Dehydration Flashcards
Moderate dehydration– % wt loss
5-10 %
Mild dehydration– % wt loss
<5%
Severe dehydration– % wt loss
> 10%
Mild dehydration – Vitals
HR: Increased
RR: normal
BP: normal
Moderate dehydration – Vitals
HR: Increased
RR: normal
BP: normal (orthostasis)
Severe dehydration – Vitals
HR: Greatly increased
RR: Increased
BP: decreased
Skin changes (capillary refill, mucous membranes, and anterior fontanelle) in MILD dehydration
Capillary refill: <2 sec
Mucous Membranes: normal/dry
Anterior Fontanelle: normal
Skin changes (capillary refill, mucous membranes, and anterior fontanelle) in MODERATE dehydration
Capillary refill: 2-3 sec
Mucous Membranes: dry
Anterior Fontanelle: depressed
Skin changes (capillary refill, mucous membranes, and anterior fontanelle) in SEVERE dehydration
Capillary refill: >3 sec
Mucous Membranes: dry
Anterior Fontanelle: depressed
Eyes/CNS changes (tearing, appearance, mental status) in MILD dehydration
Tearing: normal/absent
Appearance: normal
Mental status: normal
Eyes/CNS changes (tearing, appearance, mental status) in MODERATE dehydration
Tearing: absent
Appearance: sunken
Mental status: altered
Eyes/CNS changes (tearing, appearance, mental status) in SEVERE dehydration
Tearing: absent
Appearance: sunken
Mental status: depressed
Lab values [urine osmolarity, urine specific gravity, BUN, and blood pH] for MILD dehydration
Urine osmolarity: 600mOsm/L
Urine specific gravity: 1.020
Blood urea nitrogen (BUN): <20
Blood pH: normal
Lab values [urine osmolarity, urine specific gravity, BUN, and blood pH] for MODERATE dehydration
Urine osmolarity: 800mOsm/L
Urine specific gravity: 1.025
Blood urea nitrogen (BUN): elevated
Blood pH: mildly acidotic
Lab values [urine osmolarity, urine specific gravity, BUN, and blood pH] for SEVERE dehydration
Urine osmolarity: maximal
Urine specific gravity: maximal
Blood urea nitrogen (BUN): high
Blood pH: moderate/profound acidosis