Question

A 10-year-old child weighing 30 kg presents with a history of loose stools for 2 days. On examination, there is severe dehydration. Laboratory investigations are as follows. What is the initial management as per ISPAD guidelines?

RBS	550mg/dL
pH	7.01
Na+	158mEq/L
Urine glucose	3+

• A. Manage ABC, NS 20 mL/kg and start insulin after 1 hour
• B. Manage ABC, NS 20 mL/kg along with insulin 0.1 IU/kg/hr
• C. Manage ABC, NS 10 mL/kg along with insulin 0.1 IU/kg/hr
• D. Manage ABC, NS 10 mL/kg and start insulin after 1 hour

Answer 1

The Correct Option is A

The correct option is (A): Manage ABC, NS 20 mL/kg and start insulin after 1 hour