{"id":197,"date":"2026-10-03T12:39:59","date_gmt":"2026-10-03T11:39:59","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/klinik-dehidratasyon-skalasi\/"},"modified":"2026-10-03T12:39:59","modified_gmt":"2026-10-03T11:39:59","slug":"klinik-dehidratasyon-skalasi","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/klinik-dehidratasyon-skalasi\/","title":{"rendered":"Klinik Dehidratasyon Skalas\u0131"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Klinik Dehidratasyon Skalas\u0131 Hesaplay\u0131c\u0131<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"197\" data-favorite-title=\"Klinik Dehidratasyon Skalas\u0131\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/klinik-dehidratasyon-skalasi\/\" data-favorite-excerpt=\"Klinik Dehidratasyon Skalas\u0131 (Goldman skalas\u0131) ile \u00e7ocuklarda dehidratasyon \u015fiddetini de\u011ferlendirin. Genel g\u00f6r\u00fcn\u00fcm, g\u00f6zler, mukoz membranlar ve g\u00f6zya\u015f\u0131 puanlanarak 0 ile 8 aras\u0131nda bir skor ve dehidratasyon s\u0131n\u0131flamas\u0131 elde edilir.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-pharmacology\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/klinik-dehidratasyon-skalasi\/\" method=\"POST\" class=\"calculator\" id=\"calculator-197\" data-post=\"197\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field is-single\" id=\"input-1\"><label for=\"field-1\">Genel g\u00f6r\u00fcn\u00fcm<\/label><div class=\"grid grid-cols-1\"><select id=\"field-1\" name=\"genel_grnm\"><option value=\"0\">Normal<\/option><option value=\"1\">Susuz, huzursuz veya uyu\u015fuk ama dokunuldu\u011funda hassas\/engellenmi\u015f tepki<\/option><option value=\"2\">Uykulu, gev\u015fek, so\u011fuk veya terli; komada veya uyand\u0131r\u0131lamaz<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field is-single\" id=\"input-2\"><label for=\"field-2\">G\u00f6zler<\/label><div class=\"grid grid-cols-1\"><select id=\"field-2\" name=\"gzler\"><option value=\"0\">Normal<\/option><option value=\"1\">Hafif \u00e7\u00f6k\u00fck<\/option><option value=\"2\">\u00c7ok \u00e7\u00f6k\u00fck<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field is-single\" id=\"input-3\"><label for=\"field-3\">Mukoz membranlar (dil)<\/label><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"mukoz_membranlar_dil\"><option value=\"0\">Nemli<\/option><option value=\"1\">Yap\u0131\u015fkan<\/option><option value=\"2\">Kuru<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field is-single\" id=\"input-4\"><label for=\"field-4\">G\u00f6zya\u015f\u0131<\/label><div class=\"grid grid-cols-1\"><select id=\"field-4\" name=\"gzya\"><option value=\"0\">Normal g\u00f6zya\u015f\u0131<\/option><option value=\"1\">Azalm\u0131\u015f g\u00f6zya\u015f\u0131<\/option><option value=\"2\">G\u00f6zya\u015f\u0131 yok<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"197\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> Sonu\u00e7lar\u0131n\u0131z<\/h3><div class=\"result-box\"><div class=\"field-result is-column\" id=\"output-1\"><span class=\"field-title\"><span>KDS Skoru ve Dehidratasyon D\u00fczeyi<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"197\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>Klinik Dehidratasyon Skalas\u0131 Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{KDS} = \\text{G\u00f6r\u00fcn\u00fcm} + \\text{G\u00f6zler} + \\text{Mukoz