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Paediatric gastroenteritis management — GPhC CRA MCQ

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EasyGI TherapeuticsPaediatric gastroenteritis managementGPhC CRA

A 3-year-old child is brought to the pharmacy by her mother. The child has been vomiting for 24 hours and has had two episodes of loose stools. She is drinking small amounts of fluid but is tearful and has slightly dry lips. What is the most appropriate advice?

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Correct answer: E — Recommend oral rehydration solution (ORS) given in small frequent amounts and advise the mother on signs of dehydration to watch for

In children with mild gastroenteritis, oral rehydration solution given in small frequent sips is the mainstay of management. The child shows signs of mild dehydration (slightly dry lips, tearful) but is still drinking, so community management with ORS is appropriate. Antiemetics are generally not recommended in children with gastroenteritis. Loperamide is not recommended for children under 12. Withholding fluids would worsen dehydration.

Reference: NICE CKS Gastroenteritis; BNF for Children