Dehydration severity Symptoms Physical signs
Mild
  • thirsty
  • restless
  • none
  • slightly dry buccal mucosa
Moderate
  • lethargic
  • irritable
  • dry buccal mucosa, absent tears
  • sunken eyes & fontanelle
  • decreased urine output
  • altered skin elasticity
  • signs of ketosis (rapid shallow breathing, smell of ketones)
Severe
  • limp
  • drowsy
  • drowsiness
  • shock (tachycardia, poor volume peripheral pulses, cool peripheries)
  • hypotension is late/ominous sign
  • skin retraction time > 2 seconds
  • capillary refill time > 3 seconds
*As a rough guide, the child who is mildly dehydrated ("5%") may be considered to have a 50 mL /kg deficit, and the child who is severely dehydrated ("10 - 15%") may be considered to have at least a 100 mL / kg deficit.
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Dehydration severity Symptoms Physical signs
Mild
  • thirsty
  • restless
  • none
  • slightly dry buccal mucosa
Moderate
  • lethargic
  • irritable
  • dry buccal mucosa, absent tears
  • sunken eyes & fontanelle
  • decreased urine output
  • altered skin elasticity
  • signs of ketosis (rapid shallow breathing, smell of ketones)
Severe
  • limp
  • drowsy
  • drowsiness
  • shock (tachycardia, poor volume peripheral pulses, cool peripheries)
  • hypotension is late/ominous sign
  • skin retraction time > 2 seconds
  • capillary refill time > 3 seconds
*As a rough guide, the child who is mildly dehydrated ("5%") may be considered to have a 50 mL /kg deficit, and the child who is severely dehydrated ("10 - 15%") may be considered to have at least a 100 mL / kg deficit.
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