[Answer] A pale and very sleepy but arousable 3-year old child with a history of diarrhea is brought to the hospital. Primary assessment reveals a respiratory rate of 45/min with good breath sounds bilaterally. HR is 150/min BP is 90/64 and SPO2 is 92% on RA. Capillary refill is 5 seconds and peripheral pulses are weak. After placing the child on a NRB with 100% O2 and obtaining vascular access which is the most appropriate immediate treatment for this child?

Answer: administer a bolus of 20 ml/kg isotonic crystalloid
A pale and very sleepy but arousable 3-year old child with a history of diarrhea is brought to the hospital. Primary assessment reveals a respiratory rate of 45/min with good breath sounds bilaterally. HR is 150/min BP is 90/64 an…

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