<prompt> Management of a child with severe PEM having loose stools includes ___Initiation of IV fluids immediatelyAdministration of 50ml of 10 glucose orally, if unconsiousContinuation of aggressive hydration, even after dehydration resolvesUse of low-sodium oral rehydration solution ORS for rehydration 5 mlKg every 30 min for the first 2 hours  <response>: Management of a child with severe protein-energy malnutrition PEM having stools includes Use of low sodium ORS for Rehydration 5mlKg every 30 min for first 2 hours. Donot give IV fluids unless the child is in shock Give ReSoMal low sodium rehydration solution for malnutrition 5mlKg every 30 min for first 2 hr orally or NasoGastric tube Then give 5-10 mlKg in alternate hours for upto 10 hr. The amount depends on stool loss and eagerness to drink. Feed in the other alternate hour. Give ReSoMal after each watery stool as preventive strategy. Treatment of hypoglycemia in malnutrition: If conscious: 10 glucose 50mL or a feed or 1 teaspoon sugar under the tongue, whichever is the quickest. If unconsious : Immediately give sterile 10 glucose 5mlKg by IV. Composition Low-osmolar ORS mmolL ReSoMalmmolL Glucose 75 125 Sodium 75 45 Potassium 20 40 Chloride 65 70 Citrate 10 7 Magnesium -- 3 Zinc -- 0.3 Copper -- 0.045 Osmolarity mOsmolL 245 300 Ref: Nelson textbook of pediatrics 21st edition Pgno: 340,341 