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Mrs. Johnson is very sick. She is exhibiting signs and symptoms of hemorrhagic shock. Her blood pressure may be normal because, at this time, her cardiovascular system is able to respond to the stress by constricting the peripheral arteries and veins and increasing the cardiac output. This is called compensated shock.

If the source of her hemorrhage is not stopped and she is not volume resuscitated, she will develop uncompensated shock and may die. She should have at least 2 large bore IVs started, IV crystalloids infused as fast as possible, and more than likely she should be given untyped blood to expand her intravascular volume. She should go to the operating room immediately to evaluate for the source of bleeding, unless it is obvious.

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Q: Mrs Johnson is brought to the emergency room after being involved in an auto accident She is hemorrhaging and has a rapid thready pulse but her blood pressure is still within normal limits. Why?
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