Question

A 20-month-old child presents with 3 days of vomiting and diarrhoea. He has dry mucous membranes, tachycardia and reduced urine output but normal blood pressure and capillary refill. What is the most appropriate initial fluid management?

Accepted Answer

Oral rehydration solution in small frequent amounts

Answer

Rapid IV bolus of 40 mL/kg normal saline

Answer

Maintenance IV fluids only with no bolus

Answer

No fluids until stool cultures are available

Answer

IV 5% dextrose without electrolytes as first-line

Practice question

A 20-month-old child presents with 3 days of vomiting and diarrhoea. He has dry mucous membranes, tachycardia and reduced urine output but normal blood pressure and capillary refill. What is the most appropriate initial fluid management?