Evaluation/Treatment of Children with Gastroenteritis and Dehydration
Oral Rehydration Therapy Instructions for Families
- Oral Rehydration Therapy, (ORT), is a treatment we use for dehydrated
- A small amount of liquid (1-2 mL / kg of the child’s body weight)
is administered every 5 minutes with a syringe or small cup over 3 - 4
hours. To treat your child today, we will start with ________ mL every
- Pedialyte is the best fluid choice for young children. Older children
may refuse this, so ½ strength Gatorade with saltine crackers is
substituted. These fluids have the most favorable ratio of glucose and sodium,
which helps the intestines to reabsorb water.
- Although your child may want more, it is important to give the fluid
slowly. This allows the stomach to absorb the liquid and helps prevent
vomiting. Please watch the clock and give only the recommended amount
every 5 minutes.
- Your child may refuse the fluid initially, but with a few feeds it
often gets much easier and the child begins to take the fluids.
- If your child vomits, let your nurse know. If it is only a small amount,
we will continue ORT. If it is a large amount, we may need to stop and
place an IV.
- If your child repeatedly refuses the feeds or is passing frequent,
large volume stools, we may need to place an IV.