Template:Hemorrhagic shock classes: Difference between revisions
| Line 7: | Line 7: | ||
! IV | ! IV | ||
|- | |- | ||
| | | Approximate blood loss | ||
| <15% | | <15% | ||
| 15-30% | | 15-30% | ||
| Line 13: | Line 13: | ||
| >40% | | >40% | ||
|- | |- | ||
| | | Heart rate | ||
| <100 | | <100 | ||
| 100-120 | | 100-120 | ||
| Line 19: | Line 19: | ||
| >140 | | >140 | ||
|- | |- | ||
| Blood | | Blood pressure | ||
| Normal | | Normal | ||
| Normal | | Normal | ||
| Line 49: | Line 49: | ||
| Confused, Lethargic | | Confused, Lethargic | ||
|- | |- | ||
| 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. | |||
Revision as of 03:02, 31 January 2019
Classes of hemorrhagic shock[1]
| Class | I | II | III | IV |
|---|---|---|---|---|
| Approximate blood loss | <15% | 15-30% | 30-40% | >40% |
| Heart rate | <100 | 100-120 | 120-140 | >140 |
| Blood pressure | Normal | Normal | Decreased | Decreased |
| Pulse Pressure (mmHg) | Normal or Increased | Decreased | Decreased | Decreased |
| Respiratory Rate (per min) | 14-20 | 20-30 | 30-40 | >35 |
| Urine Output (mL/hr) | >30 | 20-30 | Negligible | |
| Mental Status | Slightly Anxious | 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