A 5-year-old previously well girl presents with 24 hours of vomiting and large-volume watery diarrhoea. She is alert, drinks small sips of water, has ...

Question

A 5-year-old previously well girl presents with 24 hours of vomiting and large-volume watery diarrhoea. She is alert, drinks small sips of water, has warm peripheries, moist mucous membranes and normal capillary refill. Her weight is 18 kg. According to Australian paediatric gastroenteritis guidelines, what is the most appropriate management?

Accepted Answer

Manage at home with oral rehydration solution given frequently in small amounts

Answer

Admit for intravenous normal saline bolus followed by maintenance fluids

Answer

Start oral ondansetron and nil by mouth for 12 hours

Answer

Start oral loperamide and advise temporary lactose-free diet

Answer

Prescribe broad-spectrum oral antibiotics to reduce stool frequency

au-amc MCQ (SBA): Acute gastroenteritis in children