[Answer] A previously healthy infant with a history of vomiting and diarrhea is brought to the ER by her parents. During your assessment you find that the infant responds only to painful stimulation. The infant’s RR is 40/min and central pulses are rapid and weak. The infant has good bilateral breath sounds cool extremities and a capillary refill time of ore than 5 seconds. The infant’s blood pressure is 85/65 mmHg and glucose is 30 mg/dL (1.56 mmol/L). You administer 100% oxygen via facemsk and start an IV. Which treatment is the most appropriate for this infant?

Answer: Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes and also give D25W to 4 ml/kg IV
A previously healthy infant with a history of vomiting and diarrhea is brought to the ER by her parents. During your assessment you find that the infant responds only to painful stimulation. The infant’s RR is 40/min and central pulses are rapid and weak. The infant has good bilatera…

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