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FLUID RESUSCITATION
Isotonic crystalloids (normal saline or lactated Ringer solution) in 20 mL/kg
aliquots remain the mainstay of acute volume resuscitation. The total volume of
the individual aliquot is administered as rapidly as possible, and patient status is
reassessed after each bolus of fluid with the goal of restoring adequate perfusion.
Dextrose-containing solutions are not used in the initial phases of fluid
resuscitation for volume restoration. For children, it is important to recognize