5.4.3  No dehydration

Give Extra Fluids, Give Zinc Supplements, Continue Feeding, When to Return

1  Give extra fluids (as much as the child will take):

Tell the mother:

–  To breastfeed frequently and for longer at each feed.

–  If the child is exclusively breastfed, give ORS in addition to breastmilk.

–  If the child is not exclusively breastfed, give one or more of the following: ORS solution, food-based fluids (such as soup, rice water and yoghurt drinks), or clean water.

It is especially important to give ORS at home when:

–  The child has been treated with Plan B or Plan C during this visit.

–  The child cannot return to a clinic if the diarrhoea gets worse.

●  Teach the mother how to mix and give ORS.

●  Give the mother 2 packets of ORS to use at home.

●  Show the mother how much fluid to give in addition to the usual fluid intake:

Tell the mother to:

–  Give frequent small sips from a cup.

–  If the child vomits, wait 10 minutes. Then continue, but more slowly.

–  Continue giving extra fluid until the diarrhoea stops.

2  Give zinc supplements:

●  Tell the mother how much zinc to give:

●  Show the mother how to give Zinc supplements

–  Infants — dissolve tablet in a small amount of expressed breastmilk, ORS or clean water in a cup;

–  Older children — tablets can be chewed or dissolved in a small amount of clean water in a cup.

3  Continue feeding

4  Tell her when to return