What is the correct bolus amount for a 44 lb child in hemorrhagic shock?

When considering the correct bolus amount for a child weighing 44 pounds experiencing hemorrhagic shock, it is crucial to use the appropriate guidelines for fluid resuscitation in pediatric patients. In such cases, the general recommendation is to administer isotonic fluids, such as normal saline or lactated Ringer’s solution, in the range of 20 ml/kg.

To determine the appropriate bolus:

1. Convert the child's weight into kilograms. Since 1 pound is approximately 0.45 kilograms, a 44-pound child weighs about 20 kg (44 lb / 2.2).
2. Multiply the weight in kilograms by the recommended fluid bolus of 20 ml/kg: 20 kg × 20 ml/kg = 400 ml.

This calculation indicates that a 400 ml bolus is appropriate for a child of this weight experiencing hemorrhagic shock. Administering this volume helps to address the potential hypovolemia caused by blood loss and is a critical component of managing shock in a pediatric setting.