Αφυδάτωση στα παιδιά

[orfeo]

Στρατηγικές διάγνωσης και θεραπείας της αφυδάτωσης των παιδιών
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...Specific key clinical recommendations for practice, and their accompanying level of evidence rating, are as follows:

•Children should be evaluated for severity of dehydration as determined by physical examination findings (level of evidence, C).
•For mild to moderate dehydration in children, ORT is the preferred treatment (level of evidence, C).
•Electrolyte disturbances in children resulting from gastroenteritis may be corrected and prevented by use of an appropriate ORT solution (level of evidence, C).
•For children with dehydration, a single dose of ondansetron may facilitate ORT by reducing the incidence and frequency of vomiting, thereby avoiding the need for intravenous fluid therapy (level of evidence, B).
"The American Academy of Pediatrics recommends...ORT as the preferred treatment of fluid and electrolyte losses caused by diarrhea in children with mild to moderate dehydration," the review authors conclude. "The principles of ORT to treat dehydration from gastroenteritis apply to the treatment of dehydration from other causes....Cost to the family may be a deterrent to home ORT; therefore, ORT solution provided by the physician's office or emergency department increases the likelihood that parents will use ORT and reduces unscheduled follow-up visits."...
ORT: oral rehydration therapy