Pediatr. praxi 2018; 19(5): 252-255 | DOI: 10.36290/ped.2018.050

Dehydration

MUDr. Peter Mikolášek
Klinika dětských infekčních nemocí FN Brno

Dehydration is one of the most common pathological conditions in pediatrics not only in infectious gastroenterocolitis. Newborns,infants and toddlers are the most risk group for dehydration, for their highest proportion of body water, increased fluidintake, dehydration speed, limited compensation mechanisms, and worse compliance. Clinical symptoms may be unrecognizedor underestimated for parents, especially in young children. Reminders of basal information on pathophysiology, clinical pictureand laboratory findings are complemented by the recommended procedure to properly initiate and lead oral and parenteralrehydration. Early recognition of dehydration and its adequate compensation is essential for every pediatrician.

Keywords: dehydration, rehydration, fluids, solutions

Published: October 25, 2018  Show citation

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Mikolášek P. Dehydration. Pediatr. praxi. 2018;19(5):252-255. doi: 10.36290/ped.2018.050.
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References

  1. Brandt KG, de Castro Antunes MM, da Silva GA. Acute diarrhea: evidence-based management. J Pediatr (Rio J). 2015 Nov-Dec. 91 (6 Suppl 1): S36-43. Go to original source... Go to PubMed...
  2. Carson RA, Mudd SS, Madati PJ. Clinical practice guideline for the treatment of pediatric acute gastroenteritis in the outpatient setting. J Pediatr Health Care. 2016 Nov - Dec. 30(6): 610-616. Go to original source... Go to PubMed...
  3. Guarino A, Ashkenazi S, Gendrel D, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014. JPGN 2014; 59: 132-152. Go to original source... Go to PubMed...
  4. Havránek J, Dedek V, Fajt M, et al. Základní principy parenterální rehydratace v pediatrii. Pediatr. pro Praxi 2009; 10(2): 92-97.
  5. Sandhu BK. Practical guidelines for the management of gastroenteritis in children. J Pediatr Gastroenterol Nutr 2001; 33 (Suppl 2): S36-39. Go to original source... Go to PubMed...
  6. World Health Organization. The treatment of diarrhoea: a manual for physicians and other senior health workers. 4th revision. WHO, 2005.
  7. Spandorfer PR, Alessandrini EA, Joffe MD, et al. Oral versus intravenous rehydration of moderately dehydrated children: a randomized, controlled trial. Pediatrics. 2005 Feb. 115(2): 295-301. Go to original source... Go to PubMed...
  8. Bellemare S, Hartling L, Wiebe N, et al. Oral rehydration versus intravenous therapy for treating dehydration due to gastroenteritis in children: a meta-analysis of randomised controlled trials. BMC Medicine 2004; 2: 11. doi 10.1186/1741-7015-2-11. Go to original source... Go to PubMed...
  9. Heyman MB, Abrams SA. section on gastroenterology, hepatology, and nutrition., committee on nutrition. Fruit Juice in Infants, Children, and Adolescents: Current Recommendations. Pediatrics. 2017 Jun. 139 (6). Go to original source... Go to PubMed...
  10. King CK, Glass R, Bresee JS, et al. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003 Nov 21. 52: 1-16.
  11. Freedman SB, Adler M, Seshadri R, et al. Oral ondansetron for gastroenteritis in a pediatric emergency department. N Engl J Med. 2006 Apr 20. 354(16): 1698-705. Go to original source... Go to PubMed...
  12. Kersten H. Oral ondansetron decreases the need for intravenous fluids in children with gastroenteritis. J Pediatr. 2006 Nov. 149(5): 726. Go to original source... Go to PubMed...
  13. Alhashimi D, Alhashimi H, Fedorowicz Z. Antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents. Cochrane Database Syst Rev. 2006 Oct 18. Go to original source... Go to PubMed...
  14. Sterns RH, Cappuccio JD, Silver SM, et al. Neurologic sequelae after treatment of severe hyponatremia: a multicenter perspective. J Am Soc Nephrol. 1994 Feb. 4 (8): 1522-1530. Go to original source... Go to PubMed...




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