A 4-month-old male infant has been vomiting and having watery diarrhea for two days. His mother says the infant has not urinated at all today. The baby's lips and oral mucosa are dry, and his fontanelles are sunken. The infant's extremities are cold to the elbows and knees. Capillary refill is 5 seconds. Heart rate is 170 . ECG shows a narrow complex tachycardia with P waves visible. Management should include:
a. infusion of 20 mL/kg lactated Ringer's.
b. cardioversion at 0.5 to 1 j/kg.
c. checking a dex stick with possible administration of D25W for hypoglycemia.
d. both A and C.
Question 2
One of the best immediate indicators of a head injury is the _______ _______ of the injured person.
Fill in the blank(s) with the appropriate word(s).
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