Field care The most important step in treatment of hypovolemic shock is to identify and control the source of bleeding. Medical personnel should immediately supply emergency oxygen to increase efficiency of the patient's remaining blood supply. This intervention can be life-saving. The use of intravenous fluids (IVs) may help compensate for lost fluid volume, but IV fluids cannot carry oxygen the way blood does—however, researchers are developing blood substitutes that can. Infusing colloid or crystalloid IV fluids also dilutes clotting factors in the blood, increasing the risk of bleeding. Current best practice allow permissive hypotension in patients suffering from hypovolemic shock, both avoid overly diluting clotting factors and avoid artificially raising blood pressure to a point where it "blows off" clots that have formed. Hospital treatment Fluid replacement is beneficial in hypovolemia of stage 2, and is necessary in stage 3 and 4. See also the discussion of shock and the importance of treating reversible shock while it can still be countered. The following interventions are carried out: * IV access * Oxygen as required * Fresh frozen plasma or blood transfusion * Surgical repair at sites of bleeding Vasopressors (such as dopamine and noradrenaline) should generally be avoided, as they may result in further tissue ischemia and don't correct the primary problem. Fluids are the preferred choice of therapy.
complications of Hypoalbuminemia
complications of Acute liver failure
complications of Kidney disease
complications of Hemolytic–uremic syndrome
complications of HELLP syndrome
medical cause of Hyperphosphatemia
complications of Rhabdomyolysis
complications of Vasculitis