Outcome Evaluation

© Successful treatment of hypovolemic shock is measured by the restoration of BP to baseline values and reversal of associated organ dysfunction. The likelihood of a successful fluid resuscitation will be directly related to the expediency of treatment. Therapy goals include:

• Arterial SBP greater than 90 mm Hg (MAP greater than 60 mm Hg) within 1 hour

• Organ dysfunction reversal evident by increased urine output to greater than 0.5 mL/kg/h (1.0 mL/kg/h in pediatrics), return of mental status to baseline, and normalization of skin color and temperature over the first 24 hours

• HR should begin to decrease reciprocally to increases in the intravascular volume within minutes to hours

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