A 15-month-old boy presents with fever and diarrhoea. He has sunken eyes, dry mucous membranes and decreased urine output. Capillary refill is 3 secon...

Question

A 15-month-old boy presents with fever and diarrhoea. He has sunken eyes, dry mucous membranes and decreased urine output. Capillary refill is 3 seconds, and he is irritable but conscious. What is the most appropriate management?

Accepted Answer

Oral rehydration solution with close monitoring in hospital or at home depending on risk

Answer

Immediate intravenous fluid bolus in all cases

Answer

No treatment is required as mild dehydration is harmless

Answer

Anti-diarrhoeal medication such as Loperamide

Answer

Nil by mouth until diarrhoea stops

uk-plab-1 MCQ (SBA): Gastroenteritis with dehydration

A 15-month-old boy presents with fever and diarrhoea. He has sunken eyes, dry mucous membranes and decreased urine output. Capillary refill is 3 seconds, and he is irritable but conscious. What is the most appropriate management?