Emergency Medicine Book

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Clinical Dehydration Scale

Aka: Clinical Dehydration Scale
  1. See Also
    1. Pediatric Dehydration
    2. Pediatric Vomiting
    3. Pediatric Dehydration
  2. Indications
    1. Dehydration evaluation in children ages 1 to 36 months
  3. Criteria
    1. Appearance
      1. Score 0: Normal
      2. Score 1: Thirsty, restless or lethargic; irritable when touched
      3. Score 2: Drowsy to comatose, limp, cold, sweaty
    2. Eyes
      1. Score 0: Normal
      2. Score 1: Slightly sunken
      3. Score 2: Very sunken
    3. Mucous Membranes
      1. Score 0: Moist
      2. Score 1: Sticky
      3. Score 2: Dry
    4. Tears
      1. Score 0: Normal tears
      2. Score 1: Decreased tear
      3. Score 2: Absent tears
  4. Interpretation
    1. Score 0
      1. No dehydration (or <3%)
    2. Score 1 to 4 points
      1. Mild dehydration (3 to 6%)
    3. Score 5 to 8 points
      1. Moderate to severe dehydration (>6%)
  5. References
    1. Friedman (2004) J Pediatr 145(2): 201-7 [PubMed]

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