FactorDegree of dehydration
Normal< 5%5 to 10%> 10%
Capillary refilling time8 0.8 seconds1.5 seconds or less1.5 to 3.0 seconds> 3.0 seconds
Elevated BUN (normal BUN: 8 to 25 mg per dL9)< 10 mg per dL10 to 20 mg per dL21 to 25 mg per dL> 25 mg per dL
Skin turgor9 NormalSlightly decreasedDecreasedDecreased (pinch retracts slowly >2 seconds)
Deep and rapid, acidotic breathing (pH < 7.35; decreased bicarbonate)9 NormalSlightly increased respiratory rateIncreased respiratory rateBreathing is deep and rapid
General state1
Infants and young childrenThirsty, alert, restlessRestless or lethargic: irritable to touchLimp, drowsy; may be comatose; cyanotic extremities (cold sweats)
Older childrenThirsty, alert, restlessThirsty, alert, postural hypotensionUsually conscious; wrinkled skin at fingers and toes; cyanotic extremities (cold sweats)
PulseSlight increase; normal strengthRapid and weakRapid, feeble, sometimes impalpable
Systolic blood pressureNormalDecreasedMay be unrecordable