ACUTE DIARRHEA ACUTE DIARRHEA IN CHILDRENIN CHILDREN

DefinitionDefinition

DIARRHEA → Abnormal defecationDIARRHEA → Abnormal defecation

Consistency AlterationConsistency Alteration

soft → watery soft → watery

Frequency > 3 times/24 hoursFrequency > 3 times/24 hours

ACUTE DIARRHEA → < 14 daysACUTE DIARRHEA → < 14 days

Etiology

Diarrhea

Infection

Malabsorption

Allergy

Food Intoxication

Immunodeficiency

Miscellaneous

PathomechanismPathomechanism

• SecretorySecretory

• Invasive or dysentery formInvasive or dysentery form

• OsmoticOsmotic

Assessment of Assessment of Grade Dehydration Grade Dehydration

Assessment A B C

1. Look: General appearance Eye Tears Mouth & tongue Thirst

Good, conscious Normal (+) Wet Drinks normally, not thirsty

Irritable*, Sunken eye (-) Dry Thirsty*, drink eagerly

Malaise*, weak or unconscious Very sunken eye and dry (-) Very dry Drink poorly* or not able to drink

2. Evaluate skin

turgor

Goes back quickly

Goes back slowly*

Goes back very slowly*

3. Grade dehydration

WITHOUT DEHYDRATION ( Plan A )

MILD TO MODERATE DEHYDRATION If 1 * + 1 /more other signs ( Plan B )

SEVERE DEHYDRATION If 1 * + 1 /more other signs ( Plan C )

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