logoFortifyMD

Hypovolemic shock

Mentions key items in Hypovolemic shock management.

Management

If BP unrecordable, call the cardiac arrest team.

Treatment

  • Identify and treat underlying cause
  • Raise the legs
  • Give fluid bolus 10–15mL/kg crystalloid via large peripheral line,
  • if shock improves, repeat, and titrate to
    • HR (aim <100)
    • BP (aim SBP >90)
    • Urine output (aim >0.5mL/kg/h).
  • If no improvement after 2 boluses, consider referral to ICU.

Hypothermia

Most patients are elderly and do not complain of, or feel, cold, so they have not tried to warm up; In the young, hypothermia is usually from cold exposure.

Lactic acidosis

A rare but serious complication of DM with metformin use or septicemia.

On this page