Question

1 yr child weighing 6 kg is suffering from Acute Gastroenteritis along with signs of sunken eyes & skin pinch going back to normal very rapidly. What will be your management ?

• A. RL infusion 120 ml in the first hour followed by 360 ml in the next 5 hours
• B. RL INFUSION 180 ml in the first hour followed by 420 ml in the next 5 hours
• C. RL INFUSION 180 ML IN the first hour followed by 480 ml in the next 5 hours
• D. RL INFUSION 240 ml in the first hour followed by 360 ml in the next 5 hours

Answer 1

The Correct Option is B

In managing Acute Gastroenteritis with signs of moderate dehydration in a 1-year-old child weighing 6 kg, the treatment of choice is guided by standard pediatric protocols for rehydration therapy. The child exhibits symptoms such as sunken eyes and skin pinch that indicate moderate dehydration which require prompt and appropriate rehydration using fluids like Ringer's Lactate (RL).

For a child with moderate dehydration, the requirement is typically calculated as 100 ml/kg of RL over the first 6 hours. Thus, the total volume required for this child would be:

Volume Required = 100 ml/kg × 6 kg = 600 ml

This volume is then broken down into a specific administration schedule to ensure effective rehydration. From the options provided:

• RL INFUSION 180 ml in the first hour followed by 420 ml in the next 5 hours: Total = 180 ml + 420 ml = 600 ml
• All other options either provide incorrect total volumes or inappropriate fluid administration timelines.

Given these calculations, administering 180 ml in the first hour followed by 420 ml over the next 5 hours ensures the total required fluid is delivered appropriately according to the child’s needs, aligning with the recommended pediatric rehydration strategy for moderate dehydration.