Question

A 2-year-old girl presents with 2 days of vomiting and watery diarrhoea. She is alert but thirsty, with dry mucous membranes and reduced skin turgor. Capillary refill is 2 seconds, and she is passing small amounts of urine. According to NICE CG84, what is the most appropriate fluid management?

Accepted Answer

Offer oral rehydration solution in small, frequent amounts at home or in an observation area, with advice.

Answer

Admit for immediate IV fluid resuscitation with 20 mL/kg bolus.

Answer

Give plain water only and avoid oral rehydration solution.

Answer

Start IV maintenance fluids and discharge once the drip is running.

Answer

Withhold all fluids by mouth until vomiting stops.

Practice question

A 2-year-old girl presents with 2 days of vomiting and watery diarrhoea. She is alert but thirsty, with dry mucous membranes and reduced skin turgor. Capillary refill is 2 seconds, and she is passing small amounts of urine. According to NICE CG84, what is the most appropriate fluid management?