12. HISTORY
Ask about the onset,duration and
frequency of loose stools
Any recent travelling
Exposure to unpurified water
Any unusual food intake
Any history of drug intake
Similar illness in family
19. Degree of
Rehydration Replacement
dehydration
Mild
Moderate
Severe
Nutrition
Not Applicable 120—240ml Ors Normal soft
for each loose
diet with
stool
adequate
calories
ORS 50—
SAME
SAME
100ml body
wt over 4
hours
R.Lactate or
SAME. By NG if SAME
N/S,@
unable to drink
20ml/kg bolus
until perfusion
improves,then
100ml/kg ORS
over 4 hrs.
20.
In Emergency rehydrate by giving
Normal saline or Ringer Lactate
@ 50….200ml/kg/24hrs
Fluids should be given according to
hydration status
Look for basal crepts…or cvp
pressure .r
21. Anti diarrheal
Can be used in mild – moderate
diarrhea
Should not be used in inflammatory
diarrhea
Loperamide 4mg initially,then 2mg
after each loose stool
22. ANTIBIOTICS
In most of the cases not required
Empirical therapy given in inflammatory
cases
Ciprofloxacin 500mg BD
Metronidazole 500 mg Tds if Giardia
suspected
23. ADVISE FOR HOME
Plenty of fluids
Specially ORS…1 sachet in 1 litre
boiled water(100..200ml after each
stool )
OR
Add 1tsp salt,8 tsp sugar.1tsp baking
powder in 1 litre boiled water.
Take 1 or 2 banana alongwith it.
28. PREVENTION
Always wash hands after trip to the
toilet
Make sure ,dairy products you use
are pasteurized
Avoid unnecessary antibiotics use
Eat freshly cooked meal
Use boiled water