Acute Gastroenteritis: Clinical Dehydration Assessment
Characteristic |
Score |
||
0 |
1 |
2 |
|
General appearance |
Normal |
Thirsty, restless, or lethargic, but irritable when touched |
Drowsy, limp, cold, or sweaty, and/or comatose |
Eyes |
Normal |
Slightly sunken |
Very sunken |
Mucous membranes |
Moist |
Sticky |
Dry |
Tears |
Tears |
Decreased tears |
Absent Tears |
Classification (% dehydration) |
Score |
||
No dehydration (< 3%) |
0 |
||
Mild dehydration (3 - 6%) |
1 - 4 |
||
Moderate/severe dehydration (> 6%) |
5 - 8 |
||
Additional assessments to consider: |
|
Evidence Based Practice Menu