Fast Five Quiz: Summer Health Concerns

Richard H. Sinert, DO

Disclosures

June 06, 2019

According to a detailed review, the following are signs and symptoms commonly associated with dehydration in children:

Symptom/Sign Mild Dehydration Moderate Dehydration Severe Dehydration
Level of consciousness Alert Lethargic Obtunded
Capillary refill time* 2 sec 2-4 sec > 4 sec, cool limbs
Mucous membranes Normal Dry Parched, cracked
Tears Normal Decreased Absent
Heart rate Slightly increased Increased Very increased
Respiratory rate/patterna Normal Increased Increased and hyperpnea
Blood pressure Normal Normal, but orthostasis Decreased
Pulse Normal Thready Faint or impalpable
Skin turgora Normal Slow Tenting
Fontanelle Normal Depressed Sunken
Eyes Normal Sunken Very sunken
Urine output Decreased Oliguria Oliguria/anuria

aBest indicators of hydration status

Read more on dehydration.

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