Some signs of dehydration in pediatric patients are: skin color that turns gray, and cold to touch, poor turgor, dry mucus membranes, absent of tear, elevated temperature, sunken eyeball, sunken fontanel, rapid pulse, rapid respiration, lethargic, irritable behavior and decrease urine output.
Early signs of dehydration are: tachycardia, sunken fontanels; dry skin and mucus membranes followed by coolness of body extremities, loss of normal skin turgor and poor capillary refill
Late signs are: tachycardia, increase depth of breathing, sunken eyeball, lethargic, decrease urine output, absent of tear, delayed capillary refill, very cool skin and acrocyanotic due to poor circulation
2. Differentiate between mild, moderate and severe dehydration in the pediatric patient.
Diagnosis, type and degree of dehydration are established base on patient history and physical assessment.
Mild: Describe as percentage of body weight that is dehydrated; it characterizes less than 5% in infants and less than 3% in older children.
Moderate: Characterizes by 5% to 10% in infants and 3% to 6% in older children
Severe: Characterizes more than 10% in …show more content…
Children with severe dehydration are treated with intravenous IV fluids (Ringer lactate 0.9%), 40ml/kg/hr until pulse and stated of consciousness return to normal; normal saline 5% dextrose in water and add sodium bicarbonate can also be used. In most cases of dehydration oral solutions for hydration are advantageous, a child who is vomiting should receive an ORS at regular intervals and in small amounts with a spoon or small