An 8-year-old child presents with a history of vomiting and…

An 8-year-old child presents with a history of vomiting and diarrhea.  The child has the following vital signs: heart rate 168/min., respiratory rate 15/min, blood pressure 90/60 mm Hg, and a tempeerature of 98.6F (37C).  The child’s capillary refill time is 4 seconds.  After 2 IV boluses of normal saline (20mL/kg each), the child’s vital signs are now as follows: heart rate 130/min., respiratory rate 16/min., blood pressure 94/62 mm Hg., capillary refill is 2 seconds, and the tempeerature 98.6F (37C).  The child’s urine output is 1 to 2 ml/kg in the past hour.  The child is lethargic.  What diagnostic tests or information should be obtained first?

A 3-month-old infant with bronchlolitis is suctioned to remo…

A 3-month-old infant with bronchlolitis is suctioned to remove upper airway secretions.  The infant’s rate rate decreases from 155/min to 65/min. as shown below The infant remains alert, with easily palpable pulses.  Capillary refill time is 1 second.  What is the most appropriate initial intervention?