A 5 years old child presented with continuous fever and features of sepsis with a BP of 90/60 mm Hg, Pulse rate 144/min and respiratory rate of 30/min. What is the initial fluid of choice for management?
10 mL/kg of 10% dextrose
10 mL/kg of hydroxyethyl starch
20 mL/kg of 0.45% normal saline
20 mL/kg of 0.9% normal saline
Ans: D : 20 mL/kg of 0.9% normal salineExplanation:(Ref: Ghai 8Ie p718)In hypovolemic or septicemic shock, replacement of intravascular volume by isotonic fluids is the main stay of treatment.Hence, normal saline resuscitation with 20 ml/kg boluses.