Normal capillary
refill (pinching the nail bed until the skin blanches, then counting
the seconds for the color to return) is <2 s. A capillary refill time
of >2 s implies poor perfusion. Skin turgor is evaluated by pinching
the skin and allowing it to return to its original state. Normally, the skin
bounces back quickly. Tenting or decreased skin
turgor implies malnutrition or dehydration. Other signs of
dehydration include hypotension, tachycardia, and diminished peripheral pulses.
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