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Emergencies: Dehydration

In all situations of high altitude, extreme environmental heat or cold, or vigorous exercise, people underestimate their need for fluids. Thirst is not a reliable indicator of dehydration.Signs and symptoms of dehydration.
  1. Mild dehydration: Thirst, dry mucous membranes (mouth, eyes), dry armpits, dark urine, decreased sweating, normal pulse rate.
  2. Moderate dehydration: The above plus sunken eyes, doughy skin, weakness, scant darkened urine, rapid and weak pulse rate.
  3. Severe dehydration: The above plus altered mental status, elevated body temperature, no urine, no tears, no sweating, collapse, shock.
How do I treat dehydration?
  1. Mild dehydration: Drink soda water, clear juices, tea, broth, and electrolyte-containing sports beverages.
  2. Moderate dehydration: Drink diluted (by 1/2 with water) electrolyte-containing sports beverages, mineral water (bottled), or a homemade solution alternated with 1/2 to 1 liter of plain disinfected water.

  3. Homemade solution:
    • One quart of disinfected water
    • 1/2 - 1 tsp. sodium chloride [table salt]
    • 1/2 tsp. sodium bicarbonate [baking soda]
    • 1/4 tsp. potassium chloride [salt substitute]
    • Glucose: 6 to 8 tsp. table sugar or 1 to 2 Tbsp. honey.
    ake care not to oversweeten (exceed 2 to 2.5% glucose) the solution with sugar, because too high a sugar concentration inhibits water absorption through the gastrointestinal tract.
  4. Oral Rehydration Salts (ORS) that meet World Health Organization standards are formulated to treat moderate to severe dehydration and are available in a dry mix, 1 packet per quart of water. Cera Lyte 70 oral rehydration salts is based on a rice solution. Mix one packet with a liter of water.
  5. Try to get the victim of any degree of dehydration to ingest a liter per hour until the frequency of urination begins to increase and the urine color turns light or clear.


Brought to you by Paul S. Auerbach, MD, author of Medicine for the Outdoors.
- Paul S. Auerbach


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