What is the recommended dosage of Pedialyte (oral rehydration solution) per day for a 5-month-old infant weighing 10.2 kilograms?

From the Research

For a 5-month-old weighing 10.2 kg with mild to moderate dehydration, offer 30-50 mL of Pedialyte per hour (approximately 1-2 ounces) for the first 4-6 hours, then gradually increase as tolerated, as this approach is supported by the most recent and highest quality studies, such as 1, which demonstrated the efficacy of oral rehydration solutions in treating dehydration caused by acute diarrhea in children. The total daily fluid requirement for this infant would be approximately 1000-1200 mL per day from all sources, including Pedialyte, formula/breast milk, and other fluids. Some key points to consider when using Pedialyte for rehydration include:

• Start with small, frequent sips using a bottle, sippy cup, or oral syringe rather than large amounts at once to prevent vomiting.
• If using Pedialyte for rehydration during illness, you can offer it alongside regular feedings unless directed otherwise by a healthcare provider.
• Pedialyte works because it contains the right balance of electrolytes and sugar to help replace what's lost during dehydration without overwhelming the digestive system.
• If your baby refuses Pedialyte, try serving it cold or using freezer pops (for older infants).
• Contact your pediatrician immediately if your baby shows signs of severe dehydration such as excessive sleepiness, decreased urination, sunken eyes, or if vomiting/diarrhea persists beyond 24 hours. It's also important to note that while studies such as 2 and 3 provide valuable insights into the use of oral rehydration solutions, the most recent and highest quality evidence, such as 1, should be prioritized when making clinical decisions. Additionally, studies like 4 and 5 provide further context on the use of oral rehydration solutions in different populations and settings, but may not be directly applicable to this specific clinical scenario. Overall, the key is to prioritize the most recent and highest quality evidence, such as 1, when making clinical decisions, while also considering the individual needs and circumstances of the patient.