EMERGENCY MEDICINE GUIDELINES
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Gastroenteritis and Fluid Prescription
Prereading :

CHQ Gastroenteritis Guideline
File Size: 561 kb
File Type: pdf
Download File

Workbook Exercises :
Case 1
An 18-month-old girl presents to ED after several vomits at home this morning. She seemed a bit off her food last night and woke up in the early hours of the morning when she started to vomit. Since then she hasn’t been able to keep anything down. She has had no fevers but has had one episode of diarrhoea prior to presentation.

1. How would you assess her fluid status? What would you look for on history, examination and observations?  
2.
Other than looking a little coryzal and mildly dehydrated she examines well, how are you going to treat her?  
3 
After 2 hours she has tolerated 300mls of gastrolyte and had no further vomits. She appears well with normal observations and you think she may be able to go home. What advice should you give her parents on when to return? Where can you find patient handout information?  
 
Case 2
An 18-month-old boy presents to ED with 24 hours of vomiting. He appears quite lethargic and is carrying a bucket. He has no fevers. He is placed in a cubicle and started on a trial of oral fluids. After eating a gastrolyte ice block he vomits again and then falls asleep.

1. Would you consider prescribing an anti-emetic, which one would you choose and what dose and route?  
2. How are you going to deliver fluids to this child and at what rate?  
3. Describe how you would insert an NG into this child?  
 
Prescribing Fluids
On the chart in your workbook, please prescribe the following :

1. Maintenance Fluids for a 12 year old boy who weighs 43kg  
2. Fluid bolus for a septic neonate who weighs 3.6kg  
3. Rapid Rehydration for a 6 year old girl with gastroenteritis who weighs 20kg  
4. Slow rehydration over 24 hours for a 5 year old boy who weighs 16kg and is 5% dehydrated  
5. Maintenance fluid for a 8 day old baby who weighs 3.2kg

Useful Links and Additional Reading :

Paeds Fluids Guidelines
NICE Guideline Gastroenteritis
Copyright © 2015
  • Home
  • Guidelines
    • Abdominal pain in adults
    • AAA Rupture
    • Acute Coronary Syndrome
    • Anaphylaxis
    • Aortic Dissection
    • Appendicitis
    • Asthma
    • Backpain
    • Bowel Obstruction
    • Bronchiectasis
    • Burns
    • Chest Pain >
      • ADP Chest Pain Pathway
    • Cholecystitis
    • Confusion
    • COPD
    • Diverticulitis
    • DKA
    • DVT
    • Eating Disorders
    • Febrile Neutropaenia
    • Fractures >
      • Bier's block procedure form
      • Fractured neck of Femur
    • Funnel Web Spider Bite
    • Headache
    • Influenza Like illness
    • Meningitis
    • Obstetrics >
      • QLD Clinical Guidelines
    • Pancreatitis
    • Paracetamol OD
    • Pathology Ordering
    • Peri-anal abscess
    • Pertussis
    • Pneumonia
    • Pneumothorax
    • Podiatry
    • Procedural Sedation >
      • Procedural Sedation
    • Pulmonary Embolus
    • PV Bleeding in Early pregnancy >
      • EPAU - Early Pregnancy Assessment Unit
    • Redback Spider Bite
    • Ring cutter use
    • Seizure
    • Septic Arthritis
    • Use of Restraints
    • Stroke / TIA
    • Sepsis
    • Smoking cessation
    • Snake Bite
    • Syncope >
      • Telemetry guideline
    • TIA
    • Tonometer use
    • Antidotes
    • Dagibatran reversal guidelines
    • Funnel Web Spider Bite
    • Redback Spider Bite
    • Paracetamol OD
    • Snake Bite
    • Warfarin Reversal Guidelines
    • Trauma >
      • C-spine injury
      • Head Injury
      • Imaging Guidelines
      • Trauma in pregnancy
      • Sutures
    • Abdominal Pain
    • Allergy / Anaphylaxis
    • Antimicrobial Guidelines
    • Asthma & Wheeze
    • Behavioural Disturbance
    • Boils - Staph decolonisation treatment
    • Bronchiolitis
    • Buckle fractures
    • Burns
    • Cervical Spine Guideline
    • Chest Pain (Paediatric)
    • Child Protection
    • Constipation
    • Croup
    • DKA
    • Drowning
    • Eating Disorders
    • Fever
    • Fluids in Kids
    • Foreign Bodies
    • Gastroenteritis
    • Headache
    • Head Injury
    • High Flow Nasal Cannula Oxygen
    • Hypoglycaemia
    • Jaundiced Neonate
    • Limping in children
    • Malaria
    • Meningitis
    • Oncology Emergencies
    • Otitis Externa
    • Otitis Media
    • Paediatric Fracture Clinic Referral
    • Paracetamol Poisoning
    • Petechial Rash
    • Pneumonia (CAP)
    • Seizures / Status Epilepticus
    • Sepsis Guideline
    • Tetanus Prophylaxis
    • Torticollis
    • UTI NICE Guideline
    • Trauma in children >
      • LCCH Paeds Trauma Guidelines
      • C Spine Injury LCCH Guideline
      • LCCH Massive Transfusion
    • RCH Melbourne Guidelines
  • Parent Handouts
    • Accidental Poisoning
    • Abdominal Pain
    • Ankle Sprain
    • Arrhythmia
    • Asthma
    • Bronchiolitis
    • Chest Infections
    • Cast Care
    • Cellulitis
    • Constipation
    • Croup
    • DKA
    • Epistaxis
    • Eye Foreign Body
    • Febrile Convulsion
    • Fever
    • Fracture- Buckle
    • Fracture- Clavicle
    • Fracture- Elbow
    • Fracture- Finger/Toe
    • Fracture- Foot
    • Gatroenteritis
    • Glue- Lacerations
    • Head Injury
    • Jaundice
    • Otitis Externa
    • Parechovirus
    • Periorbital and Orbital cellulitis
    • Pulled Elbow
    • Seizures
    • Tonsillitis
    • Urticaria
    • Viral Illness
    • Wound Care
  • ACE the ACEM
  • Blog