HYPOVLEMIA (NOT FINISHED)

Question 1

what mechanisms are included in hypovolemia for controlled bleeding

Answer 1

blunt trauma
peripheral blood loss that has been controlled
GI bleed
bleeding from another cause that dose not fit into another section

Question 2

treatment of hypovolemia from a controlled bleed

Answer 2

1. keep warm
2. if signs of hypovolemia/poor perfusion:
   - 500ml IV fluid
   -10ml/kg for a child
   -repeat as required
3. TXA if fluids are being administered
4. immobilize fractures

Question 3

when to get backup for hypovolemia from a controlled bleed

Answer 3

if patient is in severe shock

Question 4

what trends/numbers are used to assess if patient is hypovolemic/in shock

Answer 4

HR
pulse strength
cap refill
BP
LOC

Question 5

in what circumstances will a patient who is hypovolemic not become tachycardic

Answer 5

pt is on beta blockers
end stage hypovolemic shock- falling HR
ectopic pregnancy (dilation of fallopian tubes cause vagal stimulation)
miscarriage ( dilation of cervix causes vagal stimulation)

Question 6

why is it important to keep hypovolemic patients warm

Answer 6

warmth contributes to effective coagulopathy (clotting of the blood).

Question 7

what is important to rule out in shock following blunt trauma

Answer 7

that the shock is not being caused by a tension pneumothorax rather than blood loss

Question 8

when splinting a possible fractured pelvis it is important too: