1. Dr Udai Bhan Yadav MBBS.DMCH Senior Medical Officer General Hospital Alwar Rajasthan. Dr Udai Bhan Yadav General Hospital Alwar rajasthan1 PAEDIATRICS. FLUID MANAGEMENT

2. Iv fluid for shock Dr Udai Bhan Yadav General Hospital Alwar rajasthan2 If child is not severely malnourished Insert an intravenous line Draw blood for emergency laloratory investigations Attach ringers lactate or normal saline Make sure the infusion is running well. Infuse 20ml /kg as rapidly as possible. Reassess child after appropriate volume has run in.if no improvement seen.up to third infusion can be given of each 20mg/kg as rapid as possible. Reassess after third infusion if no improvement ,give blood 20mg/kg over 30 minutes. Reassess after fourth infusion if no improvement see treatment guide lines.After improvement at any stage pulse slows faster capillary refill. 3. Iv fluid for shock chart Dr Udai Bhan Yadav General Hospital Alwar rajasthan3 Age weight Volume of RL/NS 20ML/KG 2 MONTHS