Paediatricsmiddle twist
A 5-year-old boy weighing 20 kg is admitted with bacterial meningitis. He is alert, his peripheries are warm with capillary refill under two seconds, and his mucous membranes are moist; his mother says he drank and passed urine normally until this morning. He is to be kept nil by mouth for the first 24 hours and intravenous fluid is charted. His serum sodium is 137 mmol/L (135-145) and creatinine is normal. Which one of the following hourly rates of sodium chloride 0.9% with glucose 5% should be ordered?