What is the pediatric fluid resuscitation protocol for dehydration in hypotensive patients?

The pediatric fluid resuscitation protocol for dehydration in hypotensive patients emphasizes the need for a significant bolus to rapidly restore circulating volume and improve blood pressure. Administering a bolus of 20 mL/kg IV/IO is consistent with established protocols that aim to address hypovolemia in pediatric patients effectively. This volume is generally considered sufficient to enhance cardiac output and subsequently increase blood pressure in children who exhibit signs of dehydration or shock.

In pediatric care, it is crucial to administer a bolus that is high enough to provide adequate resuscitation without overwhelming the cardiovascular system. The choice of 20 mL/kg strikes a balance between efficacy and safety, allowing healthcare providers to assess the patient's response to the fluid before administering additional boluses if necessary. This protocol is built on evidence-based practices that evaluate the best outcomes in critically ill children.