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Greenish Porridge - Like Diarrhea (Dehydration (Complication (Seizure,…
Greenish Porridge - Like Diarrhea
Hypovolemic Shock Pathophysiology
Stages
Grade 2
15-30% Blood Volume Loss
Increase RR, Diastolic
Maintained BP
Narrow Pulse Pressure
Grade 3
30-40 % blood Volume Loss
Systolic BP < 100mmHG
Tachycardia
Tachypnoea
Grade 1
Maitained BP
Pallor SKin
Up to 15% Blood Volume loss
Normal RR
Grade 4
Extreme Tachycardia
Low systolic =< 70mmHG
Loss > 40%
Decreased Period
Decrease Stokre Volume
Decrease Cardiac Output
Decrease Blood Pressure
Etiology
Gastroenteritis
Green color
Green foods
Breastfeeding
Iron supplements
Bowel Disorder with rapid transit
Dehydration
Definition
Pathological condition of not balanced Absorption with intestinal fluid secretion leads to watery stool
Complication
Seizure
Heat Injury
Low Blood Pressure
Kidney problems
Types
Hypertonic
Isotonic
Hypotonic
Secretory Diarrhea
Stimulated by bacterial toxins (ETEC, V cholerae) , with excessive fluid secretional that can increased motility
Histopathology
Viral
Bacteria
Parasite
Risk Factor
Environmental Contamination
High exposure to enteropathogens
Other Factors
Young age
Immunodeficiency
Measles
Malnutrition (Vit A & Zinc)
Pathophysiology
Vibrio Cholera
Rotavirus
Salmonella
Symptoms
Viral Gastroenteritis
Bacterial Gastroenteritis
Acute Gastroenteritis
Dehydration
Treatments
Diarrhea
Severe Dehydration
Bring to hospital immedtiately
Some Dehydration
Oral salt Dehydration for 75ml/BB
X sign of Dehydration
< 1 y.o :1/4 - 1/2 glass everytime after diarrhea
1-4 y.o : 1/2 - 1 glass after diarrhea
5 y.o : 1 - 3/2 glass after diarrhea
Zinc Supplement
Epithelization of intestinal
Reduce dehydration
Inhibit work of of INDS
Gastroenteritis
General Management
Oral Dehydration & salt water, Bed rest
Specific
Rotavirus
No known treatmen
Entamoeba Histolitica
Metronidazole
Giardia Lamblia
Metronidazole
Vibrio Cholera
Ciprofloxaxin or Tetracycline
Salmonella
Ciprofloxaxin, Eryhthomycin
Muhammad Adrian Khalfani -1806173815 Mind Map PBL 3