membranlar} + \\text{G\u00f6zya\u015f\u0131} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(\\text{G\u00f6r\u00fcn\u00fcm}\\) \u2014 genel g\u00f6r\u00fcn\u00fcm puan\u0131, 0\u20132 (0 = normal, 2 = uyu\u015fuk veya gev\u015fek)<\/li>\n<li>\\(\\text{G\u00f6zler}\\) \u2014 g\u00f6zlerin \u00e7\u00f6k\u00fck g\u00f6r\u00fcn\u00fcm\u00fc, 0\u20132 (0 = normal, 2 = \u00e7ok \u00e7\u00f6k\u00fck)<\/li>\n<li>\\(\\text{Mukoz membranlar}\\) \u2014 dilin nemlili\u011fi, 0\u20132 (0 = nemli, 2 = kuru)<\/li>\n<li>\\(\\text{G\u00f6zya\u015f\u0131}\\) \u2014 g\u00f6zya\u015f\u0131 \u00fcretimi, 0\u20132 (0 = normal g\u00f6zya\u015f\u0131, 2 = g\u00f6zya\u015f\u0131 yok)<\/li>\n<\/ul>\n<p>D\u00f6rt klinik bulgunun her biri 0, 1 veya 2 puanla de\u011ferlendirilir ve toplam 0 ile 8 aras\u0131nda bir skor verir. Toplam skor bir dehidratasyon kategorisine kar\u015f\u0131l\u0131k gelir:<\/p>\n<ul>\n<li><strong>0<\/strong> \u2014 dehidratasyon yok<\/li>\n<li><strong>1\u20134<\/strong> \u2014 hafif dehidratasyon (bir miktar s\u0131v\u0131 a\u00e7\u0131\u011f\u0131)<\/li>\n<li><strong>5\u20138<\/strong> \u2014 orta ila \u015fiddetli dehidratasyon (belirgin s\u0131v\u0131 a\u00e7\u0131\u011f\u0131)<\/li>\n<\/ul>\n<p>Toplam skor y\u00fckseldik\u00e7e tahmini v\u00fccut suyu kayb\u0131 y\u00fczdesi artar ve s\u0131v\u0131 tedavisi daha agresif olmak zorundad\u0131r.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>Klinik Dehidratasyon Skalas\u0131 \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> 3 ya\u015f\u0131ndaki bir \u00e7ocuk iki g\u00fcnd\u00fcr s\u00fcren kusma ve ishal \u015fik\u00e2yetiyle klini\u011fe getiriliyor. Muayenede \u00e7ocuk susam\u0131\u015f ve huzursuz (g\u00f6r\u00fcn\u00fcm = 1), g\u00f6zler hafif \u00e7\u00f6k\u00fck (g\u00f6zler = 1), dil yap\u0131\u015fkan (mukoz membranlar = 1) ve g\u00f6zya\u015f\u0131 normal (g\u00f6zya\u015f\u0131 = 0).<\/p>\n<p>\\[ \\text{KDS} = 1 + 1 + 1 + 0 = 4 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> Skor 4 \u2192 hafif dehidratasyon. Bu \u00e7ocuk genellikle a\u011f\u0131zdan s\u0131v\u0131 tedavisi ve yak\u0131n takiple, damar yoluyla s\u0131v\u0131 verilmesine gerek kalmadan y\u00f6netilebilir.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplay\u0131c\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li><strong>Genel g\u00f6r\u00fcn\u00fcm<\/strong> a\u00e7\u0131l\u0131r men\u00fcs\u00fcn\u00fc a\u00e7\u0131n ve \u00e7ocu\u011fun davran\u0131\u015f\u0131na en uygun se\u00e7ene\u011fi i\u015faretleyin: Normal, Susam\u0131\u015f\/huzursuz\/letarjik ama dokunuldu\u011funda hassas, veya Uyu\u015fuk\/gev\u015fek\/so\u011fuk\/terli.<\/li>\n<li><strong>G\u00f6zler<\/strong> alan\u0131nda Normal, Hafif \u00e7\u00f6k\u00fck veya \u00c7ok \u00e7\u00f6k\u00fck se\u00e7ene\u011fini se\u00e7in.<\/li>\n<li><strong>Mukoz membranlar (dil)<\/strong> i\u00e7in Nemli, Yap\u0131\u015fkan veya Kuru se\u00e7ene\u011fini se\u00e7in.<\/li>\n<li><strong>G\u00f6zya\u015f\u0131<\/strong> i\u00e7in, \u00e7ocuk a\u011flarken g\u00f6zya\u015f\u0131 durumuna g\u00f6re Normal g\u00f6zya\u015f\u0131, Azalm\u0131\u015f g\u00f6zya\u015f\u0131 veya G\u00f6zya\u015f\u0131 yok se\u00e7ene\u011fini se\u00e7in.<\/li>\n<li>Toplam skoru ve buna kar\u015f\u0131l\u0131k gelen dehidratasyon kategorisini g\u00f6steren <strong>KDS Skoru ve Dehidratasyon D\u00fczeyi<\/strong> sonucunu okuyun.