Certified Pediatric Emergency Nurse (CPEN) Practice Exam

What volume is commonly administered for fluid resuscitation in a pediatric patient?

1. 10 ml/kg NS or LR

2. 15 ml/kg NS or LR

3. 20 ml/kg NS or LR

4. 25 ml/kg NS or LR

The correct answer is: 20 ml/kg NS or LR

The commonly administered volume for fluid resuscitation in pediatric patients is 20 ml/kg of normal saline (NS) or lactated Ringer's solution (LR). This volume is established based on the need to rapidly restore intravascular volume in cases of dehydration, hemorrhage, or shock. In pediatric emergency care, the principle of using 20 ml/kg is grounded in evidence-based practice and has been shown to be effective for addressing fluid deficits. The amount can generally be given over a short period, often within 5 to 20 minutes, allowing for rapid assessment of the patient's response to fluid therapy. The decision to use 20 ml/kg instead of higher or lower volumes aligns with safety considerations and the physiological differences in pediatric patients compared to adults. Administering smaller or larger volumes might not adequately address the child’s condition or could risk potential complications such as fluid overload. Therefore, 20 ml/kg is regarded as a standard practice for initial resuscitation in children, making it vital knowledge for those in pediatric emergency care.