Dehydration is a common but potentially serious clinical condition that requires timely recognition and appropriate management. The key principles of dehydration management include:
✅ Assessment of Severity
Classify dehydration as mild, moderate, or severe based on clinical signs (e.g., dry mucous membranes, tachycardia, reduced urine output, delayed capillary refill).
✅ Rehydration Therapy
Mild to moderate dehydration: Oral rehydration therapy (ORT) is the preferred approach using oral rehydration solution (ORS) to replace lost fluids and electrolytes.
Severe dehydration or shock: IV fluid resuscitation is required, often with isotonic crystalloids (e.g., normal saline or Hartmann’s solution).
✅ Correction of Electrolyte Imbalances
Consider potassium, sodium, and glucose levels, particularly in cases of severe dehydration, vomiting, or diarrhoea.
✅ Identification and Treatment of the Underlying Cause
Whether due to gastroenteritis, excessive sweating, burns, or other medical conditions, addressing the primary cause is essential.
✅ Monitoring and Reassessment
Continuously evaluate fluid balance, urine output, and vital signs to ensure appropriate recovery and prevent complications.
Understanding these principles is crucial for safe and effective patient care.
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