Cure and Treatment

Preventing dehydration and electrolyte disturbances

Preventing an increase in the frequency of diarrhea

Treating the root cause of diarrhea (antibiotic)

The Goal of Therapy Diarrhea

Anti-Diarrheal

Opioids

Oral Rehydrati

on

Adsorbent

Kaolin & Pectin

Antibiotic

Adstringent

Anti-Diarrheal

Be careful of interaction with other drugs (apart 2-3 hours)

Drugs not as a substitute for the Oralyte

Patients should drink Oralyte

Should not be given to children under 5 years

Remember!!!

5 steps to treat diarrhea:

• Given Oralyte• Given zinc medication for 10 days

in a row• Continue breastfeeding and eating• Give antibiotics selectively• Provide advice to the mother /

family

Diarrhea in children

• Activating opioid receptors in the enteric nervous system that inhibits the release of acetylcholine and slows the movement of intestinal peristalsis

• A class of opioid but can not penetrate the BBB• Normal doses has no analgesic effect• Side effects: dizziness, abdominal cramps, drowsiness.• Dose: 2 mg daily up to 4x

• bind water and enterotoxin• not selective• The combination of kaolin and attapulgit well in relieving diarrhea

• for adults, 3-4 tablets 3 times a day• 1 tablet after defecation• for adults, maximum use is 12 tablets per day• for children 6-12 years, maximum use is 6 tablets per day

antibiotics are used only on the state of infection by invasive bacteria. which can not be treated with drugs that are lowering the frequency of diarrhea.example: amoxicillin and tetracycline

Pertanyaan untuk diare (dini)• why in children aged under 5 years of age should be given

zinc?• because, the digestive system of children under 5 years

has not been as good as adults digestion. so need an agent to help kill bacteria of diarrhea

• how much for the maximum use of tablets kaolin-pectin-attapulgit in a day?

• for adults, maximum use is 12 tablets per day• for children 6-12 years, maximum use is 6 tablets per day