( American College of Surgeons, Chicago, 1997 )
|
|
Class I
|
Class II
|
Class III
|
Class IV
|
|
Blood Loss ( mL)
|
Up to 750
|
750 - 1500
|
1500 - 2000
|
> 2000
|
|
Blood Loss ( %BV )
|
Up to 15%
|
15 - 30%
|
30 - 40%
|
> 40%
|
|
Pulse Rate
|
< 100
|
> 100
|
> 120
|
> 140
|
|
Blood Pressure
|
Normal
|
Normal
|
Decreased
|
Decreased
|
|
Pulse Pressure
( mmHg )
|
Normal or
Increased
|
Decreased
|
Decreased
|
Decreased
|
|
Respiratory Rate
|
14 - 20
|
20 - 30
|
30 - 40
|
> 35
|
|
Urine Output ( mL/hr )
|
> 30
|
20 - 30
|
5 - 15
|
Negligible
|
|
CNS/Mental status
|
Slightly
anxious
|
Mildly
anxious
|
Anxious &
confused
|
Confused &
lethargic
|
|
Fluid Replacement
( 3 : 1 Rule )
|
Crystalloid
& blood
|
Crystalloid
& blood
|
Crystalloid
|
Crystalloid
|
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