Pediatric Nephrology

Fluids/Electrolytes in Pediatrics

Frank Tenney MD

 

Nail Blanch Test

nailblanch test

Tenting of Skin

skin turgor

tenting1

tenting2

 

 

Clinical Signs of Dehydration
  Mild Moderate Severe
Weight 1-5% dec 6-9% dec 10-15% dec
Turgor Normal Tenting None
Touch Normal Dry Clammy
Lips Moist Dry Parched
Eyes Normal Intermediate Sunken
Pulse Regular Increased Very Rapid
Urine Normal Reduced Oliguria
Babies
Fontanelle Flat Soft Sunken
Aspect Consolable Irritable Lethargic