Hemorrhagic shock class
I
II
III
IV
Blood loss (mL) (% blood volume)
<750 (15%)
750–1500 (15–30%)
1500–2000 (30–40%)
>2000 (>40%)
HR
<100
>100
>120
>140
BP
Normal
Normal
Decreased
Decreased
PP
Normal
Decreased
Decreased
Decreased
RR
14–20
20–30
30–40
>35
UOP
>30
20–30
5–15
Negligible
CNS
Slightly anxious
Mildly anxious
Anxious, confused
Confused, lethargic
- 2.
The average adult blood volume represents 7% of body weight (or 70 mL/kg of body weight) [2]. Estimated blood volume for a 70 kg person is approximately 5 L.
- 3.
Yes, maintaining a higher hemoglobin level of 10 g/dL is a reasonable goal in actively bleeding patients and with signs of shock. Hemoglobin concentration in an actively bleeding individual has dubious diagnostic value because it takes time for the various intravascular compartments to equilibrate. Hemoglobin concentration should not be the only therapeutic guide for blood transfusion in actively bleeding patients. Rather, therapy should be guided by the rate of bleeding and changes in hemodynamic parameters.Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree