Recommendations of Armon et al for Oral Rehydration of a Pediatric Patient with Acute Gastroenteritis

 

Patient selection: pediatric patient dehydrated from acute gastroenteritis

 

Goal: rehydration with oral rehydration solution (Electrolade, Diocalm Junior, Dioralyte, etc)

 

Time frame for oral rehydration: 4 hours

 

Parameters:

(1) body weight in kilograms

(2) percent dehydration (from 0 to 50)

(3) vomiting

(4) ability to rehydrate orally

Degree of Dehydration	Dose Oral Solution in mL
3 to 8% (mild to moderate)	30-80 * (body weight)
>= 9% (severe)	100 * (body weight)

 

where:

• The oral solution dose for mild to moderate dilution can be approximated by (percent) * 10 ( (weight).

 

General instructions:

(1) Give the fluid in small amounts often.

(2) If the child is vomiting then reduce volume and increase frequency.

(3) If the parents or child are unable to have sufficient fluid intake, then rehydrate using a nasogastric tube.