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This Concept Map, created with IHMC CmapTools, has information related to: 273_Diarrhea in Children 6mo-5yr, Pt tolerating therapy? No Hospitalize pt for appropriate therapy, including emergent IV therapy., One or more of the following is present: ᡂ% dehydration, signs of shock unconsciousness, ileus? Yes Hospitalize pt for appropriate therapy, including emergent IV therapy., 3%-9% dehydrated as determined by body weight loss and/or clinical judgment No ɛ% dehydrated as determined by body weight loss or signs and symptoms, Diarrhea resolved or improved after 48h of ORS? No Medical Referral, Pt tolerating therapy? Yes Continue ORS for 4-6h or until rehydrated. For infants, resume breast-feeding, formula, or milk. For all children, resume age appropriate foods. Replace ongoing fluid/electrolyte losses with dextrose-electrolyte solution., Child age 6 months-5 years with acute diarrhea Take history, examine pt & either obtain current weight or estimate percentage of dehydration. Refer if exclusions for self-treatment exist., Take history, examine pt & either obtain current weight or estimate percentage of dehydration. Refer if exclusions for self-treatment exist. One or more of the following is present: ᡂ% dehydration, signs of shock unconsciousness, ileus?, One or more of the following is present: ᡂ% dehydration, signs of shock unconsciousness, ileus? No 3%-9% dehydrated as determined by body weight loss and/or clinical judgment, 3%-9% dehydrated as determined by body weight loss and/or clinical judgment Yes Begin ORS: 50-100ml/kg over 3-4h. Replace ongoing stool and emesis losses of body fluid/electrolytes, giving 10ml/kg for each loose stool. Vomiting in not a contraindication for ORS. Small volumes (1-2tsp q 1-2 min) may be tolerated by vomiting child & can deliver enough volume to rehydrate & maintain adequate state of hydration in ᢒ% of children., ɛ% dehydrated as determined by body weight loss or signs and symptoms Continue regular diet. Consider adding dextrose-electrolyte solution to replace ongoing stool losses. or increase intake of usual dietary fluids., Diarrhea resolved or improved after 48h of ORS? Yes D/C Treatment, Continue regular diet. Consider adding dextrose-electrolyte solution to replace ongoing stool losses. or increase intake of usual dietary fluids. Diarrhea resolved or improved after 48h of ORS?, Begin ORS: 50-100ml/kg over 3-4h. Replace ongoing stool and emesis losses of body fluid/electrolytes, giving 10ml/kg for each loose stool. Vomiting in not a contraindication for ORS. Small volumes (1-2tsp q 1-2 min) may be tolerated by vomiting child & can deliver enough volume to rehydrate & maintain adequate state of hydration in ᢒ% of children. Pt tolerating therapy?, Continue ORS for 4-6h or until rehydrated. For infants, resume breast-feeding, formula, or milk. For all children, resume age appropriate foods. Replace ongoing fluid/electrolyte losses with dextrose-electrolyte solution. Diarrhea resolved or improved after 48h of ORS?