Hemorrhagic shock: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Workup== | ==Workup== | ||
Revision as of 07:34, 18 February 2015
Background
Clinical Features
Differential Diagnosis
Shock
- Cardiogenic
- Acute valvular Regurgitation/VSD
- CHF
- Dysrhythmia
- ACS
- Myocardial Contusion
- Myocarditis
- Drug toxicity (e.g. beta blocker, CCB, or bupropion OD)
- Obstructive
- Distributive
- Hypovolemic
- Severe dehydration
- Hemorrhagic shock (traumatic and non-traumatic)
Workup
Management
Disposition
See Also
External Links
Sources
Differential Diagnosis
- Cardiogenic
- Acute valvular Regurgitation/VSD
- CHF
- Dysrhythmia
- ACS
- Myocardial Contusion
- Myocarditis
- Obstructive
- Air embolism
- Aortic Stenosis
- Cardiac Tamponade
- PE
- Tension pneumothorax
- Distributive
- Adrenal Crisis
- Anaphylaxis
- Neurogenic Shock
- Sepsis
- Toxicologic
- Hypovolemic
- Severe dehydration
- Hemorrhagic shock (traumatic and non-traumatic)
- Classes of Hemorrhagic Shock
| Class | I | II | III | IV |
|---|---|---|---|---|
| Blood Loss (mL) | < 750 | 750-1000 | 1500-2000 | >2000 |
| Blood Loss (%) | < 15 | 15-30 | 30-40 | >40 |
| Pulse rate (per min) | <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 | 15-May | Negligble |
| Mental Status | Slightly Anxious | Mildly Anxious | Anxious, Confused | Confused, Lethargic |