Children with severe acute malnutrition have profound disturbances of normal physiology, including electrolyte imbalances and altered fluid distribution. Children with bilateral pitting oedema typically have high intracellular sodium and are therefore inclined to retain fluids. These changes at cellular level are part of the overall adaptive responses to repeated infections and damage to cell membranes by free radicals. Children with severe wasting but without oedema also have depleted intracellular and total body potassium. As a result, they are prone to fluid retention and susceptible to fluid changes and, in particular, have reduced tolerance to rapid changes in circulating blood volume. For these reasons, fluid management is complex in all children with severe acute malnutrition. WHO recommends a cautious approach to fluid management, especially if children have diarrhoea. It is frequently very difficult to assess and determine the hydration status and circulating volume.
How do we score?
Average Judge Score
7 judges have scored this entry. The highest possible score is 5 .2.0
We divide the average judge score with the maximum score possible and add 1 to create a multiplier.1.4
We apply the judge multiplier to the total number of crowd votes.2.8
Easy one-click social registrationIs this safe?
We only receive the minimum information necessary to verify your account. We never get access to your friends/contacts or your profile, and we never post on your behalf. Your social account is used for logging in only.ORRegister via email
Send me updates on this challenge
In order to ensure a fair voting process and to make sure that no one votes more than once, we ask that you register either with a social networking account (easiest, only requires one click) or by registering with your email address (this will require you to click on a verification email that we will send you).
You only need to register once.