Question

Which one of the following is most likely to result in hypovolemic shock?

A. Acute spinal cord injury
B. Penetrating trauma to the abdomen
C. Gunshot wound to the hand
D. Left ventricular failure

Answer 1

Penetrating trauma to the abdomen (Option B) is most likely to result in hypovolemic shock, characterized by significant loss of blood volume leading to symptoms such as rapid heart rate and weak pulse. Treatment includes fluid replacement and medications to raise blood pressure.

Step-by-step explanation:

The option most likely to result in hypovolemic shock is B. Penetrating trauma to the abdomen. Hypovolemic shock occurs due to a significant loss of blood or fluids, leading to a decrease in blood volume. A penetrating trauma to the abdomen can cause extensive internal bleeding, which, if not controlled swiftly, may result in the rapid loss of blood volume and subsequent shock. This condition is characterized by symptoms such as a rapid heart rate, weak and thready pulse, cool and clammy skin, rapid shallow breathing, and hypothermia. Treatment focuses on fluid replacement, usually in the form of intravenous fluids, and medications such as dopamine, epinephrine, and norepinephrine to raise blood pressure.