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Pediatric Medicine


Answer 4
  1. Administer oral rehydration solution. In a child with diarrhea who is only mildly dehydrated and who is tolerating oral feedings, oral rehydration is the mainstay of therapy; intravenous fluid administration is not indicated. A stool pH of less than 5.5 with few leukocytes makes bacterial infection less likely, and stool cultures are not routinely indicated. Antimotility agents are not recommended for infants with diarrhea. Resuming a normal diet as quickly as possible leads to the most rapid recovery.

    SUGGESTED READING
    Behrman RE, Kliegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 17th ed. Philadelphia: Saunders; 2004.

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