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2.18 Diarrhea, Dehydration and Rehydration 3-4 hours
Objectives:
To review diarrhea and dehydrations in children
To practice demonstrating rehydration
To discuss uses of demonstration method for other
topics in VHC Training.
Activities:
NOTE: You will need water, sugar, salt, cups
and spoons for 5-6 demonstrations.
1. Discuss usual causes of death in children under 5
years: malnutrition (maramus and kwashikor) and
dehydration.
2. Trainer discusses variety of causes of diarrhea,
signs and symptoms, and prevention. Take questions.
3. Discuss differential diagnosis with diarrhea. 3
levels:
1) Simple; frequent loose stools or water.
2) With blood, mucus or pus.
3) Continuous water.
4. Discuss symptoms of dehydration: (sunken fontanelle,
no skin elasticity, etc.).
5. Present demonstration of preparation and giving of
rehydration fluid.
6. Ask group to tell trainer what improvements could
be made in the demonstration. Take a break.
7. Put into groups of 5 or 6 and tell the groups to
make the best step-by-step plan possible for a
demonstration of rehydration therapy. 20-30 minutes.
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