Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under NVBDCP, a 6-year-old child presents with dengue shock syndrome. What is the FIRST-line fluid recommended for resuscitation?

  • A Normal saline or Ringer lactate (crystalloid)
  • B Dextran 40 (colloid)
  • C 5% Albumin solution
  • D Fresh frozen plasma
Correct answer: A. Normal saline or Ringer lactate (crystalloid)

Explanation

Crystalloids (normal saline or Ringer lactate) are the first-line fluids for dengue shock resuscitation under NVBDCP. Colloids like dextran or albumin are reserved for cases not responding to crystalloids. The initial bolus is 10-20 ml/kg over 15-30 minutes.

Reference: NVBDCP National Clinical Management Guidelines for Dengue, 2023 ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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