Dehydration & Diarrhea Dr Ghamry
9 months admitted to ER with severe diarrhea & vomiting, diagnosed to have
dehydration, serum sodium was > 150 mEq/L. Type of dehydration? (Oct 2013)
(Oct 2016)
A- Hypotonic B- Hypertonic
C- Isotonic D- None of the above
A male infant aged 8 month, weight 8 kg, breast fed. He had watery motions
started last night and also vomited, blood detected in stools. On examination, the
infant is alert, skin pinch goes back slowly, the tongue is very dry and he drinks
eagerly. Dehydration is (Oct 2018)
A- Hypotonic B- Hypertonic
C- Isotonic D- None of the above
Degree of dehydration? Moderate dehydration
Plane of treatment? Plan B (Deficit therapy) 4 0 L y r r r u
Don't forget precaution during treatment of hypernatremia
A female patient 4 months old. Weight was 5 kg, cow milk feeder, she has an
attack of vomiting and diarrhea for previous 2 days with a persistent temperature
39. On examination, she was alert, irritable, mildly sunken eyes, fairly good skin
pinch, markedly dry mouth and tongue with marked thirst. Mother reported 2
attacks of brief convulsions in preceding 12 hours that resolve without treatment.
Dehydration is
A- Hypotonic B- Hypertonic
C- Isotonic D- None of the above
Hypertonic dehydration is associated with Serum Na …… mEq/L
A- > 150 B- 130-150
C- 120-130 D- < 120
Tongue in hyponatermic dehydration is (Oct 2015) (Dec 2015) (Oct 2018) (Oct 2019)
A- Fissured B- Moist
C- Dry D- Normal
Regarding hypertonic dehydration (Dec 2016)
A- water loss is more than electrolyte loss B- depressed anterior fontanelle is marked
C- serum sodium is less than 150 mEq/L D- tone is usually moist
What is the appropriate 24 hours fluid maintenance for a 3 year old boy with
body weight 15 kg? (Oct 2016)
A- 450 cc B- 600 cc
C- 1250 cc D- 1500 cc
What is the appropriate 24 hours fluid maintenance for 16 months old with body
weight 12 kg?
A- 450 cc B- 600 cc
C- 1100 cc D- 1500 cc
The 24 hour fluid maintenance of 16 months 12 kg baby is 1100 ( T ) (Dec 2018)
A 3 year old boy, complaint of diarrhea & vomiting, he received initial
rehydration therapy IV, his weight 15 kg. What is the 24 hour fluid maintenance?
(Oct 2016)
A- 450 cc B- 600 cc
C- 1250 cc D- 1500 cc
( 82 )
, Dehydration & Diarrhea Dr Ghamry
Oral rehydration therapy
A- works by passive absorption of glucose
B- is effective in 50% of moderately dehydrated infants
C- should not be used in hypernatermic dehydration
D- contains 5 mmol/l of potassium
E- can be given at any age
The KCl in ORS small packets containing 5.5 gm is …. gm (Oct 2015) (Oct 2019)
A- 0.7 B- 0.5
C- 0.3 D- 0.1
Considered a limitation of ORS (Oct 2017) (2018)
A- Acidosis B- Fever
C- Dysentery D- Glucose malabsorption
ORS can not be used in all of the following, except
A- Shock B- Paralytic ileus
C- Glucose malabsorption D- Acidosis
Sachet of ORS contains glucose (Dec 2017)
A- 4 gram B- 3 gram
C- 6 gram D- 5 gram
ORS is not contraindicated in acidosis ( T ) (Oct 2019)
The main component of oral rehydration solution is glucose ( T ) (Dec 2019)
( 83 )
9 months admitted to ER with severe diarrhea & vomiting, diagnosed to have
dehydration, serum sodium was > 150 mEq/L. Type of dehydration? (Oct 2013)
(Oct 2016)
A- Hypotonic B- Hypertonic
C- Isotonic D- None of the above
A male infant aged 8 month, weight 8 kg, breast fed. He had watery motions
started last night and also vomited, blood detected in stools. On examination, the
infant is alert, skin pinch goes back slowly, the tongue is very dry and he drinks
eagerly. Dehydration is (Oct 2018)
A- Hypotonic B- Hypertonic
C- Isotonic D- None of the above
Degree of dehydration? Moderate dehydration
Plane of treatment? Plan B (Deficit therapy) 4 0 L y r r r u
Don't forget precaution during treatment of hypernatremia
A female patient 4 months old. Weight was 5 kg, cow milk feeder, she has an
attack of vomiting and diarrhea for previous 2 days with a persistent temperature
39. On examination, she was alert, irritable, mildly sunken eyes, fairly good skin
pinch, markedly dry mouth and tongue with marked thirst. Mother reported 2
attacks of brief convulsions in preceding 12 hours that resolve without treatment.
Dehydration is
A- Hypotonic B- Hypertonic
C- Isotonic D- None of the above
Hypertonic dehydration is associated with Serum Na …… mEq/L
A- > 150 B- 130-150
C- 120-130 D- < 120
Tongue in hyponatermic dehydration is (Oct 2015) (Dec 2015) (Oct 2018) (Oct 2019)
A- Fissured B- Moist
C- Dry D- Normal
Regarding hypertonic dehydration (Dec 2016)
A- water loss is more than electrolyte loss B- depressed anterior fontanelle is marked
C- serum sodium is less than 150 mEq/L D- tone is usually moist
What is the appropriate 24 hours fluid maintenance for a 3 year old boy with
body weight 15 kg? (Oct 2016)
A- 450 cc B- 600 cc
C- 1250 cc D- 1500 cc
What is the appropriate 24 hours fluid maintenance for 16 months old with body
weight 12 kg?
A- 450 cc B- 600 cc
C- 1100 cc D- 1500 cc
The 24 hour fluid maintenance of 16 months 12 kg baby is 1100 ( T ) (Dec 2018)
A 3 year old boy, complaint of diarrhea & vomiting, he received initial
rehydration therapy IV, his weight 15 kg. What is the 24 hour fluid maintenance?
(Oct 2016)
A- 450 cc B- 600 cc
C- 1250 cc D- 1500 cc
( 82 )
, Dehydration & Diarrhea Dr Ghamry
Oral rehydration therapy
A- works by passive absorption of glucose
B- is effective in 50% of moderately dehydrated infants
C- should not be used in hypernatermic dehydration
D- contains 5 mmol/l of potassium
E- can be given at any age
The KCl in ORS small packets containing 5.5 gm is …. gm (Oct 2015) (Oct 2019)
A- 0.7 B- 0.5
C- 0.3 D- 0.1
Considered a limitation of ORS (Oct 2017) (2018)
A- Acidosis B- Fever
C- Dysentery D- Glucose malabsorption
ORS can not be used in all of the following, except
A- Shock B- Paralytic ileus
C- Glucose malabsorption D- Acidosis
Sachet of ORS contains glucose (Dec 2017)
A- 4 gram B- 3 gram
C- 6 gram D- 5 gram
ORS is not contraindicated in acidosis ( T ) (Oct 2019)
The main component of oral rehydration solution is glucose ( T ) (Dec 2019)
( 83 )
