Paediatrics at a Glance by Miall Lawrence; Rudolf Mary; Smith Dominic & Mary Rudolf & Dominic Smith
Author:Miall, Lawrence; Rudolf, Mary; Smith, Dominic & Mary Rudolf & Dominic Smith
Language: eng
Format: epub
Publisher: John Wiley & Sons, Incorporated
Published: 2016-03-28T00:00:00+00:00
Management of dehydration
Determine the cause of diarrhoea and the degree of dehydration.
Ask about the duration of diarrhoea, whether there has been vomiting and when the child last passed urine.
Assess dehydration by the pulse, blood pressure, mucous membranes, urine output, skin turgor and fontanelle (see examination box).
In mild dehydration, the only physical sign may be a dry mouth. ‘Red flag’ warning signs that may indicate likely progression to shock include
sunken eyes
altered responsiveness
tachycardia
tachypnoea
reduced skin turgor (pinch test).
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