Pediatric Nursing

11 month baby weight 8 kg has vomiting 7 times how many ml orally he can received ?

11 month baby weight 8 kg has vomiting 7 times how many ml orally he can received ?

  1. A 200
  2. B 600 Correct answer
  3. C 800
  4. D 1200

Explanation

Core Concept: Oral Rehydration Therapy (ORT) is the cornerstone of managing mild to moderate dehydration in pediatric gastroenteritis. The volume of ORS required is calculated based on the child's weight and the degree of dehydration.

Clinical Presentation:

  • Diarrhea, vomiting, decreased urine output, dry mucous membranes.

Diagnosis:

  • *First-line:* Clinical Dehydration Scale (assessing skin turgor, eyes, tears, mucous membranes, and general appearance).
  • *Gold Standard:* Serum electrolytes and blood gas if severe dehydration or shock is suspected.

Management:

  • *Acute:* For mild to moderate dehydration, the WHO and AAP recommend 50 to 100 mL/kg of ORS over 4 hours. For an 8 kg child, using a standard 75 mL/kg replacement calculation: 75 mL/kg x 8 kg = *600 mL* orally.
  • *Definitive:* Replace ongoing losses (10 mL/kg for each watery stool) and resume age-appropriate feeding once rehydrated.

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