HYPOVOLEMIC SHOCK

Updated 2/25

                                           In the Emergency Room

The clinical  scenario above shows a patient who
is in the ER following a traumatic event. The nurse
does an assessment and notices significant
changes in vital signs.

When an assessment is done, suspect hypovolemic
shock if there has been a large volume of blood loss,
following trauma. 

Warning signs

- decrease in oxygen saturation, blood pressure or
   level of consciousness
- rapid respirations or heart rate
- cool, clammy skin

                                    What causes hypovolemic Shock? 

Hypovolemic Shock results from excessive fluid loss and 
inadequate circulating volume. The circulatory system collapses
and organs such as the kidneys, brain and lungs, are deprived of 
blood. Causes include : blunt and penetrating trauma, massive 
blood loss, cardiac tamponade, excessive vomiting and more 
listed above.

Complications such as ARDS or renal failure may
occur as a result of Hypovolemic Shock.