Medical MCQ - A 6 months old child having severe dehydration comes to the casualty with weak pulse and unrecordable B.P. Repeated attempt in gaining I.V. access has failed

A 6 months old child having severe dehydration comes to the casualty with weak pulse and unrecordable B.P. Repeated attempt in gaining I.V. access has failed – The next best step is –

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Jugular vein catheterization

Intra osseus I.V. fluids

Venesection

Question Category:

Pediatrics

Correct Answer:

Intra osseus I.V. fluids

Description:

"If I.V. route is unsuccessful, introasseus access in the proximal tibia of an uninjured leg is the preferred alternative for children younger than 6 yrs. In children older than 6 yrs a percutaneous femoral venous line should be attempted.

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