Info

Mild, 3-5%

Moderate, 6-9%

Severe, >9%

Blood pressure

Normal

Normal

Normal to reduced

Quality of pulses

Normal

Normal or slightly decreased

Moderately decreased

Heart rate

Normal

Increased

Increased, severe cases bradycardia

Skin turgor

Normal

Decreased

Decreased

Fontanelle

Normal

Sunken

Sunken

Mucous membranes

Slightly dry

Dry

Dry

Eyes

Normal

Sunken orbits

Deeply sunken orbits

Extremities

Warm, normal capillary refill

Delayed capillary refill

Cool, mottled

Mental status

Normal

Normal to listless

Normal to lethargic or comatose

Urine output

Slightly decreased

<1 ml/kg/h

<1ml/kg/h

Thirst

Slightly increased

Moderately increased

Very thirsty or too lethargic to indicate

aThe percentages of body weight loss and their corresponding categorization sometime vary depending on the author.

From the American Academy of Pediatrics (1996) based on Duggan et al. (1992) Reproduced by permission of Pediatrics and the

American Academy of Pediatrics.

Clinician takes history and examines patient aged 1 month to 5 years, with acute diarrhea
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