Table 1. WHO recommendations for treatment of severely malnourished children with dehydration[2].

	Shock * and severe dehydration in child unable to tolerate oral fluid	No shock
Initial	15ml/Kg Ringers Lactate + 5% dextrose OR ½ Strength Darrow’s + 5% dextrose, over 1 hour, repeated once if needed If no improvement: Transfusion 10ml/Kg over 3hours (start 4ml/Kg/hour maintenance while awaiting blood)	ReSoMal # Oral/Nasogastric – 5ml/kg every 30 minutes for first 2 hours
Subsequent	Oral/Nasogastric ReSoMal alternating with F75 10ml/Kg/hr up to 10hrs, and then refeeding with F75.	Then 5–10ml/kg/hr alternating F75 $ and ReSoMal for 4–10 hours

*Shock is defined as presence of all three of the following: prolonged capillary refill time (CRT >3s), temperature gradient and weak and fast pulse

^#ReSoMal – rehydration solution for malnutrition,

^$F75 – primary feeding formula for children with SAM