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Conscious SAM with severe Dehydration Decreased consciousness

ReSoMal Intravenous Solution


10mL/kg – first 2 hours 15mL/kg – first 1 hour
5-10mL/kg – Next 10
hours

REASSESS

IF CONSCIOUS: Insert
IF IMPROVING
nasogastric tube and
15mL/kg – second hour
start ReSoMal
(10mL/kg/hr)

REASSESS

IF NOT IMPROVING:
DIAGNOSE SEPTIC
SHOCK
Monitor Weight*
Every 30-60 mins

Weight Gain Weight Stable Weight Loss

Clinically No Clinical Increase Increase


Improved Improvement ReSoMal by ReSoMal by
5mL/kg/hr 10mL/kg/hr

Continue to STOP ALL


monitor REHYDRATI Reassess Reassess
weight then ON FLUIDS every 60 every 60
Give F75 mins until mins until
start F75
and target target
reassess. weight is weight is
Diagnose reached reached
septic
shock
RESPIRATORY DISTRESS

Examine daily weighs

Weight increase Weight stable Weight decrease

FLUID OVERLOAD PNEUMONIA


HEART FAILURE (ASPIRATION)

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