Hypovolemic Shock

Etiology

  • Exposure
    • Excessive Insensible Fluid Loss Due to Perspiration
  • Altered Mental Status with Inadequate PO Fluid Intake
    • Drug Overdose
    • Intoxication
  • Severe Vomiting
    • Severe Gastroenteritis
  • Severe Diarrhea
    • Severe Dysentery
    • Food-Borne Toxinoses
    • Cholera
  • Third-Space Fluid Sequestration
    • Acute Pancreatitis
    • Post-Abdominal Surgery

Clinical


Treatment

  • PRBC Transfusion
    • No specific Hct has been documented to miproved any clinical factor or outcome
    • However, doubling the Hct (from 20 to 40%) will double plasma viscosity, increasing O2 delivery to coronary arteries but increasing myocardial work

References

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