Skip to main content

Table 4 Oral rehydration solution (ORS) dosages recommended for each dehydration subgroup.

From: Guidelines on acute gastroenteritis in children: a critical appraisal of their quality and applicability in primary care

No dehydration

Mild to moderate dehydration

Severe dehydration

Evidence used

Prevention of dehydration: ± § Φ

Rehydration: $*± § Φ

  

• 100 ml ORS/kg per 24 h for the 1st 10 kg of body weight±

• 30-80 ml ORS/kg/h over 4 hours±

  

50 ml/kg/day for the next 10 kg±

• 50-100 ml ORS/kg over 3-4 hours#*$

  

20 ml/kg/day for remaining kg±

• 50 ml ORS/kg over 4 hours§

  

• 5 ml ORS/kg after each large watery stool§

• 10-25 ml ORS/kg/hour in 4 hours Φ

  

• 10 ml ORS/kg after each large watery stool Φ

   
 

Maintenance± §

  

Ongoing losses: $#*

• 100 ml ORS/kg per 24 h for the 1st 10 kg of body weight

  

• ORS$

50 ml ORS/kg/day for the next 10 kg

Refer to hospital

No evidence stated for ORS dosage $#*± § Φ

• < 10 kg bodyweight: 60-120 ml ORS for each stool/vomit#*

20 ml ORS/kg/day for remaining kg±

  

> 10 kg bodyweight: 120-240 ml ORS for each stool/vomit#

• < 10 kg weight: 100 ml ORS/kg/day

  
 

10-20 kg weight: 1000 ml + 50 ml/kg for each kg > 10

  
 

20+kg weight: 1500 ml + 20 ml/kg for each kg > 20§

  
 

Ongoing losses: $#*§

  
 

• Replace with ORS$

  
 

• 10 ml ORS/kg per stool/vomit ±

  
 

• < 10 kg bodyweight: 60-120 ml ORS for each stool/vomit#*

  
 

> 10 kg bodyweight:120-240 ml ORS for each stool/vomit#

  
 

• 5 ml/kg ORS after each large watery stool§

  
  1. *WGO # CDC $CPS ± ARM
  2. ∞CCH ΦNHG ΨESP §NICE