A 3-year-old boy is brought to the emergency department with 24 hours of vomiting and diarrhoea. He is irritable but alert, with dry mucous membranes,...

Question

A 3-year-old boy is brought to the emergency department with 24 hours of vomiting and diarrhoea. He is irritable but alert, with dry mucous membranes, slightly sunken eyes, capillary refill 2 seconds and normal blood pressure. According to CPS guidance, what is the most appropriate initial management?

Accepted Answer

Oral rehydration solution given frequently in small amounts

Answer

Immediate IV normal saline bolus 40 mL/kg

Answer

Nothing by mouth for 12 hours then restart feeds

Answer

IV 5% dextrose without electrolytes

Answer

Anti-diarrhoeal medication such as loperamide

ca-mccqe1 MCQ (SBA): Paediatric dehydration (gastroenteritis)