Dehydration in infants

Mental status for infants with mild dehydration?

Alert

Mental status for infants with moderate dehydration?

Alert to listless

Mental status for infants with Severe dehydration?

Alert to comatose

Fontanel status for infants with mild dehydration?

Soft and flat

Fontanel status for infants with moderate dehydration?

Sunken

Fontanel status for infants with Severe dehydration?

Sunken

Eye status for infants with mild dehydration?

Normal

Eye status for infants with moderate dehydration?

Mildly sunken orbits

Eye status for infants with Severe dehydration?

Deeply sunken orbits

Oral mucosa status for infants with mild dehydration?

Pink and moist

Oral mucosa status for infants with moderate dehydration?

Pale and slightly dry

Oral mucosa status for infants with Severe dehydration?

Dry

Skin turgor for infants with mild dehydration?

Elastic

Skin turgor for infants with moderate dehydration?

Decreased

Skin turgor for infants with Severe dehydration?

Tenting

Heart rate in infants with mild dehydration?

Normal

Heart rate in infants with moderate dehydration?

May be increased

Heart rate in infants with Severe dehydration?

Increased, progressing to bradycardia

Blood pressure in infants with mild dehydration?

Normal

Blood pressure in infants with moderate dehydration?

Normal

Blood pressure in infants with Severe dehydration?

Normal, progressing to hypotension

Extremities status for infants with mild dehydration?

Warm

Pink

Brisk capillary refill

Extremities status for infants with moderate dehydration?

Delayed capillary refill

Extremities status for infants with Severe dehydration?

Cool, mottled, or dusky

Significantly delayed capillary refill

Urine output in infants with mild dehydration?

May be slightly decreased

Urine output in infants with moderate dehydration?

< 1 mL/kg/hr

Urine output in infants with severe dehydration?

Significantly <1 mL/kg/hr

For severe dehydration, children should receive IV fluids initially administered at?

20 mL/kg of normal saline or lactated ringers

For severe dehydration, What should a nurse do after IV fluids are initially administered?

Reassess hydration status

For mild to moderate dehydration in children you should provide?

Oral rehydration

Children are at a higher risk for this than adults.

Hypovolemic shock