Evaluation/Treatment of Children with Gastroenteritis and Dehydration

Reassess after 2nd NS bolus

RN Bedside Care

Criteria for ORT

Criteria for Continued IV therapy / Admission

IVF

Consider need for third NS bolus
Moderate Dehydration 1.5 x maintenance
Severe Dehydration 2 x maintenance

To calculate maintenance cc/hr, use patient’s wght in kgs:

   4 cc/kg for the first 10 kgs
+ 2 cc/kg for the next 10 kgs
+ 1 cc/kg for each kg over 20 kgs

Example: 25 kg
   4 x 10 = 40
+ 2 x 10 = 20
+ 1 x 5 = 5
  • Maintenance rate is 65 cc/hr
  • 1 ½ Maintenance is 98 cc/hr