Template:Hemorrhagic shock classes: Difference between revisions
| Line 14: | Line 14: | ||
|- | |- | ||
| Heart rate | | Heart rate | ||
| | | ↔ | ||
| | | ↔/ | ||
| 120-140 | | 120-140 | ||
| >140 | | >140 | ||
|- | |- | ||
| Blood pressure | | Blood pressure | ||
| | | ↔ | ||
| Normal | | Normal | ||
| Decreased | | Decreased | ||
| Line 26: | Line 26: | ||
|- | |- | ||
| Pulse Pressure (mmHg) | | Pulse Pressure (mmHg) | ||
| | | ↔ | ||
| Decreased | | Decreased | ||
| Decreased | | Decreased | ||
| Line 32: | Line 32: | ||
|- | |- | ||
| Respiratory Rate (per min) | | Respiratory Rate (per min) | ||
| | | ↔ | ||
| 20-30 | | 20-30 | ||
| 30-40 | | 30-40 | ||
| Line 38: | Line 38: | ||
|- | |- | ||
| Urine Output (mL/hr) | | Urine Output (mL/hr) | ||
| | | ↔ | ||
| 20-30 | | 20-30 | ||
| | | | ||
| Line 44: | Line 44: | ||
|- | |- | ||
| Mental Status | | Mental Status | ||
| | | ↔ | ||
| Mildly Anxious | | Mildly Anxious | ||
| Anxious, Confused | | Anxious, Confused | ||
Revision as of 03:05, 31 January 2019
Classes of hemorrhagic shock[1]
| Class | I | II | III | IV |
|---|---|---|---|---|
| Approximate blood loss | <15% | 15-30% | 30-40% | >40% |
| Heart rate | ↔ | ↔/ | 120-140 | >140 |
| Blood pressure | ↔ | Normal | Decreased | Decreased |
| Pulse Pressure (mmHg) | ↔ | Decreased | Decreased | Decreased |
| Respiratory Rate (per min) | ↔ | 20-30 | 30-40 | >35 |
| Urine Output (mL/hr) | ↔ | 20-30 | Negligible | |
| Mental Status | ↔ | Mildly Anxious | Anxious, Confused | Confused, Lethargic |
| 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