BP: blood pressure; D5LR: lactated Ringer's with 5% dextrose; HCT: hematocrit; Hgb: hemoglobin; IV: intravenous; LR: lactated Ringer's; PCV: plasma cell volume; pRBC: packed red blood cells.
* If blood transfusion is not available within 30 minutes, administer 10 mL/kg LR over 60 minutes followed by D5LR at maintenance and replace estimated losses from diarrhea, vomiting, or poor oral intake until blood is available.
¶ Refer to UpToDate content on oral rehydration therapy in resource-limited settings. Children with severe acute malnutrition who can tolerate oral intake should receive ReSoMal (rehydration solution for malnutrition) instead of intravenous fluids or other oral rehydration products.
Δ A lower initial volume and rate is typically used in children with severe acute malnutrition because they may be at increased risk for fluid overload during fluid therapy.
◊ If LR or another type of balanced crystalloid solution is unavailable, use normal saline.Do you want to add Medilib to your home screen?