<\/li>\n<\/ol>\n<h2>Klinik Dehidratasyon Skalas\u0131 nedir?<\/h2>\n<p>Klinik Dehidratasyon Skalas\u0131 (KDS), Goldman skalas\u0131 olarak da bilinir, en s\u0131k akut gastroenterit ge\u00e7irir \u00e7ocuklarda olmak \u00fczere \u00e7ocuklarda dehidratasyon derecesini tahmin etmek i\u00e7in kullan\u0131lan do\u011frulanm\u0131\u015f bir klinik ara\u00e7t\u0131r. Klasik pediatrik dehidratasyon de\u011ferlendirme y\u00f6ntemleri \u2014 \u00f6rne\u011fin hastal\u0131k \u00f6ncesi a\u011f\u0131rl\u0131ktan y\u00fczde a\u011f\u0131rl\u0131k kayb\u0131 tahmin etmek veya kapiller dolum s\u00fcresi \u2014 yo\u011fun bir klinik ortamda \u00e7o\u011fu zaman g\u00fcvenilir veya pratik olmad\u0131\u011f\u0131ndan bu skalay\u0131 geli\u015ftirilmi\u015ftir.<\/p>\n<p>Skala, herhangi bir hekim, hem\u015fire veya e\u011fitilmi\u015f bak\u0131c\u0131n\u0131n laboratuvar testi olmadan bir dakikadan k\u0131sa s\u00fcrede de\u011ferlendirebilece\u011fi d\u00f6rt bulguya dayan\u0131r: genel g\u00f6r\u00fcn\u00fcm, \u00e7\u00f6k\u00fck g\u00f6zler, mukoz membran (dil) nemlili\u011fi ve g\u00f6zya\u015f\u0131 \u00fcretimi. Her bulgu 0, 1 veya 2 puanla de\u011ferlendirilir ve toplam, \u00e7ocu\u011fu dehidratasyon yok (0), hafif dehidratasyon (1\u20134) veya orta ila \u015fiddetli dehidratasyon (5\u20138) olarak s\u0131n\u0131flar.<\/p>\n<p>\u00c7al\u0131\u015fmalar KDS'nin a\u011f\u0131rl\u0131k de\u011fi\u015fimiyle \u00f6l\u00e7\u00fclen ger\u00e7ek s\u0131v\u0131 a\u00e7\u0131\u011f\u0131, hastanede yat\u0131\u015f s\u00fcresi ve damar yoluyla tedavi gereksinimiyle korele oldu\u011funu g\u00f6stermi\u015ftir. 0 skoru, a\u011f\u0131zdan s\u0131v\u0131 tedavisi \u00f6nerileriyle g\u00fcvenle eve g\u00f6nderilebilecek \u00e7ocuklar\u0131 g\u00fcvenilir bi\u00e7imde tan\u0131mlar; daha y\u00fcksek skorlar ise g\u00f6zetimli s\u0131v\u0131 tedavisi, daha yak\u0131n izlem veya damar yoluyla s\u0131v\u0131 gerektirebilecek \u00e7ocuklar\u0131 i\u015faret eder.<\/p>\n<p>Skorun ba\u011flam i\u00e7inde yorumlanmas\u0131 \u00f6nemlidir. Tek bir KDS de\u011ferlendirmesi anl\u0131k bir foto\u011fraft\u0131r; zaman i\u00e7inde tekrarlanan \u00f6l\u00e7\u00fcmler \u00e7o\u011fu zaman daha bilgilendiricidir, \u00e7\u00fcnk\u00fc e\u011filim \u00e7ocu\u011fun s\u0131v\u0131 tedavisine yan\u0131t verdi\u011fini ya da k\u00f6t\u00fcle\u015fti\u011fini g\u00f6sterir.<\/p>\n<h2>Sonu\u00e7lar\u0131 yorumlama ve buna g\u00f6re hareket etme<\/h2>\n<ul>\n<li><strong>Skor 0 (dehidratasyon yok):<\/strong> \u00e7ocukta saptanabilir bir s\u0131v\u0131 a\u00e7\u0131\u011f\u0131 yoktur. Ya\u015fa uygun s\u0131v\u0131 ve beslenmeye devam etmesi te\u015fvik edilmeli ve bak\u0131c\u0131lar uyar\u0131 i\u015faretleri konusunda bilgilendirilmelidir.<\/li>\n<li><strong>Skor 1\u20134 (hafif dehidratasyon):<\/strong> genellikle v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n yakla\u015f\u0131k %3\u20135'i kadar bir s\u0131v\u0131 a\u00e7\u0131\u011f\u0131na kar\u015f\u0131l\u0131k gelir. Birinci basamak tedavi, az miktarlarda ve s\u0131k aral\u0131klarla verilen a\u011f\u0131zdan rehidratasyon sol\u00fcsyonudur (ORS).<\/li>\n<li><strong>Skor 5\u20138 (orta ila \u015fiddetli dehidratasyon):<\/strong> %6 veya daha fazla bir a\u00e7\u0131k oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Bu \u00e7ocuklar acil de\u011ferlendirme, \u00e7o\u011fu zaman damar yoluyla rehidratasyon veya h\u0131zl\u0131 g\u00f6zetimli a\u011f\u0131zdan rehidratasyon ve hastaneye yat\u0131\u015f d\u00fc\u015f\u00fcncesi gerektirir.