Complete Blood Count (CBC)


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


HR heart rate, BP blood pressure, PP pulse pressure, UOP urine output, CNS central nervous system





 







    1. 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.

       

    2. 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.

      Only gold members can continue reading. Log In or Register to continue

      Stay updated, free articles. Join our Telegram channel

    Sep 23, 2017 | Posted by in Uncategorized | Comments Off on Complete Blood Count (CBC)

    Full access? Get Clinical Tree

    Get Clinical Tree app for offline access