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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are the symptoms of hypovolemic shock?

I am doing an assignment for nursing on a patient who is 2 days post coronary artery bypass surgery and trying to determine if its hypovolemic shock or cardiogenic shock? He has a bP of 90/65, HR 138,RR 26, low temperature, pale, cool, and clammy to touch and is oliguria and has an So2 of 93%. Bloods suggest uncompensated metabolic acidosis and increased Na, increased urea, Hb low. Has 80mls/hr of fluids running IV. I need to place my nursing interventions based on these signs and symptoms. Thank you
Fri, 21 Aug 2015
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Internal Medicine Specialist 's  Response
hi,
all the signs and symptoms that you have mentioned are that of hypovolemic shock, in addition a cvp ie central venous pressure will help to confirm it,it will be low in hypovolemia, you can icrease fluid to 120 ml per hour and can correct acidosis by sodium bicarbonate.
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What are the symptoms of hypovolemic shock?

hi, all the signs and symptoms that you have mentioned are that of hypovolemic shock, in addition a cvp ie central venous pressure will help to confirm it,it will be low in hypovolemia, you can icrease fluid to 120 ml per hour and can correct acidosis by sodium bicarbonate.