DEHYDRATION - Common Patterns Pediatric

1)      Mild Dehydration - thirst, dry eyes and crying with few tears or no tears, slightly dry mouth, dark urine, fewer wet diapers than usual, less active than usual or irritable, capillary refill delay < 2 secs,  normal respiration, normal BP, normal skin and turgor, child alert, in summary, child is thirsty and reduced urine output

2)      Moderate Dehydration – anorexia, vomiting, Sunken appearing eyes, Sluggish or lethargic, Skin feels dry and not springy, capillary refill delay 2-4 secs, tachypnea, BP postural dop, skin turgor slow, lethargic,

3)      Signs of severe dehydration – food refusal, high temperature, sunken fontanelle (the soft spot on top of the head), capillary refill delay > 2 secs, tachypnea, BP drops, No urine output in 6 hours  When skin is pinched between fingers, it fails to spring back to its original shape and remain tented, Very lethargic or confused, tears absent

» SYMPTOM, SIGNS, SYNDROMES GLOSSARY