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 |