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Viral gastroenteritis with dehydration — MCCQE Part 1 MCQ

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EasyDiarrheaViral gastroenteritis with dehydrationMCCQE Part 1

A 14-month-old child has 2 days of vomiting and watery diarrhoea. He has dry mucous membranes, reduced tears, capillary refill of 2 seconds, and is alert. There is no blood in the stool. What should you tell this patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Use oral rehydration solution in small frequent amounts

Mild to moderate dehydration from gastroenteritis is best treated with oral rehydration solution in small frequent amounts when the child is alert and perfusion is acceptable. Loperamide is avoided in young children, and antibiotics are not routine for non-bloody gastroenteritis. Clear juice has inappropriate osmolarity and may worsen diarrhoea. Parents should receive return precautions for lethargy, persistent vomiting, blood, or poor urine output.

Reference: CPS acute gastroenteritis guidance