Question

how would one perform a focused assessment related to dehydration, and important factors to consider when assessing a toddler. List what would be considered normal vital signs for a 2-year-old child.

Answer 1

mild-to-moderate dehydration; 2 or more of:

• Restlessness or irritability.
• Sunken eyes (also ask the parent).
• Thirsty and drinks eagerly.

severe dehydration; 2 or more of:

• Abnormally sleepy or lethargic.
• Sunken eyes.
• Drinking poorly or not at all.

Other assessment includes -

• Skin turgor/pinch test.
• Dry mucous membrane.
• Reduced tears.
• Decreased urine output.

normal vital signs for a 2-year-old child -

• Heart rate = 90-150/min
• Respiratory rate = 20-45/min
• Blood pressure = 80-100/40-70 mmof Hg
• Temperature (rectal) = 37-37.8°c

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