A 4-year-old boy presents with 3 days of vomiting and watery diarrhoea. He is alert but irritable, with dry mucous membranes and slightly decreased ur...

Question

A 4-year-old boy presents with 3 days of vomiting and watery diarrhoea. He is alert but irritable, with dry mucous membranes and slightly decreased urine output. Capillary refill is 2 seconds, pulse 110 beats/min and blood pressure normal. According to paediatric dehydration guidelines, what is the most appropriate management?

Accepted Answer

Oral rehydration therapy with a commercial oral rehydration solution

Answer

Immediate intravenous fluid resuscitation with 20 mL/kg bolus

Answer

Restrict fluids to prevent worsening diarrhoea

Answer

Give anti-diarrhoeal medications such as loperamide

Answer

Admit to intensive care for monitoring

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