HYPOVOLAEMIA

Question 0

What BP are you aiming for in treatment of hypovolaemic shock

Answer 0

HR 100

Question 1

What is hypovolaemic shock?

Answer 1

An emergency condition in which severe blood and fluid loss make the heart unable to pump enough blood to the body

Question 2

What are the clinical signs of severe dehydration

Answer 2

• Postural perfusion changes :
• Tachycardia
• Hypotension
• Dizziness
• Poor skin turgor,dry mouth, dry tongue
• Fatigue and Altered conscioussness
• Evidence of poor fluid intake
• Decreased sweating an & urination

Question 3

What are the modifying factors of the hypovolaemic guidelines

Answer 3

• Pt w isolated neurogenic shock= 500ml bolus
• penetrating trunk injury, AAA, or uncontrolled haemorrhage = Accept carotid pulse and Tx immediatly
• GI haemorrhage = consider lesser volumes of fluid & accepting a BP of 80 - 100 mmHg

Question 4

What is the guideline for a significantly dehydrated pt

Answer 4

Normal Saline up to 20ml/kg IV over 30min

Question 5

What is the guideline for Isolated Tachycardia

HR> 100 BP>100

Answer 5

NORMAL SALINE 20mL/KG IV

-if HR >100 &/or BP<100mmHg consult with MTS if n/a repeat 20mL/kg

Question 6

What is the Hypovolaemic guideline for the hypotensive pt

BP<100

Answer 6

NORMAL SALINE 20ml/kg IV

• if pt HR>100 &/or BP<100mmHg consult MTS if N/A give 20ml/kg