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Writer's pictureMark Nguyen, PharmD, BCEMP

Hypovolemic Shock - #PHARMFAX

Hypovolemic shock can categorized as non-hemorrhagic and hemorrhagic.

 

Hypovolemic shock can categorized as non-hemorrhagic and hemorrhagic. Intravascular depletion, either from body fluid or blood loss, results in low oxygen supply and tissue ischemia. Traumas primarily account for most hemorrhagic shock. Body fluid loss range from GI and renal losses, as well as third spacing. The etiology differ between the two, making it vital to identify the source and treat accordingly. Replace non-hemorrhagic shock with crystalloid solutions and supplemental electrolytes. Utilize antiemetics when appropriate. It gets much more complex when making resuscitation patient-centered. Hemorrhagic shock is secondary to blood loss. Crystalloid fluids are not a substitute from your blood, unless you’re salty. Limit use up to 1-2L any more will cause hemodilution. That’s why we allow for permissive hypotension; restrict crystalloids and replace blood with blood. Hemostatic agents, such as clotting factors and antifibrinolytics, assist with stabilizing the patient to make it to the point. Hemorrhagic source control is the definitive therapy. Keep calcium salts in your back pocket for each cooler and to maintain an ionized calcium of around 1. For more PHARMFAX in the drug bank, check out another video on my page, share this with a friend, and I hope you learned something new. The All PHARYMWZE Source (including references) www.pharmwyze.com Follow @pharmwyze on your favorite social media platform #hypovolemic #shock #resuscitation #reversiblecause #emergencymedicine #criticalcare #pharmfax #pharmwyze #drugbank #medicine #nursing #pharmacy #twitterx #medtwitter Not medical advice. Educational purposes only. No relationships to report.

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