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Pediatric dehydration with hypovolemia

Educational use only. Not clinically reviewed

2-year-old girl for calm pediatric dehydration and hypovolemia recognition, qualified rehydration coordination, serial reassessment, and active-risk handoff. About 8 simulated minutes.

What you will practise

  • Connect the supplied intake, gastrointestinal losses, weight history, urine, mentation, and whole-child trajectory.
  • Recognize clinical dehydration with compensated hypovolemia without relying on one sign or a calculated percentage.
  • Activate experienced rehydration, electrolyte, glucose, access, monitoring, and reassessment ownership.
  • Review ongoing losses, oral tolerance, alternative serious causes, and recurrence or escalation triggers in parallel.
  • After elapsed qualified care, review the fixed whole-child response without declaring rehydration complete.
  • Hand off hydration signs, intake, output, ongoing losses, oral tolerance, laboratory review, caregiver context, and named owners.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • World Health Organization. Guideline on management of pneumonia and diarrhoea in children up to 10 years of age. WHO. 2024. ISBN 978-92-4-010341-2.
  • National Institute for Health and Care Excellence. Intravenous fluid therapy in children and young people in hospital. NICE guideline NG29. Published 2015; last updated 2020; fluid-bolus wording amended October 2022. Recommendations 1.3.1-1.3.5.
  • National Institute for Health and Care Excellence. Diarrhoea and vomiting caused by gastroenteritis in under 5s: diagnosis and management. Clinical guideline CG84. Published 2009; fluid-bolus wording amended October 2022. Recommendations 1.2, 1.3, and 1.7.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.