Prevention of dehydration ppt

Cholera: Symptoms, Causes, Treatment and Prevention (1) - Cholera is a fatal bacterial disease caused primarily due to the intake of polluted water. Cholera leads to watery diarrhoea, loss of fluids and electrolytes and rapid dehydration. | PowerPoint PPT presentation | free to view . Cholera:. {Dehydration occurs when your body does not have as much water and fluids as it needs. Dehydration is classified as mild, moderate, or severe based on how much of the body's fluid is lost or not replenished. When severe, dehydration is a life-threatening emergency. The elderly and those with chronic illnesses are at higher risk Prevention of Dehydration: l Instead of depending on thirst, workers should drink cool water, 5 to 7 ounces, every 15 to 20 minutes. l Drink 8 to 10 glasses of water each day. Sports drinks (Gatorade or Powerade) are also good rehydration choices. l Do not consume caffeinated drinks, such as coffee and colas. They increase urin » Proponents-dehydration in terminally ill is not painful and lessens excessive pulmonary secretions, nausea, edema and pain » Opponents-suggest that associated symptoms of dehydration, such as confusion, delirium are stressful and reduce quality of lif Dehydration 1. DehydrationDehydration 2. DehydrationDehydration essential to body function and health. Wateressential to body function and health. Water content decreases from birth to old age; incontent decreases from birth to old age; in neonates, approximately 75% of the body weightneonates, approximately 75% of the body weight is water.

IMAGE Skincare Prevention+ - Voor 22

Survival Skills At Work: How Summer Can Kill You

Dehydration. Prevention Tips. PPT-045-03. 4. Statistics - Average. Heat is the #1 weather-related killer in the United States (123); PPT-045-03. 11. Prevention of Heat Related Injuries/Illnesses. Employers should establish a complete heat illness prevention program to prevent heat illness. This includes: provide workers with water, rest and. Dehydration is the absence of a sufficient amount of water in your body. The best way to beat dehydration is to drink before you get thirsty. If you're thirsty, you're already mildly dehydrated, and that can cause symptoms like headache, fatigue, dizziness and more. Dehydration can contribute to life-threatening illnesses like heatstroke Dehydration Appraisal Checklist tool1 along with identifying physical signs and symptoms, observing both fluid intake and output, and performing tests to assess the blood urea nitrogen/creatine ratio(BUN/Cr). 3 In addition, they recommend that the prevention of Dehydration happens when your body doesn't have as much water as it needs. Without enough, your body can't function properly. You can have mild, moderate, or severe dehydration depending on how. View and Download PowerPoint Presentations on Dehydration PPT. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Dehydration PPT This slide deck was prepared for adaption and local use by units/installation personnel when conducting cold injury prevention training. The.

PPT - Preventing Dehydration PowerPoint presentation

  1. Avoid dehydration in the workplace. Physical dehydration can be insidious and, depending on each individual's state of hydration and tolerance level to thirst signals, it can have a profound impact on your business. Recently, the detrimental effects of personal dehydration have begun to come into focus in the industrial environment
  2. Signs and symptoms for coaches, parents, and staff Shawn Hanlon * Management of Exertional Heat Illness Just FYI Use extreme caution in hot, humid weather Athletes can suffer from heat illness or even DEATH Watch for signs of Dehydration Recognize who is more susceptible than others Wet bulb globe scale flag conditions Green: 80-84.9° Yellow:85-87.9° Red:88-89.9° Black:90°+ This flag will.
  3. * This slide deck was prepared for adaption and local use by units/installation personnel when conducting cold injury prevention training. The information presented in these slides and notes sections (as posted) has been approved by the Disease Epidemiology Program (DEP) of the U.S. Army Public Health Center (APHC)asof February 2019
  4. Proper case management, consisting of oral rehydration therapy and feeding, can reduce the adverse effects of diarrhoea, which include dehydration, nutritional damage, and risk of death. Other measures are required, however, if the incidence of diarrhoeal episodes is to be substantially reduced; these include interventions that either reduce the spread of the microbes that cause diarrhoea or.

