Paediatrics
Paediatric Gastroenteritis & Dehydration
NICE dehydration assessment and ORS vs IV fluid decision pathway for childhood gastroenteritis
Source: NICE CG84 2009 (updated 2023)
Step 1 of ~11
info
Paediatric Gastroenteritis
Acute diarrhoea ± vomiting. Most commonly viral (rotavirus, norovirus). Assessment: dehydration status is critical — use clinical signs and alert history. Key red flags: bloody diarrhoea, high fever, bilious vomiting, severe abdominal pain.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Ondansetron (Paediatric) · 5-HT3 Receptor Antagonist — Nausea / Vomiting / Gastroenteritis
- Methylene Blue · Guanylate Cyclase / Nitric Oxide Pathway Inhibitor
- Potassium chloride with calcium chloride and sodium chloride · Crystalloid IV fluid
- Potassium chloride with calcium chloride sodium chloride and sodium lactate · Balanced crystalloid IV fluid
- Potassium chloride with glucose · IV fluid (potassium + dextrose)
- Potassium chloride with glucose and sodium chloride · IV fluid (mixed)
Decision support only. Always apply local guidelines and clinical judgement.