Posted: January 25th, 2023
Samantha Graves iHuman case Summary
Viral gastroenteritis is characterized by watery diarrhea, abdominal cramps, nausea, vomiting and sometimes fever. it is transmitted through the fecal-oral route via contact with other infected people or through ingesting contaminated food or water.
The most common viruses that cause acute gastroenteritis are rotavirus, adenovirus, norovirus, and astrovirus.
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Acute viral gastroenteritis is usually treated with supportive treatments and is self-limited. There are no antiviral agents for the treatment of viral gastroenteritis. Samantha Graves iHuman case Summary
It is most important to assess the degree of dehydration in the child and take appropriate measures for treatment.
Dehydration is measured by the presence of weight loss, prolonged capillary refill time, loss of skir furgor, increased and deep respiratory pattern, diminished systolic and diastolic blood pressure, sunken fontanel, sunken eyes and dry mucus membranes.
Fluid repletion through IV fluids should be given if the dehydration is severe or the child is not tolerating oral liquids. For mild dehydration, oral rehydration is the first line treatment.
It is also recommended to continue an age appropriate diet. Although the BRAT diet and a clear liquid diet have been recommended in the past, those diets have been found to be restrictive and provide suboptimal nutrition.
Antidiarrheal and antimotility medications are not recommended for children due to the potential for serious side effects.
Antiemetics are not recommended in the routine management of viral gastroenteritis in children. However in cases of mild to moderate dehydration with persistent vomiting that interferes with oral rehydration, a single dose of ondansetron is reasonable Samantha Graves iHuman case Summary .
Samantha tolerated oral liquids well over the 24 hours. The next day, she was able to tolerate a regular diet. Her vomiting subsided over the next 24 hours and her diarrhea resolved in 48 hours. Samantha Graves iHuman case Summary
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