Shock treatment algorithm

Figure 24-4 is an algorithm that summarizes many of the treatment principles discussed in this chapter. The algorithm is an example of one approach to the adult patient presenting with hypovolemic shock. It presumes that initial rehydration attempts (i.e., outpatient or prehospital) were unsuccessful in restoring circulation. Obviously, modifications may be needed for patient-specific forms of hypovolemic shock. Other limitations of the algorithm should be recognized, particularly the decisions to add or to substitute colloid or... 

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