Fewer Wet Diapers in Pediatrics — Case | Pediatric Endocrinology | SMLE Q#17689

SMLE Question #17689

Pediatrics Pediatric Endocrinology

Objective: OBJ-173

Last updated: February 2026
A 10-day-old male neonate is brought to the emergency department for 1 day of poor feeding, lethargy, and vomiting with fewer wet diapers. Newborn screening results are pending. He is sleepy with signs of dehydration. Evaluation shows hypotension, hypoglycaemia, hyponatraemia, hyperkalaemia, and metabolic acidosis. What is the most appropriate next step in management?

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