Author Question: A young child is brought to the emergency department with severe dehydration secondary to acute ... (Read 46 times)

PhilipSeeMore · **on:** Jun 28, 2018

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with:

a. Intravenous fluids.
b. Oral rehydration solution (ORS).
c. Clear liquids, 1 to 2 ounces at a time.
d. Administration of antidiarrheal medication.

Question 2

The viral pathogen that frequently causes acute diarrhea in young children is:

a. Giardia organisms. c. Rotavirus.
b. Shigella organisms. d. Salmonella organisms.

Liamb2179 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Intravenous fluids are initiated in children with severe dehydration. ORS is acceptable therapy if the dehydration is not severe. Diarrhea is not managed by using clear liquids by mouth. These fluids have a high carbohydrate content, low electrolyte content, and high osmolality. Antidiarrheal medications are not recommended for the treatment of acute infectious diarrhea.

Answer to Question 2

ANS: C
Rotavirus is the most frequent viral pathogen that causes diarrhea in young children. Giardia and Salmonella are bacterial pathogens that cause diarrhea. Shigella is a bacterial pathogen that is uncommon in the United States.