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Hemorrhage classes Class Loss of Blood Symptoms Treatment Class I Class II 10 (500 cc) 20 (1000 cc) asymptomatic maintain urine output of 3060 cchour replace blood loss with crystalloid fluids Class III Class IV 3040 (15001700 cc) 40 tachycardia, diaphoresis, hypotension, confusion blood loss with packed red blood cells mildly anxious, narrowed pulse pressure (3 estimated blood loss) rapidly bolus with crystalloid fluids, replace lethargy, coma, tachycardia, diaphoresis, hypotension rapidly bolus with crystalloid fluids, replace blood loss with packed red blood cells, address acidbaseelectrolytes 438 CHAPTER 33 aneurysms.

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