Hypovolemic shock

Obtain professional medical care immediately! Limited measures to help include:

• Keep the victim comfortable and warm (to avoid hypothermia).
• Have the victim lie flat with the feet elevated about 12 inches to increase circulation. However, if the victim suffers from a head, neck, back, or leg injury, leave the victim in the position in which they were found unless doing so poses other immediate danger.
• Do not give fluids by mouth.
• If victim is stung or suffering an allergic reaction, treat the allergic reaction.
• If the victim must be carried, try to maintain the flat, head down, feet elevated position. Stabilize the head and neck before moving a victim with a suspected spinal injury.

Hospital treatment focuses on replacing blood and fluid volume. Treatment may also include determination of the cause of blood loss and control of bleeding to prevent recurrence of hypovolemic shock.

Intravenous fluids, which may include blood or blood products, are used to maintain volume in the circulatory system.

Dopamine, dobutamine, epinephrine, norepinephrine, and other medications may be required to increase blood pressure and cardiac output.

Other interventions that may be used to manage shock include:

• cardiac monitoring, including Swan-Ganz (used to guide treatment)
• placement of a urinary catheter to monitor urine output

Hypovolemic shock is always a medical emergency, but there is wide variation in both symptoms and outcomes depending upon the amount of blood volume lost, the rate of loss, the underlying illness or injury causing the loss, and other factors.

In general, patients with milder degrees of shock tend to do better than those with more severe shock. However, in cases of severe hypovolemic shock, death is possible even with immediate medical attention. The elderly are at increased risk of having poor outcomes from shock.

• kidney damage
• brain damage

Hypovolemic shock is a medical emergency! Call the local emergency number

(such as 911) or take the victim to the emergency room if symptoms indicate hypovolemic shock.

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