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Diagnosis and Treatment
Dengue Clinical Case Management E-learning
Group C — Compensated Shock
Hemodynamic Assessment — Compensated Shock
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 |
|
|
|
Respiratory rate | Normal respiratory rate for age | Tachypnea | Hyperpnea or Kussmaul's breathing (Metabolic acidosis) |
Urine output | Normal | Reducing trend | Oliguria or anuria |
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