Slightly dry buccal mucosa
|Moderate||Lethargic, irritable||Dry buccal mucosa, absent tears. Sunken eyes & fontanelle. Decreased urine output. Altered skin elasticity. Signs of ketosis (rapid shallow breathing, smell of ketones).|
|Severe||Limp, drowsy||Drowsiness. Shock (tachycardia, poor volume peripheral pulses, cool peripheries). Hypotension is late/ominous sign. Skin retraction time >2 seconds. Capillary refill time >3 seconds.|
As a rough guide, the child who is mildly dehydrated (“5%” may be considered to have a 50ml/kg deficit, and the child who is shocked (“10-15%”) may be considered to have at least a 100ml/kg deficit.
Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.