You respond to a patent who complains of having dark, tarry stools. Upon arrival, you notice that the patient is pale, cool, and clammy. After initiation of two large-bore IVs, your initial fluid bolus should be:

Question

Quizplus · Accepted Answer

The patient is exhibiting signs of shock, and the initial fluid resuscitation goal for hemorrhagic shock is 20 mL/kg. Therefore, option B (20 mL/kg) is the best choice. Options A (10 mL/kg) and C (250 mL) would likely not provide enough fluid to adequately resuscitate the patient. Option D (1000 mL) may be too much fluid to give at once and could exacerbate any underlying cardiac or pulmonary issues. It is important to monitor the patient's response to the fluid bolus and adjust accordingly.

You Respond to a Patent Who Complains of Having Dark