Hemodynamic Changes in Hypotensive Shock

Blood pressure Heart rate

Increasing tachycardia
120
Feeble or absent peripheral pulse
110
Systolic and diastolic pressures disappear
100 suddenly

90 Reduced peripheral perfusion

80 Very cold, clammy extremities
70 Mottled, peripheral cyanosis

60 Very prolonged capillary refill time

Kussmaul breathing

Decreased level of conscious

Oliguria or anuria

Time

LCS Lum

Evaluation of Dengue Patients