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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: 

  • Decrease from recent body weight 
  • Skin turgor 

  • Capillary refill 

  • Heart rate