Q:

A 6 week child is very sick-looking. Bloods: Na+ 124, K+ 2.8. Dehydrated. What would you choose to resuscitate?

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A 6 week child is very sick-looking. Bloods: Na+ 124, K+ 2.8. Dehydrated. What would you choose to resuscitate?


  1. 0.18% NS + 4% dextrose + 20mmol KCl
  2. 0.9% NS
  3. 0.45% NS
  4. 0.45% NS + 5% dextrose
  5. 0.45% NS + 5% dextrose + 20 mmol KCl

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The key is B. 0.9% NS. [Rsuscitation is mostly done with 0.9% NS or ringers lactate, or hartmans solution. Here is hypokalemia. To treat hypokalaemia the cut off value is below 2.5 mmol/L and absence of anuria during resuscitation. Maintenance is with fluid E].

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