What are the CDC recommendations in the treatment of dehydration due to diarrhea?

Updated: Jan 31, 2020
  • Author: Stefano Guandalini, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

The report also includes information on assessment of dehydration and what steps should be taken to adequately treat acute diarrhea.

Treatment of dehydration due to diarrhea includes the following:

  • Minimal or no dehydration

    • Rehydration therapy - Not applicable

    • Replacement of losses

      • Less than 10 kg body weight - 60-120 mL oral rehydration solution for each diarrhea stool or vomiting episode

      • More than 10 kg body weight - 120-140 mL oral rehydration solution for each diarrhea stool or vomiting episode

  • Mild-to-moderate dehydration

    • Rehydration therapy - Oral rehydration solution (50-100 mL/kg over 3-4 h)

    • Replacement of losses

      • Less than 10 kg body weight - 60-120 mL oral rehydration solution for each diarrhea stool or vomiting episode

      • More than 10 kg body weight - 120-140 mL oral rehydration solution for each diarrhea stool or vomiting episode

  • Severe dehydration

    • Rehydration therapy - Intravenous lactated Ringer solution or normal saline (20 mL/kg until perfusion and mental status improve), followed by 100 mL/kg oral rehydration solution over 4 hours or 5% dextrose (half normal saline) intravenously at twice maintenance fluid rates

    • Replacement of losses

      • Less than 10 kg body weight - 60-120 mL oral rehydration solution for each diarrhea stool or vomiting episode

      • More than 10 kg body weight - 120-140 mL oral rehydration solution for each diarrhea stool or vomiting episode

      • If unable to drink, administer through nasogastric tube or intravenously administer 5% dextrose (one fourth normal saline) with 20 mEq/L potassium chloride


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