A 1-year-old boy has been brought to the emergency department with diarrhea and vomiting for 5 days. For the past 24 hours he has been unable to tolerate any fluids. In the last hour he has become drowsy his skin turgor is reduced and his skin is mottled. His eyes are sunken. His heart rate is 180beats/minute and his capillary refill is prolonged. What is the single most appropriate immediate treatment?
A. IV fluid bolus over 20 minutes
B. IV fluid over 24 hours
C. IV rehydration over 48 hours
D. Nasogastric rehydration over 24 hours
E. Oral rehydration solution over 48 hours
Ans. The key is A. IV fluid bolus over 20 minutes. [Severe dehydration, immediate management is bolus IV fluid