A 45-year-old male patient has been involved in a motorcycle accident with suspected internal bleeding. His blood pressure is 80/50 mmHg, heart rate is 130 bpm, and he is diaphoretic. After securing the airway, what is the next best step in managing his hypovolemic shock?
The correct answer is initiating fluid resuscitation with crystalloids because the primary goal in hypovolemic shock is to restore circulating blood volume. This helps to improve tissue perfusion and stabilize hemodynamics. Monitoring urine output is important for assessing kidney function and the effectiveness of resuscitation but is not the immediate intervention needed. Administering vasopressors may be required if fluid resuscitation is inadequate, but it is not the initial step. Providing blood products is appropriate if there is significant blood loss, but starting with crystalloids is generally the initial approach.
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BCEN CFRN
Resuscitation Principles
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