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Acute gastroenteritis dehydration — MRCPCH FOP MCQ

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ModerateGastroenterologyAcute gastroenteritis dehydrationMRCPCH FOP

A 2-year-old girl has vomiting and watery diarrhoea for 24 hours. She is alert, has dry mucous membranes, reduced urine output and capillary refill of 2 seconds. What is the most appropriate management?

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Correct answer: C — Oral rehydration solution with small frequent volumes

This child has clinical dehydration without shock, so oral rehydration solution in small frequent amounts is appropriate. Loperamide is not recommended in young children because of adverse effects and limited benefit. Antibiotics are not needed for most uncomplicated viral gastroenteritis. The pearl is that continued feeding after rehydration supports recovery.

Reference: NICE CG84 Diarrhoea and vomiting caused by gastroenteritis