Community-acquired Pneumonia Started Oral in Pediatrics — 2yo Child | General Pediatrics | SMLE Q#802

SMLE Question #802

Pediatrics General Pediatrics
Last updated: February 2026
A 2-year-old boy with community-acquired pneumonia started oral amoxicillin today but vomits after each dose and refuses fluids. His parents report only 1 wet diaper in the past 12 hours. He has dry mucous membranes, capillary refill 3 seconds, and right lower lung crackles. Which of the following is the most appropriate indication to initiate intravenous therapy rather than continuing oral treatment?

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