A four-year-olc I child was presented to the health center with diarrhea of five days duration.On physical examination, the skin pinch goes back within two seconds, and the child was very eager to drink water and had WFH z-score greater than -1 . What is the most appropriate management of this child according to IMNCI? a. Give ORS solution in each loss b. Give RL solution intravascular over three hours c. Give ReSoMAL solution in each loss d. Give ORS over 4-hours period

The correct answer is d. Give ORS over 4-hours period.<br /><br />According to the Integrated Management of Neonatal and Childhood Illness (IMNCI) guidelines, the most appropriate management for a four-year-old child with diarrhea of five days duration, who has a skin pinch that goes back within two seconds and a World Health Organization (WHO) z-score greater than -1, is to give Oral Rehydration Solution (ORS) over a 4-hour period.<br /><br />ORS is a type of fluid replacement solution that helps to rehydrate the body and replace lost electrolytes in individuals with diarrhea. It is recommended to give ORS in small amounts, typically 50-100 mL, every 3-4 hours, for a total of 4 hours. This helps to gradually rehydrate the body and prevent further dehydration.<br /><br />Option a, giving ORS solution in each loss, is not the most appropriate management as it may lead to overhydration and electrolyte imbalance.<br /><br />Option b, giving RL (Ringer's Lactate) solution intravascular over three hours, is not recommended for the management of diarrhea in children as it may cause fluid overload and electrolyte imbalance.<br /><br />Option c, giving ReSoMAL (Rehydration Saline) solution in each loss, is not the most appropriate management as it may lead to overhydration and electrolyte imbalance.<br /><br />Therefore, the most appropriate management for this child according to IMNCI is to give ORS over a 4-hour period.