1.4.1
Hypovolemia (hypovolemic Shock)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 1, Management of Emergencies.
Signs and Symptoms
- It is most precipitated by fluid loss or blood loss
- Causes of fluid loss include vomiting, diarrhea, diuresis, poor PO intake
- Causes of blood loss include trauma, GI bleeds, PV bleeding
Treatment
- IV fluid resuscitation is a priority
- Start with 20ml/kg of Sodium chloride 0.9% or Ringer's lactate as a bolus
- Repeat bolus if required
- Trauma or other bleeding patients should be given whole blood if blood pressure and heart rate not improved with IV fluids.
- Treat cause of fluid loss or blood loss
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