What is the recommended fluid strategy for heat cramps?

• A. Provide oral fluids as tolerated and consider IV fluid bolus if necessary.
• B. Do not give fluids.
• C. Only solid foods.
• D. Rely on rest.

Answer: (A)

Heat cramps come from fluid and electrolyte losses from sweating, so rehydration is the main treatment. The best-fluid strategy is to give oral fluids as tolerated—water or an electrolyte-containing drink—to replace both fluid and minerals. If the person cannot drink or dehydration is significant or cramps persist, an IV fluid bolus with an isotonic solution is appropriate to rapidly restore circulating volume. This approach directly addresses the dehydration driving the cramps and supports recovery, while resting and cooling are additional supportive steps.