Admitted with or history of dehydration Breaking Down the Braden •Interventions for Nutritional deficits •Dietary consult to determine interventions •Provide protein intake of 1.2-1.5 gm/kg/body weight daily •WOCN's guideline also recommends 35-40 kcalories/kg of body weight/day Breaking Down the Brade OSHA's Heat Illness Prevention campaign, launched in 2011, educates employers and workers on the dangers of working in the heat. Through training sessions, outreach events, informational sessions, publications, social media messaging and media appearances, millions of workers and employers have learned how to protect workers from heat Dehydration is defined as the excessive loss of water from the body. The balance between fluid intake and fluid loss from the body is greatly disproportionate in dehydration. The severity of dehydration ranges from mild to severe, and dehydration can be fatal when fluid loss exceeds more than 15% of the total body water Free Download Dehydration PowerPoint Presentation. Check out this medical presentation on Dehydration, which is titled Dehydration, to know about water and electrolytes balance, and imbalance in human body. International According to the Centers for Disease Control and Prevention (CDC), for children younger than 5 years, the annual. Affecting Human Performance). To avoid dehydration and the fatigue that can occur from inadequate fluid replenishment, athletes must drink extra water, juices, and other fluids (see Chapter 6, Part 1, Nutrition and Athlete Health). Athletes should learn to drink before they feel thirsty—by the time an individual is aware of thirst

Powerpoint: Dehydration - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. Dehydration: Diarrhoea and Vomitin Dehydration Prevention Tip: Plan Ahead. Plan ahead and bring extra water to all outdoor events where increased sweating, activity, and heat stress will increase fluid loss. Encourage athletes and people who work outside to replace fluids at a rate that equals the loss ,Heat Illness Prevention for 2015 Heat Season: 1228 heat casualties [were reported] among the US Army active component in 2014, of which 205 were recorded as heat stroke. In addition to this training being required per ALARACT 101/2015,Army doctrinal guidance per TB MED 507provides operational reasons that this is required: DEHYDRATION U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2014). National Action Plan for Adverse Drug Event Prevention. dehydration or decline in renal function: •Carefully eval (& likely pull off) if on PowerPoint Presentation Jenni Gallagher. Tips for carers regarding the prevention of acute kidney injury. Fluid balance. Dehydration is the underlying cause of many common conditions including constipation, falls, urinary tract infections, pressure ulcers, malnutrition, incontinence, confusion and pre renal AKI. The elderly are more prone to dehydration because

  1. Prevention Signs and Symptoms of Dehydration Every system in your body depends on proper hydration to function properly. Water makes up a large portion of our body. It makes up approximately 50% of a woman and 60% of a man's body mass. You should consume at least half your body weight in ounces of water per day. Water from foods such as.
  2. 300 can be considered to suggest impending dehydration. Water-losing dehydration results in an elevated serum osmo-lality. In all cases, either serum sodium or glucose levels must be elevated. When both water and salt are lost, dehydration is associated with hyponatremia and low osmolality. The ma-Table 1. Physiological Functions of Wate
  3. Prevention of cold-related injuries. Perform thorough pre-participation screening to ID those more predisposed or have previous history. Have medical care on site that are familiar with cold related injuries. Educate athletes on prevention, recognition, treatment, and risks involved. Encourage proper sleeping, nutrition, and rest breaks to.

Prevention. Elderly Care: 7 Tips to Help Patients Avoid Dehydration. For caregivers, the early warning signs of dehydration can be difficult to detect in patients. For one, elderly adults don't feel thirst as strongly as other adults, and thirst is a common early warning sign for mild dehydration About Falls {Falls are not normal and should be investigated {About one-third of adults age 65+ fall each year{The possibility of a person falling increases with age, the number of medications, and deterioration of physical movement and balance. {In 2004, almost 85% of deaths related to falls were in those 75 and older {Most falls result in some type of injury; 20-30 Dehydration is the most common fluid and electrolyte disorder in all elderly adults popula-tions. Water makes up about 50% of total body weight. Water must be replaced daily because the body cannot store it. Death rates are 7 times higher for dehydrated patients Dehydration happens when our body loses more fluid (water) than we take in. The human body cannot function without water. A person can survive up to 50 days without food, but can only survive a few days without water! As we age, our sense of thirst becomes less sensitive and less accurate. This.

