Dehydration Assessment
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Pinoy R.N. | Up-to-date nursing news and information | This file was downloaded from www.PinoyRN.co.nr
Physical Findings of Dehydration
Mild
Moderate
Severe
Mentation
Alert
Lethargic
Obtunded
Capillary refill
2 sec
2-4 sec
>4 sec, cool skin
Mucous membranes
Normal
Dry
Parched, cracks
Heart rate
Slightly up
Increased
Very increased
Pulse (character)
Normal, full
Thready
Faint, impalpable
Respiratory rate
Normal
Increased
Fast; hyperpnea
Blood pressure
Normal
Orthostatic
Decreased
Skin turgor
Normal
Slow
Tenting
Urine output
Decreased
Oliguria
Oliguria, anuria
Pinoy R.N. | Up-to-date nursing news and information | This file was downloaded from www.PinoyRN.co.nr
Physical Findings of Dehydration
Mild
Moderate
Severe
Mentation
Alert
Lethargic
Obtunded
Capillary refill
2 sec
2-4 sec
>4 sec, cool skin
Mucous membranes
Normal
Dry
Parched, cracks
Heart rate
Slightly up
Increased
Very increased
Pulse (character)
Normal, full
Thready
Faint, impalpable
Respiratory rate
Normal
Increased
Fast; hyperpnea
Blood pressure
Normal
Orthostatic
Decreased
Skin turgor
Normal
Slow
Tenting
Urine output
Decreased
Oliguria
Oliguria, anuria
Pinoy R.N. | Up-to-date nursing news and information | This file was downloaded from www.PinoyRN.co.nr
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