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Pediatrics Nutrition df0eaf7b

All of the following statements regarding a child with hypernatremic dehydration are true Except

A
There is at least a 10 percent fluid deficit
B
Rapid rehydration is indicated
C
Muscle tone is increased
D
The sensorium fluctuates between lethargy and hyperirritability
High-Yield Explanation
Signs of hypernatremic dehydration include dry rubbery skin, increased muscle tone, and altered level of consciousness. A hypernatremic child should be rehydrated slowly to avoid a rapid reexpansion of intracellular volume that could lead to cerebral edema. A good guide is to replace the fluid deficit over 48 to 72 h. Serum sodium should not be lowered more than 10 to 15 mEq/L over 24 h. Reference: GHAI Essential pediatrics, 8th edition, Nutrition Chapter

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