What is your immediate treatment goal?

What part of your original plan is failing?

Sprint 36: A Day of Vomiting and Diarrhea

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Initial encounter

Defer fluids until the diarrhea has resolved to avoid provoking further stools.

Administer intravenous fluids now because any vomiting makes oral hydration unreliable.

Begin oral rehydration with an oral rehydration solution, using manageable amounts and reassessing tolerance.

Give only plain water until vomiting has completely stopped.

The barrier

Try very small, frequent amounts of oral rehydration solution by spoon or oral syringe, then reassess what he actually tolerates.

Stop oral fluids for several hours, then retry the same full cup when he feels better.

Substitute an unrestricted sugary sports drink because the child prefers its taste.

Switch immediately to intravenous fluids because the first oral attempt failed.

What would you do next?

Feedback

What happens next

Move to intravenous fluids to ensure that the original cup-based plan is not needed.

Return immediately to full cups because the initial barrier has disappeared completely.

Continue the small-volume oral approach, gradually increasing as tolerated and reassessing hydration and output.

Stop monitoring intake now that one approach has worked.

Contrast

Reassess urgently and escalate to an appropriate setting for monitored evaluation and likely parenteral rehydration; the goal remains correction of dehydration.

Abandon the hydration goal and focus on controlling diarrhea first.

Return to a full cup because a larger volume may get past the nausea.

Keep offering identical small amounts indefinitely because preserving the goal requires preserving the oral route.