Question

A 14-month-old boy presents with vomiting and diarrhoea for 24 hours. He is alert but irritable, with dry mucous membranes and reduced tears. Capillary refill is 2-3 seconds and his weight loss is estimated at 5%. According to RCH dehydration guidelines, what is the most appropriate initial management?

Accepted Answer

Oral rehydration solution 10 mL/kg after each loose stool or vomit

Answer

Immediate intravenous 0.9% sodium chloride bolus

Answer

Nil by mouth for 12 hours then restart feeds

Answer

Commence 4% dextrose 0.18% saline intravenous maintenance fluids

Answer

Single large bolus of apple juice

Practice question