A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. S…

Question

A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her capillary refill is under two seconds, and she has had two wet nappies since yesterday. Her mother has been offering flat lemonade from a 200 mL cup, and each large drink is followed within minutes by a vomit; the stools have become more frequent. She is still breastfed. You decide on rehydration at home. Which one of the following instructi…

Accepted Answer

Give oral rehydration solution 5 mL by syringe every 2 minutes

Answer

Give flat lemonade, which is better tolerated than rehydration solution

Answer

Give oral rehydration solution 200 mL by cup after each vomit

Answer

Offer cooled boiled water only until the vomiting has settled

Answer

Stop breastfeeding until the loose stools have settled

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