Condition Info - BotMed Application

ConditionName

Hypovolemic shock

ConditionDescription

Symptoms

Cold or clammy skin;
Pale skin;
Rapid, shallow breathing;
Rapid heart rate;
Little or no urine output;
Confusion;
Weakness;
Lightheadedness;
Loss of consciousness;

PhysicalFindings

Temperature, pulse, breathing, and blood pressure;
Color and feel of your skin;
Weak pulse;
Blue lips and fingernails;

ClinicalTests

Pregnancy test! (r/o ectopic pregnancy);
CBC and platelet count;
Basic metabolic panel (chem-7);
Liver biochemical tests;
PT/PTT;
Upright chest x-ray;
Most important if there is abdominal tenderness;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Signs of shock may be seen with 30-40% volume depletion.
Orthostasis can be seen with 20-25% volume depletion.
Tachycardia may be present with 15% volume depletion

ProgressionFromCondition

For lower GI bleeding, the following patient factors predict poor outcomes (increased risk of monality, adverse outcomes or re-bleeding):
a. Initial hematocrit < 35%; OR 6.3;
b. Age > 60; OR 4.2;
c. Gross blood on rectal exam; OR 3.9;
d. Heart rate> 100 bpm; OR 3.7;
e. Systolic pressure blood pressure < 100 mm Hg; OR 3.0;

TreatmentOptions

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/critical-care-medicine/shock-and-fluid-resuscitation/shock