a) EYES
• Well and Alert ....................... Normal
• Restless, Irritable .................. Sunken
• Lethargic or unconscious; ...... Very Sunken and dry
floppy
b) TEARS
• Well and Alert ....................... must be present
• Restless, Irritable .................. Absent/ no tears
• Lethargic or unconscious; ...... Absent
floppy
c) MOUTH AND TONGUE
• Well and Alert ....................... Moist
• Restless, Irritable .................. Dry
• Lethargic or unconscious; ...... Very Dry
floppy
d) THIRST
• Well and Alert ....................... Drinks Normally
not thirsty
• Restless, Irritable .................. Thirsty,
drinks eagerly
• Lethargic or unconscious; ...... Drinks Poorly
floppy or not able to drink
2. FEEL:
a) SKIN PINCH
• Well and Alert ....................... Goes back quickly
• Restless, Irritable .................. Goes backSlowly
• Lethargic or unconscious; ...... Goes back very slowly
floppy
3. DECIDE:
• Well and Alert: "The patient has no sign of dehydration"
• Restless, Irritable: "If the patient has 2 or more signs, including at least one sign, there is some dehydration."
• Lethargic or unconscious; floppy: "If the patient has 2 or more signs, at least one sign, there is severe dehydration."
4. ADVICE:
• Well and Alert: "Consult your doctor. Follow the Helpful Dietary Management.
Home Management"
• Restless, Irritable: "Consult your doctor. Folow the Helpful Dietary Management."
• Lethargic or unconscious; floppy: "Consult your doctor. Hospital management is needed"
Adapted from: World Health Organization's management of the patient with diarrhea
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