{"id":150,"date":"2014-03-17T02:45:23","date_gmt":"2014-03-17T02:45:23","guid":{"rendered":"https:\/\/www.pupdoc.ca\/?page_id=150"},"modified":"2025-10-01T02:10:00","modified_gmt":"2025-10-01T02:10:00","slug":"dehydration","status":"publish","type":"page","link":"https:\/\/www.pupdoc.ca\/en\/dehydration\/","title":{"rendered":"Dehydration"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#961622&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header title=&#8221;Dehydration&#8221; text_orientation=&#8221;center&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(255, 255, 255, 0)&#8221; global_colors_info=&#8221;{}&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover=&#8221;null&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover=&#8221;null&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover=&#8221;null&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover=&#8221;null&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover=&#8221;null&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover=&#8221;null&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover=&#8221;null&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover=&#8221;null&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover=&#8221;null&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover=&#8221;null&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover=&#8221;null&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover=&#8221;null&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover=&#8221;null&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover=&#8221;null&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_tabs module_class=&#8221;key-conditions&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;500&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_tab title=&#8221;Key Conditions&#8221; _builder_version=&#8221;4.16&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; global_colors_info=&#8221;{}&#8221;]Hyponatremia \/ hypernatremia<br \/>\nMild \/ moderate \/ severe dehydration<br \/>\n[\/et_pb_tab][et_pb_tab title=&#8221;Foundational Knowledge&#8221; _builder_version=&#8221;4.16&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Describe the fluid composition of the body, the body water compartments and the normal movement of fluids and electrolytes between compartments<\/li>\n<li>Describe clinical signs and symptoms of dehydration<\/li>\n<li>Describe principles of rehydration, both oral and intravenous<\/li>\n<\/ul>\n<p>[\/et_pb_tab][et_pb_tab title=&#8221;Resources&#8221; _builder_version=&#8221;4.27.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Overview &amp; Foundational Knowledge<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td>\n<p><strong>Ruth JL &amp; Wassner SJ. Body composition: Salt and water. Pediatrics in Review 2006; 27(5), 181-187.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.27-5-181\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.27-5-181<\/a><\/p>\n<p><em>Review of the different body fluid compartments, the percentage of body fluid with different ages and the equilibrium between extracellular fluid and intracellular fluid. Listing of the daily requirements for sodium and a discussion of the relationship between serum sodium concentration and total body sodium content.<\/em><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Clinical Resources<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td>\n<p><strong>Shafiee MAS, Bohn D, Hoorn EJ &amp; Halperin ML. How to select optimal maintenance intravenous fluid therapy. Q J Med 2003; 96, 601\u2013610.<\/strong><\/p>\n<p><a href=\"http:\/\/qjmed.oxfordjournals.org\/content\/96\/8\/601.full.pdf+html\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/qjmed.oxfordjournals.org\/content\/96\/8\/601.full.pdf+html<\/a><\/p>\n<p><em>Adult orientated but a good commentary about the risks of hyponatraemia and advice about the indications for fluid management.<\/em><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Colletti JE et al. The management of children with gastroenteritis and dehydration in the emergency department. The Journal of Emergency Medicine 2010; 38(5) 686-698.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.jemermed.2008.06.015\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1016\/j.jemermed.2008.06.015<\/a><\/p>\n<p><em>Evidence on the assessment of dehydration, methods of rehydration (IV versus oral), and the utility of antiemetics in the child presenting with acute gastroenteritis<\/em><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Moritz ML &amp; Ayus JC. Intravenous fluid management for the acutely ill child. Current Opinion in Pediatrics 2011; 23, 186-193.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1097\/mop.0b013e3283440fd9\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1097\/mop.0b013e3283440fd9<\/a><\/p>\n<p><em>Risk of acute hyponatremia in hospitalized children and youth receiving maintenance intravenous fluids.<\/em><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Risk of acute hyponatremia in hospitalized children and youth receiving maintenance intravenous fluids<\/strong><\/p>\n<p><a href=\"http:\/\/www.cps.ca\/documents\/position\/acute-hyponatremia-in-hospitalized-children-and-youth\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.cps.ca\/documents\/position\/acute-hyponatremia-in-hospitalized-children-and-youth<\/a><\/p>\n<p><a href=\"http:\/\/www.cps.ca\/fr\/documents\/position\/hyponatremie-aigue-chez-les-enfants-et-les-adolescents-hospitalises\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.cps.ca\/fr\/documents\/position\/hyponatremie-aigue-chez-les-enfants-et-les-adolescents-hospitalises<\/a><\/p>\n<p>Canadian Paediatric Society Practice Point (2016)<\/p>\n<p><em>Great overview of the dangers of hyponatremia in the inpatient population in pediatrics<\/em><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Meyers RS. Pediatric Fluid and Electrolyte Therapy. Journal of Pediatric Pharmacology and Therapeutics 2009; 14(4), 204\u2013211.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.5863\/1551-6776-14.4.204\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.5863\/1551-6776-14.4.204<\/a><\/p>\n<p><em>Written for pharmacists but a nice simple overview of intravenous fluids.