Evaluation/Treatment of Children with Gastroenteritis and Dehydration

Initial MD/RN/CRNP Rapid Assessment

Goal

History

Onset of symptoms, presence of fever

Emesis

How many, last time, bilious/bloody, worse in the AM

Diarrhea

How many, last time, blood/mucous

Intake

Type and amount of fluid given

Urination

How many times, last time, color/odor

Exposure

Ill contacts, new foods, farm animals, foreign travel

Pain

Location, quality, radiation, duration

Pre-illness weight

If known, weight loss is a sensitive indicator of dehydration
Identify high risk factors:

Underlying medical problem

Cardiac, GI, Renal, Metabolic, Endocrine (Diabetes), Immunodeficiency, history of abdominal surgery

Physical Exam

Signs of Dehydration