Medical MCQ-A child presents with acute diarrhea with signs of dehydration; On investigation, Na+ 125 mEq/L, K+ 3 meq/L, HCO3- 16 mEq/L and pH is 7.23. IV Fluid to be given is?

A child presents with acute diarrhea with signs of dehydration; On investigation, Na+ 125 mEq/L, K+ 3 meq/L, HCO3- 16 mEq/L and pH is 7.23. IV Fluid to be given is?

Normal saline

3% saline

N/2 saline + 10% dextrose

N/3 saline + 5% dextrose

Question Category:

Pediatrics

Correct Answer:

Normal saline

Description:

* Hyponatremic dehydration is treated by correction of intravascular volume with isotonic fluid (NS or LR). * An overly rapid (>12 mEq/L over the first 24 hr) or overcorrection of serum sodium concentration (>135 mEq/L) is associated with an increased risk of central pontine myelinolysis.

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