should Zinc be given to a child with severe dehydration?

<p>To support the immune system (D)</p> Signup and view all the answers

How often should IV fluids be repeated in a severely dehydrated child?

<p>If the radial pulse is still very weak or not detectable (C)</p> Signup and view all the answers

What is the first step in treating a child with severe dehydration from cholera?

<p>Start IV fluid immediately. (D)</p> Signup and view all the answers

How often should the child be reassessed during the rehydration period?

<p>Every 15-30 minutes (C)</p> Signup and view all the answers

What is the indication for repeating the IV fluid infusion?

<p>If the child passes large watery stools frequently during the rehydration period (A)</p> Signup and view all the answers

What is the recommended treatment for a child with cholera who is still showing signs of some dehydration after IV rehydration?

<p>Discontinue IV treatment and give ORS solution for 4 hours (D)</p> Signup and view all the answers

What is the recommended amount of Ringer's lactate solution to give to an infant (< 12 months) in the first hour?

<p>30 ml/kg (B)</p> Signup and view all the answers

What should be checked to confirm that hydration is improving during the rehydration period?

<p>Radial pulse and ability to drink (B)</p> Signup and view all the answers

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