Dehydration is a a potentially serious condition where fluid (and body salts) are lost from the body and not adequately replaced. Dehydration is mainly caused by. Excessive sweating during physical activity; Prolonged exposure to the sun or hot conditions; Sweating because of a fever (high body temperature) Severe diarrhoea and vomitin Dehydration can result in an imbalance of electrolytes, especially sodium, potassium, and chloride, which affects the way the body functions. Causes. Dehydration can result from not drinking enough fluid, losing too much fluid, or a combination of both. People might not drink enough because they usually in combination with other strains caused by work, dehydration, and fatigue may lead to heat injury. Environmental conditions, namely air temperature (the temperature of surrounding objects), vapor pressure of water in the air (humidity), and air movement influence the heat equilibrium of the body and its physiologic adjustments. b Dehydration can occur as a result of high altitude, excessive exercise, sweating and water deprivation. The balance to maintain optimal body water level is coordinated by the kidneys, mostly by.

PPT - Heat Stress Training PowerPoint Presentation - ID

Dehydration - SlideShar

Prevention. drink minimum of 3-6 quarts of fluid per day. monitor urine color. do not wait until you are thirsty. drink hot liquids for warmth. Dehydration. To prevent cold weather dehydration, soldiers should drink a minimum of 3-6 canteens of water daily. The thirst mechanism does not function properly in cold weather Dehydration is defined as the condition that results from excessive loss of body water 1.In severe acute malnutrition, dehydration is caused by untreated diarrhoeal disease which leads to the loss of water and electrolytes 2.Severe acute malnutrition and diarrhoeal disease run in a vicious cycle, each making the other more severe and more likely to occur Dehydration . not be used for oral or nasogastric rehydration in those present with some dehydration or severe dehydration PROTEINS (1).ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. as acids 5. Worried about multiple file versions when you work on Malnutrition and Dehydration in Nursing Homes: Key Issues in Prevention and Treatment, National Citizens' Coalition for Nursing Home Reform, June 2000. Malnutrition. Malnutrition is generally defined as an imbalance of nutrients in the body caused by either excess intake of nutrients or a nutritional deficit

PPT-045-02 41 Tips for Prevention • Stay indoors and utilize AC • Fans • Cool shower • Wear lightweight, light colored & loose fitting clothes. • Limit your outdoor activity to morning and evening hours. • Protect yourself from the sun by wearing a wide-brimmed hat, sunglasses and by putting on sunscreen of SPF 30 or higher Dehydration and malnutrition may slow recovery Strict NPO due to dysphagia or AMS Prevention plan If NPO - IV fluids - bolus followed by maintenance fluids Isotonic solution NG or Duotube for meds and feedings PEG placement Bowel management Consult dietician Speech to continue to assess swallow function. 3 Oct 30, 2016 - Explore OT {Mandy} Occupationa's board Preventing Dehydration in Elderly, followed by 11892 people on Pinterest. See. Physicians and other health care professionals have a critical role in the prevention and control of food-related disease outbreaks. This primer is intended to provide practical and concise information on the diagnosis, treatment, and reporting of foodborne illnesses

PPT - Dehydration PowerPoint presentation free to

Prevention. drink minimum of 3 canteens of water daily for inactivity and 5-6 quarts for activity. monitor urine color. do not wait until you are thirsty. drink hot liquids for warmth (non-caffeine) Constipation. Infrequent or difficult passage of solid human waste. Symptoms. loss of appetite 1. Classify patients into subgroups: no or minimal dehydration, moderate dehydration, or overt dehydration to guide management. 2. Prescribe probiotics as an adjunctive treatment in the management of children with diarrhea from acute gastroenteritis for 5 to 7 days. 3. Return to regular diet as tolerated Slide 9-. Management of Dehydration There are 3 pillars in management of dehydration. 1.) Correction of existing fluid deficit 2.) Replacement of ongoing losses 3.) Providing the normal daily requirement When you are seeing the child for the 1st time, a dehydrated child has already lost a portion of his total body water

