Question
Pediatrics Question on Disorders of fluid, electrolyte and acid-base balance
A 10-year-old child weighing 30 kg presents with a history of loose stools for 2 days. On examination, there is severe dehydration. Laboratory investigations are as follows. What is the initial management as per ISPAD guidelines?
| RBS | 550mg/dL |
|---|---|
| pH | 7.01 |
| Na+ | 158mEq/L |
| Urine glucose | 3+ |
A
Manage ABC, NS 20 mL/kg and start insulin after 1 hour
B
Manage ABC, NS 20 mL/kg along with insulin 0.1 IU/kg/hr
C
Manage ABC, NS 10 mL/kg along with insulin 0.1 IU/kg/hr
D
Manage ABC, NS 10 mL/kg and start insulin after 1 hour
Answer
Manage ABC, NS 20 mL/kg and start insulin after 1 hour
Explanation
Solution
The correct option is (A): Manage ABC, NS 20 mL/kg and start insulin after 1 hour