Desired Outcomes

The overarching goals in treating hypovolemic shock are to restore effective circulating blood volume, as well as manage its underlying cause. In achieving this goal, the downward spiral of events that can perpetuate severe or protracted hypovolemic shock is interrupted. This is accomplished through the delivery of adequate oxygen and metabolic substrates such as glucose and electrolytes to the tissues throughout the body that will optimally bring about a restoration of organ function and return to homeostasis. Evidence of the latter is a return to the patient's baseline vital signs, relative normalization of laboratory test results, and alleviation of the other signs and symptoms of hypovolemic shock previously discussed.9 Concurrent supportive therapies are also warranted to avoid exacerbation of organ dysfunction associated with the hypovolemic shock event.

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