notesonly.in

A child — sunken eyes, skin pinch slow; some dehydration; ORS plan B. Dehydration (assess — no dehydration — plan A — home ORS; some — sunken eyes, slow pinch, thirsty — plan B — ORS 75ml/kg 4h; severe — lethargic, unable to drink, very slow pinch — plan C — IV Ringer's 100ml/kg): diarrhea (acute watery — ORS + zinc 14 days + continue feeding; dysentery — blood — ciprofloxacin; persistent >14 days — evaluate; no routine antibiotics/antimotility). Worms (roundworm commonest — albendazole 400mg 6-monthly 1–19y; hookworm — anemia; threadworm — perianal itch; treat — albendazole; prevent — sanitation, footwear). The pinch is the test — slow means some dehydration.