Template:Hemorrhagic shock classes: Difference between revisions
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| Line 7: | Line 7: | ||
! IV | ! IV | ||
|- | |- | ||
| | | Approximate blood loss | ||
| <15% | | <15% | ||
| 15-30% | | 15-30% | ||
| Line 13: | Line 13: | ||
| >40% | | >40% | ||
|- | |- | ||
| | | Heart rate | ||
| | | ↔ | ||
| | | ↔/↑ | ||
| | | ↑ | ||
| | | ↑↑ | ||
|- | |- | ||
| Blood | | Blood pressure | ||
| | | ↔ | ||
| | | ↔ | ||
| | | ↔/↓ | ||
| | | ↓ | ||
|- | |- | ||
| Pulse Pressure (mmHg) | | Pulse Pressure (mmHg) | ||
| | | ↔ | ||
| | | ↓ | ||
| | | ↓ | ||
| | | ↓ | ||
|- | |- | ||
| Respiratory Rate (per min) | | Respiratory Rate (per min) | ||
| | | ↔ | ||
| | | ↔ | ||
| | | ↔/↑ | ||
| | | ↑ | ||
|- | |- | ||
| Urine Output (mL/hr) | | Urine Output (mL/hr) | ||
| | | ↔ | ||
| | | ↔ | ||
| | | ↓ | ||
| | | ↓↓ | ||
|- | |- | ||
| | | Glasgow coma scale score | ||
| | | ↔ | ||
| | | ↔ | ||
| | | ↓ | ||
| | | ↓ | ||
|- | |- | ||
| Base | | Base deficit^ | ||
| 0 to -2 mEq/L | | 0 to -2 mEq/L | ||
| -2 to -6 mEq/L | | -2 to -6 mEq/L | ||
| Line 61: | Line 61: | ||
| Massive transfusion protocol | | Massive transfusion protocol | ||
|} | |} | ||
^Base excess is the quantity of base (HCO3-, in mEq/L) that is above or below the normal range in the body. A negative number is called a base deficit and indicates metabolic acidosis. | |||
Latest revision as of 05:14, 11 December 2019
Classes of hemorrhagic shock[1]
| Class | I | II | III | IV |
|---|---|---|---|---|
| Approximate blood loss | <15% | 15-30% | 30-40% | >40% |
| Heart rate | ↔ | ↔/↑ | ↑ | ↑↑ |
| Blood pressure | ↔ | ↔ | ↔/↓ | ↓ |
| Pulse Pressure (mmHg) | ↔ | ↓ | ↓ | ↓ |
| Respiratory Rate (per min) | ↔ | ↔ | ↔/↑ | ↑ |
| Urine Output (mL/hr) | ↔ | ↔ | ↓ | ↓↓ |
| Glasgow coma scale score | ↔ | ↔ | ↓ | ↓ |
| Base deficit^ | 0 to -2 mEq/L | -2 to -6 mEq/L | -6 to -10 mEq/L | -10 or less mEq/L |
| Need for blood products | Monitor | Possible | Yes | Massive transfusion protocol |
^Base excess is the quantity of base (HCO3-, in mEq/L) that is above or below the normal range in the body. A negative number is called a base deficit and indicates metabolic acidosis.
- ↑ American College of Surgeons Committee on Trauma. Shock: in Advanced Trauma Life Support: Student Course Manual, ed 10. 2018. Ch 3:62-81