What is the pediatric treatment protocol for sepsis?

The pediatric treatment protocol for sepsis emphasizes the importance of early fluid resuscitation to manage the condition effectively. Administering 20 mL/kg IV/IO bolus is aligned with current guidelines that advocate for aggressive fluid replacement in children showing signs of sepsis. This bolus is intended to rapidly increase circulating blood volume, which is crucial in sepsis management to restore perfusion and prevent organ dysfunction.

In cases of sepsis, children's bodies respond rapidly, and timely intervention is critical. Administering a larger volume of fluid can help quickly address hypotension and ensure adequate tissue perfusion. This approach has been shown to improve outcomes in pediatric patients, reflecting the urgency of responding to symptoms of sepsis with appropriate interventions.

Other choices are either insufficient or inappropriate. Using only oral rehydration solutions does not provide the immediate volume expansion needed in severe cases like sepsis where intravenous access is essential for quick administration of fluids. Simply giving antibiotics without assessing fluid needs neglects the critical priority of stabilizing the patient through fluid resuscitation before or alongside antibiotic therapy. While administering normal saline is vital, the specific volume cited in the correct option is more effective in addressing septic shock scenarios.