<\/li>\n<\/ul>\n<p>Dehidratasyon elektrolit bozukluklar\u0131yla birlikte seyretti\u011finde ilgili ara\u00e7lar tedaviye yol g\u00f6sterebilir \u2014 \u00f6rne\u011fin hipernatremik dehidratasyon i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/serbest-su-acigi\/\">serbest su a\u00e7\u0131\u011f\u0131 hesaplay\u0131c\u0131s\u0131<\/a>, hiperglisemi varl\u0131\u011f\u0131nda <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/duzeltilmis-sodyum-hesaplama\/\">d\u00fczeltilmi\u015f sodyum hesaplay\u0131c\u0131s\u0131<\/a>. S\u0131v\u0131 uygulamas\u0131n\u0131 planlamak i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/doz-infuzyon-hizi\/\">doz inf\u00fczyon hesaplay\u0131c\u0131s\u0131<\/a> faydal\u0131 bir yard\u0131mc\u0131d\u0131r.<\/p>\n<h2>S\u0131n\u0131rlamalar ve pratik ipu\u00e7lar\u0131<\/h2>\n<ul>\n<li>KDS esas olarak akut gastroenteritli \u00e7ocuklarda (genellikle 1 ay ile 5 ya\u015f aras\u0131) do\u011frulanm\u0131\u015ft\u0131r; eri\u015fkinlerde, yenido\u011fanlarda veya kronik dehidratasyondaki do\u011frulu\u011fu kan\u0131tlanmam\u0131\u015ft\u0131r.<\/li>\n<li>Baz\u0131 bulgular di\u011fer etkenlerden etkilenebilir: muayeneden hemen \u00f6nce a\u011flamak g\u00f6zya\u015f\u0131n\u0131 etkiler, ate\u015f veya a\u011f\u0131zdan nefes alma dili kurutur ve herhangi bir hastal\u0131ktan kaynaklanan yorgunluk genel g\u00f6r\u00fcn\u00fcm\u00fc de\u011fi\u015ftirebilir.<\/li>\n<li>Skala tam bir klinik de\u011ferlendirmenin yerini almaz. Skorun yan\u0131nda a\u011f\u0131rl\u0131k, idrar \u00e7\u0131k\u0131\u015f\u0131, deri turgoru, kalp h\u0131z\u0131, kan bas\u0131nc\u0131 ve bilin\u00e7 durumu kontrol edilmelidir.<\/li>\n<li>D\u00fc\u015f\u00fck skor, s\u0131k kusan bir \u00e7ocukta dehidratasyonu d\u0131\u015flamaz \u2014 \u00f6zellikle al\u0131m h\u00e2l\u00e2 azsa birka\u00e7 saat sonra yeniden de\u011ferlendirin.<\/li>\n<li>Ku\u015fku duydu\u011funuzda veya skor 5 veya daha y\u00fcksek oldu\u011funda, laboratuvar tetkiklerine ve rehidratasyon yoluna karar verebilecek bir hekime ba\u015fvurun.<\/li>\n<\/ul>\n<p>Bu hesaplay\u0131c\u0131 h\u0131zl\u0131 triyaj kararlar\u0131n\u0131 desteklemeye y\u00f6nelik e\u011fitim ama\u00e7l\u0131 bir ara\u00e7t\u0131r; nihai klinik kararlar her zaman nitelikli bir sa\u011fl\u0131k uzman\u0131 taraf\u0131ndan verilmelidir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Klinik Dehidratasyon Skalas\u0131 (Goldman skalas\u0131) ile \u00e7ocuklarda dehidratasyon \u015fiddetini de\u011ferlendirin. Genel g\u00f6r\u00fcn\u00fcm, g\u00f6zler, mukoz membranlar ve g\u00f6zya\u015f\u0131 puanlanarak 0 ile 8 aras\u0131nda bir skor ve dehidratasyon s\u0131n\u0131flamas\u0131 elde edilir.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[60],"class_list":["post-197","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-farmakoloji"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=197"}],"version-history":[{"count":4,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/197\/revisions"}],"predecessor-version":[{"id":2204,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/197\/revisions\/2204"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=197"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=197"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}