Decreased oral intake

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AssessmentChoose one

RiskChoose any

WeightChoose one

SettingChoose any

Dehydration signs presentChoose any

Dehydration signs absentChoose any

ExamChoose one

PlanChoose any

Oral rehydrationChoose any

Additional planChoose any

DispositionChoose one

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

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CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Decreased oral intake
• Decreased oral intake with reassuring hydration status today
• No decreased urine output, dry mouth, sunken eyes, or lethargy
• Well appearing, with moist mucous membranes and normal capillary refill
• Encouraged small, frequent sips of fluids and preferred foods as tolerated
• Counseled to watch urine output and activity closely
• Follow up if worsening or not improving

Children often eat less while sick, and drinking matters more than eating for the next few days; appetite usually returns as the illness improves. Recommended supportive care with tylenol or motrin as needed with an emphasis on small, frequent sips of fluids and preferred foods. Return precautions given including much less urine than usual, vomiting that keeps fluids from staying down, a dry mouth, no tears, unusual sleepiness, fever that keeps going, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Assessment vs mild dehydration
Dehydration signs present or absent
ORS if intake stays low
ED for moderate dehydration

Return precautions in the template

much less urine than usualvomiting that keeps fluids from staying downa dry mouthno tearsunusual sleepinessfever that keeps going

Sources

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Few formal guidelines cover this topic, so the template also leans on expert opinion.