Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

Why is the isotonic solution preferred over a hypotonic one for a child with vomiting and diarrhea?

  1. Hypotonic solutions expand intravascular volume far more quickly than isotonic ones
  2. Isotonic fluids avoid rapid water shifts into cells and restore circulation safely
  3. Hypotonic solutions raise serum sodium faster, correcting any deficit sooner
  4. Isotonic solutions carry essentially no risk of any electrolyte imbalance
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Correct answer: Isotonic fluids avoid rapid water shifts into cells and restore circulation safely

Pediatric fluid therapy guidelines indicate isotonic fluids for volume depletion because hypotonic fluids can lead to dangerous shifts (especially in sick children).

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