Markedly Decreased Urine Output in Pediatrics — 2yo Child | Pediatric Nephrology | SMLE Q#518
SMLE Question #518
Pediatrics
Pediatric Nephrology
Last updated: February 2026
A 2-year-old boy (10 kg) has 2 days of profuse watery diarrhea and poor oral intake with markedly decreased urine output and no tears. He is irritable with dry mucous membranes, sunken eyes, delayed skin turgor, and capillary refill of 3 seconds. He is assessed as having moderate dehydration, and fluids will be given as maintenance plus estimated deficit over 24 hours. Approximately how many milliliters of fluid should he receive in total over the first 24 hours?
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