Florida State Paramedic Practice Exam

What is the standard fluid resuscitation volume for a neonate?

1. 5ml/kg

2. 10ml/kg

3. 15ml/kg

4. 20ml/kg

The correct answer is: 10ml/kg

The standard fluid resuscitation volume for a neonate is typically 10 ml/kg. This amount is established based on the understanding of the unique physiology of neonates, who have a higher percentage of body water compared to adults and children. This higher fluid content means that they are more susceptible to rapid fluid shifts and require careful fluid management during resuscitation. Administering 10 ml/kg provides a sufficient starting point to help restore intravascular volume in a neonate experiencing shock or dehydration, without overwhelming their systems. It is generally administered as an isotonic crystalloid solution, such as normal saline or lactated Ringer's solution. This volume can then be reassessed based on the infant's clinical response and ongoing needs, allowing for adjustments based on their individual condition. The other options, while they reflect potential fluid bolus strategies in different contexts or populations, are not the standard for neonates. Higher volumes, like 15 ml/kg or 20 ml/kg, may pose a risk of fluid overload, which can lead to complications such as pulmonary edema or heart failure, especially in vulnerable neonates. Therefore, 10 ml/kg is established as the standard for effective and safe fluid resuscitation in this population.