Fast Five Quiz: Summer Health Concerns

Richard H. Sinert, DO

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/pattern^a	Normal	Increased	Increased and hyperpnea
Blood pressure	Normal	Normal, but orthostasis	Decreased
Pulse	Normal	Thready	Faint or impalpable
Skin turgor^a	Normal	Slow	Tenting
Fontanelle	Normal	Depressed	Sunken
Eyes	Normal	Sunken	Very sunken
Urine output	Decreased	Oliguria	Oliguria/anuria

^aBest indicators of hydration status

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Fast Five Quiz: Summer Health Concerns

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Richard H. Sinert, DO

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