Diarrhea in the tropics

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臨床的評価

• 非炎症性
• 炎症性

治療

5歳未満小児での亜鉛投与

fluid management in children

• Body weight estimation [math]\displaystyle{ = ( Age + 4 ) \times 2 }[/math]

severe dehydration/shock

• volume deficit [math]\displaystyle{ = Body\ weight \times 100\ …(A) }[/math]
  • replace volume deficit with bolus and residual
• Bolus saline [math]\displaystyle{ = 10\sim20\ ml/kg \times 1\sim2\ times …(B) }[/math]
• Residual saline in 24 hrs [math]\displaystyle{ =(A)-(B) }[/math]
• Maintenance saline in 24 hrs[math]\displaystyle{ …(C) }[/math]

1. [math]\displaystyle{ =100\ ml/kg\ (BW\le10\ kg) }[/math]
2. [math]\displaystyle{ =1000\ + (BW-10\ kg)\times\ 50\ ml/kg\ …10kg\lt BW\le20\ kg }[/math]
3. [math]\displaystyle{ =1500\ + (BW-20\ kg)\times\ 20\ ml/kg\ …20kg\lt BW }[/math]

• Total in 24 hrs [math]\displaystyle{ =(A)-(B)+(C) }[/math]