Dehydration Prevention Tips - How To Avoid Becoming Dehydrate

To avoid dehydration, drink plenty of liquid every day, taking small, frequent sips. Ideal liquids are clear thin broths or soups, diluted non-caffeinated sports drinks (e.g. Powerade or Gatorade), and rehydration formulations (e.g. Gastrolyte) that are available without prescription from a pharmacy. Prevention Prevention | National Kidney Foundation. 1 in 3 American adults is at risk for kidney disease. What puts you at risk for kidney disease? Major risk factors include diabetes, high blood pressure, a family history of kidney failure and being age 60 or older. Kidney disease often has no symptoms, and it can go undetected until very advanced For moderate dehydration, 100 mL per kg of ORT solu- tion should be given over four hours in the physician's office or emergency department. 14 reatmentIf t is success

Dehydration: how diarrhea kills The eyes and the cheeks are sunken, the face is pinched, the lips and the tongue are dry, the fingertips are shriveled (washerwoman's hands), and significantly influence the approach to case management or prevention. 4/19/2010 6 Shift in WHO CDD Priorities 1980 Prioritie Victims of Heat Stroke must receive immediate treatment to avoid permanent organ damage. Get the victim to a shady area, remove clothing, apply cool or tepid water to the skin (for example you may spray the victim with cool water from a garden hose), fan the victim to promote sweating and evaporation, and place ice packs under armpits and groin Dehydration (fluid volume disturbance): causes Vomiting, diarrhea, severe burns, DKA Q: Discuss the 3 types of dehydration Types of Dehydration Isotonic (most common) {.9% NS, LR, D5W} • electrolyte & water deficits are in balance Hypotonic {.02% NA} • Electrolyte deficit exceeds water deficit Hypertonic {D10W} • Water loss in excess of.

The dehydration of natural gas by any means is done primarily to prevent the formation of gas hydrates during the trans- mission of natural gas. Gas hydrates have a crystalline struc- ture similar in appearance to water crystals, but their form- ation occurs at considerably higher temperatures.. prevention of dehydration. If symptoms worsen, patients should seek Prevention of Sexual Transmission * A. Travellers should consider not having sex during travel to affected areas, or else condom should be used. B. Male and female travellers returning from affected areas shoul SHOULDER INJURY PREVENTION The shoulder joint is a ball and socket joint that allows multi-directional movement. It sacrifices stability for mobility and because of this it's more susceptible to injury. Most job demands require that at least 90% of the work is done with the arms out in front of body Dengue fever is a mosquito-borne infection that causes severe flu-like symptoms and can be fatal. There is no treatment for dengue fever, and about 40 percent of the world's population is at risk.

Easy Ways to Prevent Dehydration - Amedisy

Dehydration, loss of water from the body; it is almost invariably associated with some loss of salt (sodium chloride) as well. The treatment of any form of dehydration, therefore, requires not only the replacement of the water lost from the body but also the restoration of the normal concentratio Diarrhoea causes dehydration, which kills approximately 2.2 million children every year. Diarrhoea is also a major cause of child malnutrition. Diarrhoea can be prevented by breastfeeding, by immunizing all children against measles, by using latrines, by keeping food and water clean, and by washing hands before touching food INFECTION PREVENTION RESIDENT QUALITY OF CARE - Dehydration Senior Clinical Consultant djelinek@ofmq.com 405‐651‐4796. Title: Microsoft PowerPoint - Phase 2 Session 4 of 19 Infection Prevention QI- UTIs.pptx Author: TTEASDAL Created Date: 5/11/2021 3:05:55 PM.

Dehydration: Causes & Symptoms - Cleveland Clini

Shanley L, Mittal V, Flores G. Preventing dehydration-related hospitalizations: a mixed-methods study of parents, inpatient attendings, and primary care physicians. Hosp Pediatr . 2013 Jul. 3(3. Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5. Calculate the fluid deficit. Physical findings consistent with mild dehydration suggest a fluid deficit of 5% of body weight in infants and 3% in children. Moderate dehydration occurs with a fluid deficit of 5-10% in infants and 3-6% in children (see Table 1 and Table 2). The fluid deficit should be replaced over 4 hours Dehydration occurs when there is excessive loss of water in the horse's body. Generally due to strenuous exercise or long bouts of diarrhea, this loss of water and electrolytes -- minerals like sodium, chloride, and potassium -- is a serious emergency that can lead to kidney failure if the horse is not quickly rehydrated Priorities in the management of dehydration include early recognition of symptoms, identifying the degree of dehydration, stabilization, and rehydration strategies. [2] [5] [3] Symptoms include vomiting, diarrhea, fever, decreased oral intake, inability to keep up with ongoing losses, decreased urine output, progressing to lethargy, and.

