Table 3.
Guidelines for intravenous treatment of children and adults with sever e dehydration
| ·Start IV fluids immediately. If the patient can drink, give ORS by mouth until the drip is set up. Give 100 mL/kg Ringer’s Lactate Solutiona divided as follows: | ||
| Age | Fisst give 30 mL/kg in: | Then give 70 mL/kg in: |
| Infants (under 12 months) | 1 hb | 5 h |
| Older | 30 minb | 2.5 h |
| ·Reassess the patient every hour. If hydration is not improving, give the IV drip more rapidly. | ||
| ·After 6 h (infants) or three hours (older patients), evaluate the patient using the assessment chart. Then choose the appropriate Treatment Plan (A,B or C) to continue treatment. | ||
a
If Ringer’s Lactate Solution is not available, normal saline may be used.
b
Repeat once if radial pulse is still very weak or not detectable.