Dehydration

Dehydration

1. VS

   • Increased HR
   • Increased Temp
   • Increased RR
   • Decreased BP
     • D/t children compensating, decreased BP is critical

2. Clinical Obs

   • Poor urine output
     • UOP should be at least 1cc/kg/hr
   • Skin Turgor
   • Muscle Cramps
   • Fontanels
   • Mucous Membranes
   • Change in behavior
     • lethargy

3. BMP

   • Glucose
   • Calcium
   • Sodium
     • 136-149
   • Potassium
     • 3.5-5
   • CO2
   • Chloride
     • 96-106
   • BUN
   • Creatinine

4. Acid-Base Balance

   • pH
     • 7.35-7.45
   • PO2
     • 80-100
   • PCO2
     • 35-45
   • HCO3
     • 22-26