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Pediatrics General f514f79f

A child suffering from acute diarrhoea is brought to the casualty and is diagnosed as having severe dehydration with pH of 7.23. Serum Na-125, Serum K-3, HCO3- 16 The best I.V. fluid of choice is ?

A
3% Saline
B
N/3 Saline + 10% dextrose
C
Normal saline
D
N/3 saline + 5% dextrose
High-Yield Explanation
Ans. is 'c' i.e., Normal saline Fluid used in severe dehydration o Best IV fluid for severe dehydration is Ringer's lactate. o An ideal preparation would be Ringer's lactate with 5% added dextrose, However, it is not available. o If Ringer's lactate is not available, normal saline solution (0.9% NaCI) can be used.

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