Paediatric Management ofDiarrheaHina Hussain
DiarrheaA symptom of underlined Pathological conditionse.g., Malnutrition, Short Bowel syndrome,Gastroentritis, Diabetis M...
DefinitionThe passage of more than three watery stoolsa day is diarrhea• Frequency• Consistency6/4/2013 3
TYPES OF DIARRHEA• Acute Diarrhea• Chronic diarrhea6/4/2013 4
COMMON CAUSES OFDIARRHEA- BACTERIA– Vibrio cholera– Shigella– Escherichia coli– Salmonella– Campylobacter jejuni– Yersinia...
COMMON CAUSES OFDIARRHEA- VIRUS• Rotavirus• Adenoviruses• Caliciviruses• Astroviruses• Norwalk agents and Norwalk-like vir...
How body gets effectedDiarrhea results in excessive water and electrolyteslose in the body called dehydration.Signs of deh...
Standard Treatment Guidelines(STG’s)• These are the guidelines set by certainorganization to standardize the treatment oft...
WHO STG’s on DiarrheaWHO have STG’s on the basis of grade ofDehydration:• No dehydration: Treatment Plan ‘A’• Mild: Treatm...
Grading/ AssesmentDehydrationNo dehydration Mild SevereAppearance Irritable, thirsty Irritable, Lethargicvery thirsty or C...
Objective of these STG’ s• Rehydration– replace the loss of fluid andelectrolytes• Antibiotics– according to the type of p...
Treatment Plan ‘A’Home based treatment• ORS, other fluidsHow much to give, what kind of fluids are given• Increase feed• O...
Treatment Plan ‘B’Oral rehydration therapy• ORS + Zinc supplementation• Amount of ORS given for first 4 hoursAccording to ...
Treatment Plan ‘C’• IV RL at the 100ml/kg• Reassesment of the patient• Selection of treatment plan accordingly6/4/2013 14
BUTA good saying prevention is better than cure• Safe drinking water and food“Boil it, cook it, peel it, or forget it. "• ...
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Diarrhea by hina hussain

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Diarrhea by hina hussain

  1. 1. Paediatric Management ofDiarrheaHina Hussain
  2. 2. DiarrheaA symptom of underlined Pathological conditionse.g., Malnutrition, Short Bowel syndrome,Gastroentritis, Diabetis Mellitus, Lactoseintolerance, Antibiotic therapy6/4/2013 2
  3. 3. DefinitionThe passage of more than three watery stoolsa day is diarrhea• Frequency• Consistency6/4/2013 3
  4. 4. TYPES OF DIARRHEA• Acute Diarrhea• Chronic diarrhea6/4/2013 4
  5. 5. COMMON CAUSES OFDIARRHEA- BACTERIA– Vibrio cholera– Shigella– Escherichia coli– Salmonella– Campylobacter jejuni– Yersinia enterocolitica– Staphylococcus– Vibrio parahemolyticus– Clostridium difficile
  6. 6. COMMON CAUSES OFDIARRHEA- VIRUS• Rotavirus• Adenoviruses• Caliciviruses• Astroviruses• Norwalk agents and Norwalk-like viruses
  7. 7. How body gets effectedDiarrhea results in excessive water and electrolyteslose in the body called dehydration.Signs of dehydration• Increased thirst• Irritability• Sunken eyes• Decresed skin turger6/4/2013 7
  8. 8. Standard Treatment Guidelines(STG’s)• These are the guidelines set by certainorganization to standardize the treatment ofthe patients and to maximize the cure rate.e.g., WHO, WGO, CDC etc.6/4/2013 8
  9. 9. WHO STG’s on DiarrheaWHO have STG’s on the basis of grade ofDehydration:• No dehydration: Treatment Plan ‘A’• Mild: Treatment Plan ‘B’• Severe: Treatment Plan ‘C’6/4/2013 9
  10. 10. Grading/ AssesmentDehydrationNo dehydration Mild SevereAppearance Irritable, thirsty Irritable, Lethargicvery thirsty or ComaEyes Normal depressed markedlydepressedSkin Normal Slow Very slowretraction retraction6/4/2013 10
  11. 11. Objective of these STG’ s• Rehydration– replace the loss of fluid andelectrolytes• Antibiotics– according to the type of pathogens• Start food as soon as possible6/4/2013 11
  12. 12. Treatment Plan ‘A’Home based treatment• ORS, other fluidsHow much to give, what kind of fluids are given• Increase feed• Oral Zinc6/4/2013 12
  13. 13. Treatment Plan ‘B’Oral rehydration therapy• ORS + Zinc supplementation• Amount of ORS given for first 4 hoursAccording to the weight and age of the child• If abdominal distension• Reassesment and selection of Plan6/4/2013 13
  14. 14. Treatment Plan ‘C’• IV RL at the 100ml/kg• Reassesment of the patient• Selection of treatment plan accordingly6/4/2013 14
  15. 15. BUTA good saying prevention is better than cure• Safe drinking water and food“Boil it, cook it, peel it, or forget it. "• Hand washing• Proper sanitation6/4/2013 15

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