<\/em><\/p>\n<p><em><\/em><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Oral rehydration therapy and early refeeding in the management of childhood gastroenteritis<\/strong><\/p>\n<p><strong><\/strong><\/p>\n<p><strong><\/strong><\/p>\n<p><a href=\"https:\/\/academic.oup.com\/pch\/article\/11\/8\/527\/4560375\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/academic.oup.com\/pch\/article\/11\/8\/527\/4560375<\/a><\/p>\n<p><em><\/em><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Virtual Patients or Cases<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td>\n<p><strong>Dehydration<\/strong><\/p>\n<p><a href=\"https:\/\/www.pedscases.com\/dehydration-children\">https:\/\/www.pedscases.com\/dehydration-children<\/a><\/p>\n<p><em>Podcast and two quizzes related to dehydration in children.<\/em><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Cards<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td>\n<p><strong>Dehydration<\/strong><\/p>\n<p><a href=\"https:\/\/cards.ucalgary.ca\/deck\/127\" target=\"_blank\" rel=\"noopener noreferrer\">Dehydration &#8211; Assessment<\/a><\/p>\n<p><em>Canuc-Paeds physician authored, replayable cases<\/em><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Dehydration<\/strong><\/p>\n<p><a href=\"https:\/\/cards.ucalgary.ca\/deck\/247\" target=\"_blank\" rel=\"noopener noreferrer\">Dehydration &#8211; Treatment<\/a><\/p>\n<p><em>Canuc-Paeds physician authored, replayable cases<\/em><\/p>\n<\/td>\n<\/tr>\n<tr><\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<p>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;3.19.9&#8243; background_color=&#8221;#eeeeee&#8221; global_module=&#8221;2263&#8243; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header text_orientation=&#8221;center&#8221; logo_image_url=&#8221;https:\/\/www.pupdoc.ca\/wp-content\/uploads\/2018\/12\/canuc-paeds.png&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(255, 255, 255, 0)&#8221; background_layout=&#8221;light&#8221; max_width_tablet=&#8221;50px&#8221; custom_padding=&#8221;7px|0px|0px|0px&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; custom_css_main_element=&#8221;max-height: max-content;&#8221; global_colors_info=&#8221;{}&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/abdominal-pain-abdominal-mass\/\">Abdominal Pain &amp; Abdominal Mass<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/acutely-ill-child\/\">Acutely Ill Child<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/adolescent-health-issues\/\">Adolescent Health Issues<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/altered-loc\/\">Altered Level of Consciousness<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/bruising-bleeding\/\">Bruising \/ Bleeding<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/dehydration\/\"><strong>Dehydration<\/strong><\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/development-behavioural-learning-problems\/\">Development \/ Behavioural \/ Learning Problems<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/diarrhea\/\">Diarrhea<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/edema\/\">Edema<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/eye-issues\/\">Eye Issues<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; custom_css_main_element=&#8221;margin-bottom: 0px !important;&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/fever\/\">Fever<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/genitourinary-complaints\/\">Genitourinary Complaints<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/growth-problems\/\">Growth Problems<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/headache\/\">Headache<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/inadequately-explained-injury\/\">Inadequately explained injury<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/limp-extremity-pain\/\">Limp \/ Extremity Pain<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/lymphadenopathy\/\">Lymphadenopathy<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/mental-health-concerns\/\">Mental Health Concerns<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/murmur\/\">Murmur<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/neonatal-jaundice\/\">Neonatal Jaundice<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/newborn\/\">Newborn<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/pallor-anemia\/\">Pallor \/ Anemia<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/rash\/\">Rash<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/respiratory-distress-cough\/\">Respiratory distress \/ Cough<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/seizure-paroxysmal-event\/\">Seizure \/ Paroxysmal event<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/sore-ear\/\">Sore Ear<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/sore-throat-sore-mouth\/\">Sore Throat \/ Sore Mouth<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/vomiting\/\">Vomiting<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/well-child-care\/\">Well Child Care<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hyponatremia \/ hypernatremia Mild \/ moderate \/ severe dehydration Describe the fluid composition of the body, the body water compartments and the normal movement of fluids and electrolytes between compartments Describe clinical signs and symptoms of dehydration Describe principles of rehydration, both oral and intravenous <div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Overview &amp; Foundational Knowledge<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><\/div>\n\t\t\t\t<\/div> Ruth JL &amp; Wassner SJ. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-150","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/150","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/comments?post=150"}],"version-history":[{"count":11,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/150\/revisions"}],"predecessor-version":[{"id":2952,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/150\/revisions\/2952"}],"wp:attachment":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/media?parent=150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}