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Old 02-26-2014
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hi everybody...
i'd like to know about when to advice to give the pedialyte in a child case , and is it safe to give them if the child is not dehydrated?
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Old 02-26-2014
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Pedialyte is generally safe, but I think for all pedia cases in the CS, the best advice is that you should see the child personally first to be able to see the complete clinical picture.

We should probably only advice a particular management if it's an emergency case (ex. In epiglottitis, the parent is asked to keep the child upright, calm, NPO, send to hospital immediately etc.) Otherwise, non-emergent treatment may only give the parent a false sense of security and might discourage proper consultation.
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Old 02-26-2014
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What if the child has diarrhea but not dehydrated?
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Old 02-26-2014
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thank you Dr.Pepper, but what do u mean by "discourage proper consultation".
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Old 02-27-2014
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Quote:
Originally Posted by Kawthar View Post
What if the child has diarrhea but not dehydrated?
Without proper consultation, you can't definitively say that the child is not dehydrated as you also need to look for objective signs.

What I meant by discourage proper consultation is that the patient's parent might not consult anymore because you already gave a management. S/he might think that it's enough. Besides, you can't really give an appropriate management without accurate diagnosis. What if the child actually needs IV hydration or if the child is already too weak/drowsy to drink properly? (in this case, oral hydration might be harmful) The parent may not be trained to recognize such signs.

I'm basing my opinion on the FA case on a child with diarrhea. Giving pedialyte wasn't part of the closure.
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Old 02-27-2014
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Thank you very much Dr Pepper. You really gave me a wonderful information.
Thanx a lot.
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