Infantile Diarrhea

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Infusing rates Phase Ⅰ: : rapid expansion of plasma volume, which is used in patient with poor peripheral circulation. This phase of treatment is aimed at rapid expansion of extracellular fluid volume, to relieve or prevent shock and to restore renal function. 2:1 solution or 1.4% NB should be used in this phase. This isotonic sodium-containing sodium containing solution must be given immediately after admission to the hospital. The amount given is 20 ml/kg and injected intravenously within 0.5-1 0.5 1 hr.
Infusing rates Phase Ⅱ: : For replacement of remaining fluid deficit. It is aimed at correction of dehydration over the next 8-12 12 hours. The amount and formulation of this phase are dependent upon the severity and type of dehydration. The amount = preexisting losses-the losses the amount of expansion . This amount is about half of total amount. This stage should be completed during the first 8-12 8 12 hrs or at an infusing rate of 8-10 8 10 ml/kg/hr.
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Infantile Diarrhea SUN Mei Pediatri
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Major causes of death among childre
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3. Predisposing age Peak incidence
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Predisposing factors 1. Immature di
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3. Poor immune function (host defen
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5. Formula feeding: Bottle-fed Bott
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Bacteria Etiology Escherichia coli
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Etiology Fungi: especially Candida
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Etiology Antibiotic-associated Anti
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Pathogenesis Each kind of diarrhea
Page 21 and 22: Ingested ETEC (ID=10 8 ) ↓ adhere
Page 23 and 24: Feeding fault (overfeeding, unsuita
Page 25 and 26: According to severity of diarrhea i
Page 27: Dehydration: Excessive Loss of Wate
Page 34 and 35: (go go on) mild moderate severe muc
Page 36 and 37: Table 2. The types of dehydration I
Page 38 and 39: Metabolic acidosis The more severe
Page 40 and 41: Clinical manifestations: lassitude,
Page 42 and 43: Prior to rehydration, rehydration,
Page 44 and 45: Hypocalcemia and hypomagnesemia Nor
Page 46 and 47: Hypocalcemia and hypomagnesemia Man
Page 48 and 49: Vomiting usually precedes diarrhea.
Page 50 and 51: 3. Invasive bacterial enteritis. a
Page 52 and 53: Differential diagnosis 1.Physiologi
Page 54 and 55: Differential diagnosis 3. Acute nec
Page 56 and 57: Dietary therapy Oral fluids may be
Page 58 and 59: Reasonable medicine administration
Page 60 and 61: Good care and symptomatic treatment
Page 62 and 63: Electrolyte solutions 0.9% Natri ch
Page 64 and 65: Mixed solution Table 3. Components
Page 66 and 67: ORS may be used with unlimited wate
Page 68 and 69: The therapy for the first day. When
Page 70 and 71: In summary the total volume of flui
Page 74 and 75: Infusing rates Phase Ⅲ: For reple
Page 76 and 77: Replacement of potassium For mild h
Page 78 and 79: Supplement of Calcium and magnesium
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CHECKPOINTS Predisposing factors fo
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Infantile Diarrhea

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