Livoa LogoLivoa
Compensated shock


Pulse pressure ≤ 20 mmhg, hypotension

(SBP < 90 mmhg), high Hct (> 20% rise from baseline)

Initiate IV therapy 10–20 ml/kg/h crystalloid solution for 1 h
Improvement in VS & Hct*
No improvement in VS**

Start IV therapy by crystalloid successively reducing the flow from 10 ml/kg/h for 1–2 h to 6 ml/kg/h for 2–4 h and 3–1.5 ml/kg/h for 2–4 h

Further improvement in VS
Discontinue IV after 24–48 h
Check Hct
Hct rises or is > 45%
IV colloid/crystalloid 10–20 ml/kg over 1 h
No improvement
Hct falls
Suspect bleeding
Blood transfusion (10 ml/kg whole blood)/ (5 ml/kg packed RBC)
Refractory hypotension
ABCS#
Improvement in VS
No improvement in VS
IV Inotropes with crystalloid maintenance fluid according to Holiday-Segar formula

dengue

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