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. 2022 Sep 11;5(5):e827. doi: 10.1002/hsr2.827

Table 2.

Clinical symptoms of dehydration in infants and children

Findings Mild (3%–5%) Moderate (6%–9%) Severe (10%)
In case of 3%–9% water loss, ORT is required. Rehydration phase: administration of 50–100 ml/kg ORS every 4 h. Volume loss ≥10%
Maintenance phase: nutrition and fluids should be resumed, and ORT is continued Rehydration phase: administration of 20 ml/kg body weight isotonic saline. When the patient is stable, ORS to be administered 25–100 ml/kg ORS every 4 h.
Maintenance phase: nutrition and fluids along with ORS
Pulse Fill, normal number Fast Fast and weak or absent
Systolic pressure Normal Normal or low Down
Breathing Normal Deep, the respiratory rate may increase Deep, rapid, or decreased breathing or lack of breathing
Oral mucosa Sticky or slightly dry Dry Fragile
Anterior Fontanel Normal Submerged Significantly sunk
Eyes Normal Goodbye Significantly reduced
Skin turgor Normal Decreased Clad
Skin Normal Cold Cold, lattice, edges black
The amount of urine Normal or mildly reduced Dropped significantly No urine
Systemic symptoms Increased thirst Inattention, irritability Breathable, loose breaths, coma

Abbreviations: ORS, oral rehydration solution; ORT, oral rehydration therapy.