Dehydration Clinical Pathway, Emergency Department and Inpatient – Inpatient Management

Inpatient Management

Healthy Child Admitted with Dehydration
 
 
Reassess level of dehydration using Dehydration Assessment Tool
 
 
 
 
Mild Dehydration
Moderate/Severe Dehydration
 
 
 
 
Restore Euvolemia
 
 
Assess for ORT Readiness
No emesis in last 2 hrs
Child showing interest in taking POs
 
 
 
 
Ready for ORT
Not Ready for ORT
 
 
 
 
 
 
Adequate PO
Inadequate PO
 
 
  • Address volume deficit
  • Consider IV/NG hydration
Discharge
  • No improvement in 48 hrs, consider
    • Alternate diagnosis
    • Repeat electrolytes
  • VS within normal
    limits for age
  • PO intake > losses
  • Urine output > 1 ml/kg/hr
  • Improving frequency of emesis