81. Mild, Moderate & Severe Shock Mild Shock Mild hemorrhage, compensated shock, mild hypovolemia (<30% blood volume loss) Moderate Shock Moderate hemorrhage, Decompensated Shock, Marked Hypovolemia (30-45% blood volume loss) Severe Shock Severe hemorrhage, cardiopulmonary failure, severe hypovolemia (>45% blood volume loss) Cardiovascular Mild tachycardia Moderate tachycardia Severe tachycardia Weak peripheral pulses Thready peripheral pulses Absent peripheral pulses Strong central pulses Weak central pulses Thready central pulses Low or normal BP Hypotension Profound Hypotension Mild acidosis Moderate acidosis Severe acidosis Respiratory Mild tachypnea Moderate tachypnea Severe tachypnea Neurologic Irritable, confused Agitated, lethargic Obtunded, comatose Skin Cool extremities, mottling Cool extremities, pallor Cold extremities, cyanosis Renal Mild oliguria, ↑ spec grav Marked oliguria, ↑ BUN Anuria
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96. The End Remember… a lot of this is straightforward, repeatable, and is medical ‘common sense’, but…. Don’t be afraid to ask questions or ask for help! Steve Marchbank, MD [email_address] www.pedsteve.com