Certified Pediatric Emergency Nurse (CPEN) Practice Exam 2025 - Free CPEN Practice Questions and Study Guide

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In a pediatric emergency setting, what is the recommended fluid bolus for a child in septic shock?

10 mL/kg of isotonic fluid

15 mL/kg of isotonic fluid

20 mL/kg of isotonic fluid

The recommended fluid bolus for a child in septic shock is 20 mL/kg of isotonic fluid, which is supported by established pediatric emergency protocols. In cases of septic shock, rapid fluid resuscitation is essential to restore effective circulation and improve perfusion to vital organs.

Administering 20 mL/kg of isotonic fluid, such as normal saline or lactated Ringer's solution, aligns with guidelines from organizations like the Pediatric Advanced Life Support (PALS) and the Surviving Sepsis Campaign. This amount has been shown to help stabilize hemodynamics in children who are critically ill and experiencing the effects of sepsis.

The choice of isotonic fluids assists in maintaining electrolyte balance and supports the body's hydration needs while avoiding complications that can arise with other types of fluids. This approach emphasizes early and aggressive management of septic shock to improve outcomes in pediatric patients.

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25 mL/kg of isotonic fluid

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