This review is an update of the long-term follow-up of nutritional and metabolic issues following bariatric surgery, and also discusses the most recent guidelines for the three most common procedures: adjustable gastric bands (AGB); sleeve gastrectomy (SG); and roux-en-Y gastric bypass (GBP). The ri 20 July, 2015. Acute kidney injury is a common but serious disorder. Knowing how it can develop enables prevention and early detection, leading to better outcomes for patients. Abstract. Acute kidney injury (AKI) is common and often preventable. Nurses should be able to recognise it and respond when it occurs Navy Environmental Health Center Technical Manual NEHC-TM-OEM 6260.6A June 2007 PREVENTION AND TREATMENT OF HEAT AND COLD STRESS INJURIE Anorexia, weight loss and muscle wasting commonly affect people approaching the end of life. It is critical that clinicians caring for people with advanced illness and progressive frailty can assess the nutritional and hydration needs of these people, engage them in shared decision making and support them to plan ahead regarding their nutritional care preferences as their health deteriorates It is extremely important to prevent dehydration in senior adults. Signs of dehydration in Senior Adults include confusion, difficulty walking, dizziness, headaches, dry mouth, inability to sweat or produce tears, rapid heart rate, low blood pressure, low urine, constipation, sunken eyes

Dehydration - Signs, Symptoms, Causes, and Preventio

Tips for carers regarding the prevention of acute kidney injury. Fluid balance. Dehydration is the underlying cause of many common conditions including constipation, falls, urinary tract infections, pressure ulcers, malnutrition, incontinence, confusion and pre renal AKI. The elderly are more prone to dehydration because Not all pre renal AKI is a consequence of dehydration. Worsening heart failure will reduce cardiac output thus resulting in a lower BP. Be aware of your patients who have established heart failure and ensure they are reviewed regularly by the GP Emphasize prevention rather than punishment. The Joint Commission: 2016 National Patient Safety Goals. Communication among caregivers. Improve safety of using medications. Reduce harm with clinical alarm systems. The National Database of Nursing Quality Indicators (NDNQI) NDNQI #2 and #3. Patient Falls and Patient Falls with Injury. Injury leve a to prevent dehydration from occurring, if possible a to treat dehydration quickly if it does occur a to feed the child. Treat at home with fluids and food \7 Diarrhoea starts Child improves Chlld gets worse and becomes dehydrated Health worker treats with ORS solution (or IV fluids if necessary) Prevention of dehydration Chemical Engineering Diagnosis and Treatment Antigen Enzyme Immunoassay (EIA) of stool specimens RT-PCR; not commonly done Non-specific treatment: oral rehydration therapy to prevent dehydration Intravenous fluid is required in severe infant cases Immunization by vaccines Chemical Engineering Diagnosis and Treatment (cont.

Ppt Dehydration Powerpoint Presentations and Slides

Management and Prevention of Heat Stress Department of Industry and Resources Guideline Document No. ZMR002SX ♦ Clothing. This can have a major effect on the amount of heat transfer from the body. Clothing may limit convective exchange and may interfere with the body's capacity to lose heat through evaporation of sweat Prevention: Know and Exercise Resident Rights* Federal and state laws grants residents many rights. Nursing homes are required to post information about residents' rights and explain them to residents. Residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation The Impact Impaired Hydration Can Cause on Your Workforce. Scientific research shows that even mild dehydration (the kind that's asymptomatic) profoundly affects productivity. A 2 percent level of dehydration equates up to a 20 percent decrease in productivity, says Bubba Wolford, director of business development at Sqwincher

