How will you rehydrate the

Patient?
 3 Steps in Rehydrating the
Patient

Step 1:
Determine Step 2: Step 3:
the degree Estimate Select
of Fluid Deficit Treatment
dehydration Plan
 Step 1: Determining the type of
Dehydration
A B C
Look for:
CONDITION Well & alert Restless & Irritable Lethargic or
EYES Normal Sunken unconscious
THIRST Drinks normally, Thirsty, drinks Sunken
not thirsty eagerly Drinks poorly or
not able to drink
Feel:
SKIN PINCH Goes back quickly Goes back slowly Goes back slowly

DECIDE: The patient has If the patient has If the patient has
NO SIGN OF two or more signs two or more signs
DEHYDRATION in B, there is in C, there is
SOME SEVERE
DEHYDRATION DEHYDRATION
TREAT Use Treatment Weigh the patient, Weigh the patient
Plan A if possible, and use and use Treatment
Treatment Plan B Plan C
URGENTLY
 Step 2: Estimate Fluid
Deficit
Fluid Deficit in ml/kg
Assessment
Body weight
No signs of dehydration <50 ml/kg

Some dehydration 50-100 ml/kg

Severe dehydration >100 ml/kg

Patient weighs 20 kg and showing no signs of

dehydration will have a fluid deficit of 1000 ml
 Step 3: Select Treatment
Plan
4 Rules of Treatment Plan A
Rule 1: Give the patient more fluids than usual to prevent dehydration
Give the patient as much fluids until diarrhea stops. After each loose stool, give
100-200 ml (half to 1 cup) of fluids. Suitable fluids includes 2 groups:
Fluids that contain salt:
ORS solution
In 1 L of clean water, add teaspoon of salt and 6 teaspoons of sugar.
Salted drinks
Vegetable or chicken soup with salt
Fluids that do not contain salt:
Plain water
Rice water
Unsweetened tea

Rule 2: Give supplemental zinc (10-20 mg) everyday for 14 days

Rule 3: Continue to feed the patient to prevent malnutrition
Rule 4: Take the patient to healthcare facility if signs of dehydration and
other problems appears.