A 10-month-old infant with vomiting and diarrhoea is assessed for dehydration. She is lethargic with markedly sunken eyes, very dry mucous membranes, ...

Question

A 10-month-old infant with vomiting and diarrhoea is assessed for dehydration. She is lethargic with markedly sunken eyes, very dry mucous membranes, delayed capillary refill and tachycardia. What is the most appropriate fluid management?

Accepted Answer

Intravenous isotonic crystalloid bolus 20 mL/kg, repeated as needed

Answer

Oral rehydration solution at home

Answer

Hypotonic saline bolus 20 mL/kg

Answer

5 percent dextrose bolus 10 mL/kg

Answer

No fluid therapy; observe

ca-mccqe1 MCQ (SBA): Paediatric dehydration

A 10-month-old infant with vomiting and diarrhoea is assessed for dehydration. She is lethargic with markedly sunken eyes, very dry mucous membranes, delayed capillary refill and tachycardia. What is the most appropriate fluid management?