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Pediatrics Fluid and Electrolyte Treatment of Specific Disorders afa1a50f

A child presents with hypovolemic shock, anuria and respiratory acidosis, treatment is:

A
RL
B
Dopamine
C
Dobutamine
D
Inj. Sodium Bicarbonate
High-Yield Explanation
a. RL(Ref: Nelson's 20/e p 517, Ghai 8/e p 715-718)Initial resuscitation of any child with shock consists of Pushing IV fluid boluses (RL or NS) of 20mL/kg up to 60mL/kg until perfusion improves or unless rales or hepatomegaly develop; Next step is use of Inotropes like Dopamine.

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