Hemodynamic Assessment

Hemodynamic Parameters

Stable Circulation

Compensated Shock

Hypotensive Shock
Conscious level Clear and lucid Clear and lucid Restless, combative
Capillary refill Brisk (<2 seconds) Prolonged (> 2 seconds) Very prolonged, mottled skin
Extremities Warm and pink Cool peripheries Cold, clammy
Peripheral pulse Good volume Weak and thready Feeble or absent
Heart rate Normal heart rate for age Tachycardia for age Severe tachycardia or bradycardia in late shock
Blood pressure
  • Normal blood pressure for age
  • Normal pulse pressure for age
  • Normal systolic pressure, but rising diastolic pressure
  • Narrowing pulse pressure
  • Postural hypotension
    		•
  • Narrow pulse pressure (<20 mm Hg)
  • Hypotension for age
  • Unrecordable blood pressure
    		•
    Respiratory rate Normal respiratory rate for age Tachypnea Hyperpnea or Kussmaul's breathing (Metabolic acidosis)
    Urine output Normal Reducing trend Oliguria or anuria

    Print page