The condition of hypovolemic shock occurs when your body loses more than 15% of its blood or fluid volume, which can impair your heart and organs. Hypovolemic shock is a life-threatening condition. Bleeding, burns, dehydration, or vomiting can cause hypovolemic shock. Medical attention and treatment are necessary to restore blood or fluid volume and prevent complications.
Hypovolemic shock can be classified into two types: hemorrhagic and non-hemorrhagic.
Hemorrhagic hypovolemic shock is caused by blood loss due to trauma, surgery, ulcers, or ruptured blood vessels. It can affect anyone who suffers a severe injury or bleeding disorder.
Non-hemorrhagic hypovolemic shock is caused by fluid loss due to burns, diarrhea, vomiting, or excessive sweating. It can affect anyone who loses a lot of fluids or electrolytes, especially children, older adults, or people with chronic diseases.
The symptoms of hypovolemic shock depend on the amount and rate of blood or fluid loss. They may include:
Anxiety, confusion, or agitation
Pale, cold, or clammy skin
Rapid, shallow, or irregular breathing
Rapid, weak, or irregular pulse
Low blood pressure
Dizziness, fainting, or loss of consciousness
Thirst, dry mouth, or reduced urine output
Nausea, vomiting, or abdominal pain
Chest pain, shortness of breath, or coughing up blood (if bleeding in the lungs)
Symptoms and possible causes of blood or fluid loss will be discussed with your doctor in order to diagnose hypovolemic shock. The doctor will also perform a physical examination, including checking your vital signs, skin color, and urine output. Some tests may also be ordered, including:
Blood tests: These can measure your blood count, electrolytes, clotting factors, and organ function. They can help determine the extent and cause of blood or fluid loss and guide the treatment.
Imaging tests: These can use X-rays, ultrasound, CT, or MRI to visualize the internal organs and structures. They can help detect the source and location of bleeding or damage.
Electrocardiogram (ECG): This can record the electrical activity of your heart. It can help assess your heart rate, rhythm, and function.
Echocardiogram: This can use sound waves to create images of your heart. It can help measure your heart size, shape, and pumping ability.
Hypovolemic shock is a medical emergency that needs immediate treatment. The main goals of treatment are to stop the blood or fluid loss, restore the blood or fluid volume, and support the vital organs. The treatment may include:
Fluid resuscitation: This involves giving fluids intravenously (through a vein) to replace the lost blood or fluids. The fluids may include normal saline, blood products, or colloids (solutions that contain large molecules).
Medications: These may include drugs that constrict the blood vessels (vasopressors), increase the heart rate and force (inotropes), or prevent blood clots (anticoagulants). They can help improve the blood pressure, blood flow, and oxygen delivery to the organs.
Surgery: This may be needed to repair the source of bleeding or damage, such as a wound, an ulcer, or a ruptured vessel. It can help stop the blood loss and prevent further complications.
Oxygen therapy: This involves giving oxygen through a mask or a tube to increase the oxygen level in the blood. It can help prevent tissue damage and organ failure.
Some of the ways to prevent or reduce the risk of hypovolemic shock include:
Seeking medical attention as soon as possible if you have any signs of bleeding, dehydration, or infection
Drinking enough fluids and electrolytes to stay hydrated, especially in hot weather or when sick
Avoiding alcohol, caffeine, and tobacco, which can dehydrate you or affect your blood vessels
Wearing protective gear and following safety precautions to prevent injuries or burns
Managing your chronic conditions, such as diabetes, high blood pressure, or heart disease, that can affect your blood vessels or organs
Taking your medications as prescribed and following your doctor’s advice on blood thinners or anticoagulants
