Assessing dehydration in a child

Mild (under 5 %) : thirst, slightly dry mucous membranes, normal vital signs. Moderate (5 to 10 %) : sunken eyes, reduced tears, capillary refill 2 to 3 seconds, tachycardia, reduced urine output, irritability. Severe (over 10 %) : capillary refill over 3 seconds, cool mottled extremities, marked tachycardia, lethargy, minimal or no urine Weight loss is the most reliable measure. Blood pressure stays normal for a long time: it is a late sign. Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. essential pediatrics landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. The OIIQ exam requires age-appropriate assessment, anticipation of rapid pediatric decompensation, and per-kilogram dose calculations.

Clinical content reviewed by Ducamelle Grégoire, Registered Nurse