Fluid resuscitation therapy for hemorrhagic shock

J Trauma Nurs. 2007 Jul-Sep;14(3):152-60; quiz 161-2. doi: 10.1097/01.jtn.0000292116.88270.57.

Abstract

Hemorrhagic shock is a severe life-threatening emergency affecting all organ systems of the body by depriving tissue of sufficient oxygen and nutrients by decreasing cardiac output. This article is a short review of the different types of shock, followed by information specifically referring to hemorrhagic shock. The American College of Surgeons categorized shock into 4 classes: (1) distributive; (2) obstructive; (3) cardiogenic; and (4) hemorrhagic. Similarly, the classes of hemorrhagic shock are grouped by signs and symptoms, amount of blood loss, and the type of fluid replacement. This updated review is helpful to trauma nurses in understanding the various clinical aspects of shock and the current recommendations for fluid resuscitation therapy following hemorrhagic shock.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Blood Substitutes / therapeutic use
  • Body Fluid Compartments / physiology
  • Colloids / therapeutic use
  • Fluid Therapy*
  • Humans
  • Hypovolemia / physiopathology
  • Hypovolemia / therapy*
  • Shock, Hemorrhagic / physiopathology
  • Shock, Hemorrhagic / therapy*

Substances

  • Blood Substitutes
  • Colloids