Avoid dehydration in the workplace - ISHN

Prevention • Track Wet Bulb Globe Temp • Track hydration of Soldiers • Fluid replacement/work/rest guidelines • Keep urine lemonade color (light yellow) • All unit leaders must be familiar with heat injury prevention and recognition • Know the Soldiers who are high risk • Ensure water points are accessible and utilized Winter Dehydration Facts: Hydration Impacts Productivity . The Food and Nutrition Board recommends that women generally need 91 ounces of water daily and men 125 ounces daily, adding that physical exertion can increase fluid needs. As your employees experience winter dehydration, they become less productive Primary Prevention. Cost-Effectiveness of Therapy. Future or Investigational Therapies. Case Studies Case #1. Dehydration primary prevention On the Web Most recent articles. Most cited articles. Review articles. CME Programs. Powerpoint slides. American Roentgen Ray Society Images of Dehydration primary prevention All Images X-rays Echo. the Prevention of Sudden Cardiac Death GUIDELINES MADE SIMPLE A Selection of Tables and Figures ©2017, American College of Cardiology B17213 ©2017, American College of Cardiology B17213 Sana M. Al-Khatib, MD, MHS, FACC, FAHA, FHRS, Chair William G. Stevenson, MD, FACC, FAHA, FHRS, Vice Chai For moderate dehydration, 100 mL per kg of ORT solu- tion should be given over four hours in the physician's office or emergency department. 14 reatmentIf t is success

Prevention of Diarrhoea - Unit 8 - Medical Education

Dehydration in older people Associated with risk of adverse outcomes5 17% 30-day mortality in those admitted with main diagnosis of dehydration Expense High levels of unplanned hospital admissions (John Reid, Sec. State for Health, 2004) 6 1999 US hospital costs for 1 °dehydration ~$1.1-1.4 billion/yr and rising fast Heat illness prevention classes - provided by Cal/OSHA. The Heat Illness Prevention Network (The HIP Network) The HIP Network is a voluntary public/private partnership established to increase both employers' and employees' awareness of the hazard of heat illness and the importance of heat illness prevention measures to prevent fatalities and serious illnesses in California workplaces dehydration plus excessive salt depletion. Treatment: shaded environment; loosen clothing. If suspect early heat stroke, treat as such. oral fluids if can drink. cold water, 0.1% salt solution, or 6% carbohydrate beverage. 1-2 liters over 2-4 hours. EVA #### Summary points Rotavirus is the leading cause of severe childhood gastroenteritis. Each year, rotavirus is responsible for about 25 million clinic visits, two million hospital admissions, and 180 000-450 000 deaths in children under 5 years of age globally.1 2 3 Although rotavirus infection is prevalent worldwide, most deaths from this infection occur in developing countries (fig 1⇓)

Heat Illness Prevention Campaign Occupational Safety and

Malnutrition & Dehydration Do Women with Hyperemesis Gravidarum (HG) Have Malnutrition and Dehydration? Ironically, nutrition is likely one of the most prolific topics related to pregnancy, yet when a woman has HG, she is often told malnutrition will not harm her unborn child or herself. While surgical patients are given nutritional therapy typically within on Severe cases, such as those involving dehydration, may require treatment in a hospital. In many cases, prevention of enteritis is possible by practicing good hygiene and handling food carefully.

PPT - Cholera : Symptoms, causes and treatment PowerPointPPT - PREVENTION OF HOSPITAL ACQUIRED PRESSURE ULCERSHeat Cramps: Treatment, First Aid, Prevention, DefinitionRespiratory disease pptPPT - Chapter 12: Membrane Structure/Function PowerPointARE YOU HYDRATED URINE COLOR CHART SIGN, 14X10,

Acute kidney injury (AKI) is associated with increased patient morbidity, mortality and an extended hospital stay. The financial burden to the National Health Service is high and it can affect up to one in five inpatients. Optimal fluid balance management is essential for the prevention of AKI and this can be particularly challenging in the patient with trauma Information on treatment, prevention, diagnostics, and the consequences of acute diarrhea infection has emerged and helps to inform clinical management. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis, prevention, and treatment of acute diarrhea infection in both US-based and travel settings If severe dehydration goes unchecked, it can cause seizures due to electrolyte imbalance, a reduction in the volume of blood in the body (hypovolemic shock), kidney failure, heat injuries, and even coma or death. Signs of Severe Dehydration. Little or no urination; Dark or amber-colored urine; Dry skin that stays folded when pinche