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     Hypovolemic shock
          Essam Hesham Khamis                                                                                ID:1310
        Hypovolemic shock: results when you lose more than 20 percent (one-fifth) of your body’s blood or fluid
        supply.
        Causes:
            •  It is caused by a sudden decrease in the intravascular blood volume relative to the vascular capacity.
            •  -Broken bones around your hips.
            •  -Cuts on your head and neck
            •  -Damage to organs in your belly, including your spleen, liver, and kidneys, because of a car accident or
               a bad fall.
            •  -A tear in your heart or a large blood vessel, or a weakened spot in a large blood vessel that could burst.
            •  -Problems with your digestive tract, such as ulcers.
        Specific manifestations
            •  *tissue hypoxia
            •  *increasing fatigue
            •  sever epigastric pain
            •  *vomiting
            •  The abdominal dilatation of the intestine with fluid diffuse
        .Treatments
        These include :
            •  -blood plasma transfusion
            •  -platelet transfusion
            •  -red blood cell transfusion
            •  -intravenous crystalloids
        References
            •   -Hypovolemic shock
            •   FM Shamji, TRJ Todd
            •   Critical care clinics 1 (3), 609-629, 1985
            •   Elke Rudloff, Rebecca Kirby
            •   Veterinary Clinics of North America: Small Animal Practice 24 (6), 1015-1039, 1994
            •   -Alan I Faden, John W Holaday
           •  Science 205 (4403), 317-318, 1979
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