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Dehydration, Pediatric

Sonny T. Tat, MD, MPH and Katharine A. Osborn, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Dehydration is a pathologic state of negative fluid balance in the body. Severity is generally expressed as a percentage of body weight. Mild, moderate, and severe dehydration corres...

DIAGNOSIS

  • Accurate diagnosis of dehydration determines therapy options. Over diagnosis may lead to unnecessary interventions while under diagnosis can result in significant complications and morbidity...

TREATMENT

GENERAL MEASURES

  • Most patients can be treated safely and effectively with oral rehydration therapy (ORT). A smaller number of patients need IV rehydration.

  • Treatment strategy depends on level ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • After rehydration, children with ongoing losses, as in gastroenteritis, should receive a maintenance solution in addition to regular feedings to...

ADDITIONAL READING

  • Desai R, Curns AT, Steiner CA, et al. All-cause gastroenteritis and rotavirus-coded hospitalizations among US children, 2000–2009. Clin Infect Dis.  2012;55(4):e28–e34. [View A...

CODES

ICD9

  • 276.51 Dehydration

  • 276.1 Hyposmolality and/or hyponatremia

ICD10

  • E86.0 Dehydration

  • E87.1 Hypo-osmolality and hyponatremia

SNOMED

  • 34095006 dehydration (disorder)

  • 89627008 Hyponatremia (disorder)

  • 8564...

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