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Assessment of severity of volume depletion among patients with acute diarrhea

Assessment of severity of volume depletion among patients with acute diarrhea
Examination Mild hypovolemia Moderate hypovolemia Severe hypovolemia
Look at:
Mental status Alert Restless, irritable Lethargic or unconscious
Eyes Normal Sunken Very sunken and dry
Tears Present Absent Absent
Mouth/tongue Moist, slightly dry Dry Very dry
Thirst Increased thirst Thirsty, drinks eagerly Drinks poorly or not able to drink
Feel:
Skin pinch Goes back rapidly Goes back slowly Goes back very slowly (tenting)
Pulse Normal Rapid, weak Very fast, weak or nonpalpable
Extent of volume loss
  <5% of body weight From 5 to 10% of body weight >10% of body weight
Estimated fluid deficit
  <50 mL/kg 50-100 mL/kg >100 mL/kg
Adapted from: Swerdlow DL, Ries AA. JAMA 1992; 267:1495 and World Health Organization. The treatment of diarrhea: A manual for physicians and other senior health workers, 4th revision. WHO/FCH/CAH/05.1. World Health Organization, Geneva 2005. (Available at http://whqlibdoc.who.int/publications/2005/9241593180.pdf).
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