For baby diarrhea, the most important thing is to evaluate the severity of dehydration, which is directly related to whether the baby is suitable for family treatment.
Observe the dehydration of the baby
- Prevention of dehydration
Starting from the baby’s diarrhea, you can take enough appropriate liquid orally to prevent dehydration.
Oral rehydration fluids can be started as soon as diarrhea is found, and it is not necessary to wait until dehydration symptoms occur before starting to use them. In any case, household rehydration should include at least one saline liquid.
It is suggested to supplement a certain amount of liquid after each loose stool (50 ml for those < 6 months; 6 months to 2 years old, 100 ml; 150ml for 2-10 years old; Children over the age of 10 can drink as much as they can until diarrhea stops).
- Mild ~ poisoning dehydration
Oral rehydration was used to relieve dehydration in time, ORS was applied, total dosage (ml) = body weight (kg) × (50 ~ 75 ~ 100), and oral administration was completed in 4 hours.
The children were weighed and the rehydration balance plan was made. Oral rehydration of 10 ~ 20 ml/kg body weight/hour was given at the first hour, and ORS of 5 ml/kg body weight was given every 15 minutes. Cups, bottles, spoons, drippers, syringes, etc. were used according to the wishes of the children. If oral rehydration can be tolerated, oral rehydration of 10 ~ 20 ml/kg body weight/hour was continued for 3 hours.
- Oral rehydration may fail under the following conditions
Persistent, frequent and massive diarrhea > 10 ~ 20 ml/kg body weight/hour;
The dosage of ORS solution is insufficient. Frequent and severe vomiting;
If the baby still shows dehydration near 4 hours, the fluid infusion plan should be adjusted.
If the baby suffers from persistent vomiting or aggravation of dehydration, it is recommended to see a doctor and infusion therapy may be considered.
Supplement of [Zinc]
- Why do you need zinc supplement?
Supplement zinc in case of diarrhea, It is considered that zinc plays a central role in cell growth and immune function. Supplementing zinc, It can shorten the course of diarrhea, reduce the severity of diarrhea and reduce the risk of dehydration. Continuous zinc supplement for 10-14 days, It can completely supplement the zinc lost during diarrhea and reduce the risk of recurrent diarrhea in children within 2-3 months. The benefits of zinc supplement are far more than reducing the morbidity and mortality of diarrhea in children, but also reducing the irrational use of antibiotics.
- How do I supplement zinc?
> 6-month-old babies, supplement 20 mg of elemental zinc every day,
For babies less than 6 months old, 10 mg of elemental zinc was supplemented every day for 10 ~ 14 days.
20 mg of elemental zinc is equivalent to 100 mg of zinc sulfate, 140 mg of zinc gluconate and 200 mg of zinc glycyrrhizinate.
If you only buy zinc gluconate oral liquid (one 10 ml containing 3.53 mg of elemental zinc), you need 3 less (less than 6 months old) or 6 less (7 months old to 5 years old) per day according to the recommended dose. If you buy zinc gluconate tablets (one 10 mg elemental zinc tablet), you only need one or two tablets a day, both of which are taken 2-3 times and continuously for 10-14 days.