Hypovolaemic Shock — Uganda (General Pediatric population)
General Principles
Principles are similar to adults. Vital signs may change little even when up to 25% of blood volume is lost (Class 1 and 2). Tachycardia is often the first response but may also reflect fear or pain.
Class 2 or Greater
Give initial fluid challenge of 20–30 ml/kg Normal Saline 0.9% (or Ringer's Lactate) over 60 minutes. Start rapidly, monitor BP, reduce rate depending on BP response.
Repeat Boluses
Repeat bolus up to 3 times if necessary (max 60 ml/kg total).
No Response to Fluid
Transfuse 20 ml/kg of whole blood OR 10 ml/kg of packed red cells (for severe anaemia only). Continue IV fluids alongside transfusion.
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