What are the fluid replacement requirements for patients with cholera?

Updated: Feb 03, 2021
  • Author: Sajeev Handa, MBBCh, BAO, LRCSI, LRCPI; Chief Editor: Russell W Steele, MD  more...
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Answer

Table 2. Fluid Replacement for Dehydration (Open Table in a new window)

Severe dehydration

Intravenous (IV) drips of Ringer Lactate or, if not available, normal saline and oral rehydration salts as outlined below

  • 100 mL/kg in 3-h period (in 6 h for children < 1 y)

  • Start rapidly (30 mL/kg within 30 min, then slow down)

  • Total amount for first 24 h: 200 mL/kg

Some dehydration

Oral rehydration salts (amount in first 4 h)

  • Infants < 4 mo (< 5 kg): 200–400 mL

  • Infants 4–11 mo (5–7.9 kg): 400–600 mL

  • Children 1–2 y (8–10.9 kg): 600–800 mL

  • Children 2–4 y (11–15.9 kg): 800–1200 mL

  • Children 5–14 y (16–29.9 kg): 1200–2200 mL

  • Patients >14 y (≥30 kg): 2200–4000 mL

No dehydration

Oral rehydration salts

  • Children < 2 y: 50–100 mL, up to 500 mL/day

  • Children 2–9 y: 100–200 mL, up to 1000 mL/day

  • Patients >9 y: As much as wanted, up to 2000 mL/day