A 1year old child presented with vomiting for 2-3 days , acidotic breathing ( in much distress)


D/d dehydration , sepsis , meningitis , GERD , IEM. Please do mention other clinical findings as well . Get ABG done , check BSL levels , send baseline labs . Check for degree of dehydration . Start fluid management accordingly. Start Oxygen therapy , as per respiratory distress.

I agree

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Rule out Pneumonia Common cold Metabolic acidosis DKA Acid reflux Food poisoning

Maybe Respiratory Acidosis, First,Electrolytes level, ABG,Analysis, Urinalysis, to be done,& Immediately Rx started, Then cause for imbalance to be searched

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