When is a trial of oral rehydration indicated in the evaluation of pediatric dehydration?

Updated: Nov 12, 2018
  • Author: Alex Koyfman, MD; Chief Editor: Muhammad Waseem, MS, MBBS, FAAP, FACEP, FAHA  more...
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Answer

Prior to vascular access attempts, consider oral rehydration in mild and moderate dehydration. A significant body of evidence indicates that an initial trial of oral rehydration with small, frequent volumes of electrolyte-containing solution (5-10 mL every 5-10 min) for pediatric patients with mild to moderate volume depletion is simple and effective, avoiding the more resource-intensive methods that are noxious to infants and children. [11]

Typical sites for intravenous access include superficial veins in the dorsum of the hand, the antecubital fossa (median cephalic or basilic veins), dorsum of the foot, and scalp veins.

Use intraosseous access if attempts to start percutaneous intravenous lines are unsuccessful. Typical sites are the proximal anterior tibia and the distal femur. [12]


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