Classification of hypovolaemia in children
  Class I Class II Class III Class IV
Blood volume lost <15% 15–25% 25–40% >40%
Pulse rate Increased >150 >150 Increased or
bradycardia
Pulse pressure Normal Reduced Very reduced Absent
Systolic blood Normal Reduced Very reduced Unrecordable
pressure
Capillary refill time Normal Prolonged Very prolonged Absent
Respiratory rate Normal Increased Increased Slow sighing
respiration
Mental state Normal Irritable Lethargic Comatosed
Urine output <1 ml/kg/hr <1 ml/kg/hr <1ml/kg/hr
<1 ml/kg/hr