Gorelick scale for assessing dehydration in children
the Gorelick scale for dehydartion
Used in children between 1 month and 5 years (1)
| no or minimal dehydration | moderate to severe dehydration |
general appearance | alert | restless, lethargic, unconscious |
capillary refill | normal | prolonged or minimal |
tears | present | absent |
mucous membrane | moist | dry, very dry |
eyes | normal | sunken; deeply sunken |
breathing | present | deep; deep and rapid |
quality of pulses | normal | thready; weak or impalpable |
skin elasticity | instant recoil | recoil slowly; recoil > 2 s |
heart rate | normal | tachycardia |
urine output | normal | reduced; not passed in many hours |
Scoring:
- 4 point scale (italics)
- >= 2 Clinical Signs (4 pt) >= 5% body weight from baseline
- >= 3 Clinical Signs (4 pt) >= 10% body weight from baseline
- 10 point scale (all signs/symptoms)
- >= 3 Clinical Signs >=5% body weight from baseline
- >= 7 Clinical Signs >=10% body weight from baseline (1)
Reference:
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