Where Do We Go Wrong In Starting Intravenous Fluids In Hypovolemic Shock?
It is very important to remember that initial treatment of hypovolemic shock is same in all type of dehydration (Isotonic / hypotonic / hypertonic dehydration). Which I.V. solutions should be used to correct hypovolemic shock? Why? Prompt and perfect selection of I.V. fluid is mandatory for proper treatment of hypovolemic shock. Fluids, which can expand intravascular compartment effectively, are preferred. Amongst crystalloids, sodium-containing fluid is potent and effective. Selection of I.V. Solutions in initial treatment of Hypovolemic Shock: • Isotonic Saline / RL are most preferred fluids • Colloids & Blood are most effective • Never Use 5% Dextrose & Isolyte-P. Rise in Intravascular Compartment with Various I.V. Agents.
