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OS 214 Review > Diarrhea in Children > Flashcards

Diarrhea in Children Flashcards

0
Q

Definition of acute and chronic diarrhea

A

Acute: < 2 weeks
Chronic: > or = 2 weeks

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1
Q

Definition of diarrhea (in children)

A

WHO: greater than or equal to 3 WATERY stools per day

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2
Q

[Some or severe dehydration]

Sleepy and lethargic

A

Severe

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3
Q

[Some or severe dehydration]

Restless or irritable

A

Some dehydration

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4
Q

Sunken eyes in a patient with diarrhea is a sign of?

A

Dehydration

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5
Q

Drinking poorly or not at all - sign of?

A

Severe dehydration

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6
Q

Persistent bloody diarrhea, what to consider?

A

Shigella ➡️ Shigella (2nd line treatment) ➡️ Amoeba

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7
Q

[PLAN A]

Treatment for diarrhea without signs of dehydration

A

HOME TREATMENT
☑️Give extra fluid
☑️Continue feeding
☑️Advise mother when to return

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8
Q

[PLAN A]

Amount of fluid given to child with diarrhea

A

< 2 years: 50-100mL

2-10 years: 100-200mL

Older children and adults: ad libitum

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9
Q

[PLAN B]

Treatment for diarrhea with some dehydration

A

Determine ORS to give during first 4hrs
Show mother how to give ORS
Reassess after 4hrs

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10
Q

[PLAN B]

Amount of ORS

A

ORS = child’s weight (kg) x 75

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11
Q

[PLAN C]

Treatment for severe dehydration

A

Treat patient with IV fluid hydration

Can choose to use NGT

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12
Q

Composition of reduced-osmolarity WHO ORS

A 
Glucose 75mmol/L
Sodium 75mEq/L
Potassium 20mEq/L
Chloride 65mEq/L
Citrate 10mmol/L

Osmolarity 245mOsm/L

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13
Q

Zinc supplementation

A

Hastens the regeneration of enterocytes

10-20mg/day for 10-14 days

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14
Q

First line treatment for shigellosis in children

A

Ciprofloxacin

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15
Q

NOT RELIABLE signs in assessing malnourished children

A

Skin turgor
Sunken eyes
Mental state

16
Q

RELIABLE SIGNS in assessing malnourished children

A 
Thirst
Cool and moist extremities
Weak or absent radial pulse
Reduced or absent urine flow
Lethargy

CRT > 3s

OS 214 Review (7 decks)

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