A 5-kg infant is seen in the ED with a history of profuse diarrhea. The patient is listless and minimally responsive during exam.

A 5-kg infant is seen in the ED with a history of profuse diarrhea. The patient is listless and minimally responsive during exam. The skin has a “doughy” texture, mucous membranes are dry, extremities are cool, and capillary refill is 5 seconds. The initial serum sodium is 170mEq/L. Which of the following is the best immediate action? A 5-kg infant is seen in the ED with a history of profuse diarrhea. The patient is listless and minimally responsive during exam. The skin has a “doughy” texture, mucous membranes are dry, extremities are cool, and capillary refill is 5 seconds. The initial serum sodium is 170mEq/L. Which of the following is the best immediate action? Infusion of D5 0.2%NS + 20mEq/L of KCl at 1.5 maintenance Infusion of 10mL/kg of D10W Administration of 1mEq/kg sodium bicarbonate Administration of 20mL/kg of LR Administration of IV antibiotics and an LP to evaluate for sepsi

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