Treatment I

TREATMENT I

Treatment

  • NPO. Rest
  • Without food and water for atleast 24 hrs
  • If vomiting resolves – bland diet
  • Double cooked chicked with rice
  • Gradually introduce normal diet.
  • Balanced electrolyte solution
  • Potassium supplements if there is hypokalemia
  • Metabolic acidosis
  • Antiemeties:- for symptomatic control and prevention of furher fluid and electrolyte loss

Phenothiazine Derivatives

  • Chlorpromazine - 0.5 mg/kg BW s/c, i/, i/v q 6-8 hrs
  • Prochlorperazine - 0.5 mg/kg BW s/c, i/, i/v q 6-8 hrs
  • Metaclopromide – 0.2 to 0.4 mg/kg BW, oral, i/m. o/c q 8 hrs
  • (or) 1-2 mg/kg BW as constant rate infusion q 24 hrs.
  • Promotes gastric emptying, increases tone and amplitude of gastric contraction and relaxation of pylorus.

Serotonin Antagonists

  • Ondansetron – 0.1-0.2 mg/kg BW s/c q 8 hrs 

       (or)          - 0.5 mg/kg i/v as a loading dose and

                                  - 0.5 mg/kg i/v q 1 hr as maintenance dose.

Last modified: Monday, 28 May 2012, 7:14 AM