Pediatric Dehydration and Oral Rehydration
ED Rounds Presentation by: Dr Paul Page
- Volume Depletion (hypovolemia): refers to any condition in which the effective circulating volume is reduced. It can be produced by salt and water loss (as with vomiting, diarrhea, diuretics, bleeding, or third space sequestration) or by water loss alone (as with insensible water losses or diabetes insipidus).
- Dehydration -refers to water loss alone. The clinical manifestation of dehydration is often hypernatremia. The elevation in serum sodium concentration, and therefore serum osmolality, pulls water out of the cells into the extracellular fluid.
American Family Physician article (2009) – Diagnosis and Management of Dehydration in Children
SJRHEM Guideline
Hydration Guidelines for Pediatric Patients with Vomiting and/or Diarrhea