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Watery diarrhoea By Dr. Osman Sadig
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[object Object],[object Object],[object Object]
ASSESSMENT OF DEHYDRATION DEGREE Not present for 6hrs Few  & dark Normal Urine  Unable to Drink Eager  Normal  Thirst  FREQUENT SOMETIMES MILD VOMITING MORE   THAN 10 4-10 LESS  THAN 4   Sessions/DAY DIRRHEA SEVERE  DEHYDRATIOn moderate   DEHYDRATIOn mild DEHYDRATIOn ASK
Assessment of dehydration degree V. Rapid and deep Rapid  Normal Respiratory  V-Day  Dry  Wet  Mouth & Tongue  V. Sunken Sunken Normal Eyes  V-Day  Dry  Normal  Tears  Convulsing Drowsy comatose Irritable  Active & alert  General condition  Severe Dehydration  Moderate dehydration Mild dehydration NOTICE
 
 
 
 
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of severe dehydration ,[object Object],[object Object],[object Object],5 70 1 30 1< 2 ½  70 ½  30 1> Time in hrs  Amount ml/ kg   Age/ years
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Treatment of mild and moderate dehydration. ,[object Object],2200-4000 120-2200 800-1200 600-800 400-600 200-400 O.R.S ML More than 30 16-30 11-15 8-10 5-7 Less than 5kg  WT/ kg  15 yrs and more  5-14 yrs 2-4 yrs  12-23 mo 4 – 11 mo Less  than 4 mo  Age
 
Treatment of mild & moderate dehydration: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The patient should return to the health unit if there is : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment if no dehydration ,[object Object],[object Object],[object Object]
O.R.S AT HOME Two  Any if able  More than 10year  One 100-200 2-9year One  50-100 per motion  Less than two  No of cases day  Amount /ml  AGE /YRS
[object Object],[object Object],[object Object]
Antibiotics Started after vomiting stops, usually after fluid replacement . 100mg 6 hrs for 3 days  1 mg/kg 6= for 3 days  Ferozilipdin  1600mg TM + 800 mg SD for 5 days 5 mg /kg trimethoprin+ 25mg/kg suphadoxine  Septrin : twice daily for 3 days  300mg single dose  - Doxycycline 250-500mg 6 hr for 3 days.  - tetracycline Adult  Children  Drug
 
Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
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Watery Diarrhoea

  • 1. Watery diarrhoea By Dr. Osman Sadig
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  • 13. ASSESSMENT OF DEHYDRATION DEGREE Not present for 6hrs Few & dark Normal Urine Unable to Drink Eager Normal Thirst FREQUENT SOMETIMES MILD VOMITING MORE THAN 10 4-10 LESS THAN 4 Sessions/DAY DIRRHEA SEVERE DEHYDRATIOn moderate DEHYDRATIOn mild DEHYDRATIOn ASK
  • 14. Assessment of dehydration degree V. Rapid and deep Rapid Normal Respiratory V-Day Dry Wet Mouth & Tongue V. Sunken Sunken Normal Eyes V-Day Dry Normal Tears Convulsing Drowsy comatose Irritable Active & alert General condition Severe Dehydration Moderate dehydration Mild dehydration NOTICE
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  • 30. O.R.S AT HOME Two Any if able More than 10year One 100-200 2-9year One 50-100 per motion Less than two No of cases day Amount /ml AGE /YRS
  • 31.
  • 32. Antibiotics Started after vomiting stops, usually after fluid replacement . 100mg 6 hrs for 3 days 1 mg/kg 6= for 3 days Ferozilipdin 1600mg TM + 800 mg SD for 5 days 5 mg /kg trimethoprin+ 25mg/kg suphadoxine Septrin : twice daily for 3 days 300mg single dose - Doxycycline 250-500mg 6 hr for 3 days. - tetracycline Adult Children Drug
  • 33.  
  • 34.
  • 35.  
  • 36.
  • 37.
  • 38.  
  • 39.