Which of the following guidelines applies to the prehospital administration of IV fluids in the patient with hemorrhagic shock?
A) Administer hypertonic saline solution or colloids at a keep-open rate.
B) Administer synthetic oxygen-carrying fluids as necessary to increase the level of consciousness.
C) Begin with a 2,000 mL bolus of isotonic crystalloid solution infused under pressure.
D) Administer isotonic crystalloid fluids only as necessary to maintain perfusion.

Question

Quizplus · Accepted Answer

The guideline for prehospital administration of IV fluids in a patient with hemorrhagic shock is to administer isotonic crystalloid fluids only as necessary to maintain perfusion. This helps to avoid fluid overload and dilution of coagulation factors, which can exacerbate hemorrhage. Hypertonic saline solution or colloids are not recommended in the prehospital setting, and synthetic oxygen-carrying fluids may have limited availability and potential risks. Beginning with a 2,000 mL bolus of isotonic crystalloid solution infused under pressure may be appropriate in certain cases, but should be individualized based on the patient's response and underlying etiology of shock.

Which of the Following Guidelines Applies to the Prehospital Administration