Signs and Symptoms
Skin Heart Rate Respirations Blood Pressure Urine Output General Application
Stage 1
Hyper-dynamic
Warm, flushed, moist Normal Normal, up or down
Stage 2
Normo-dynamic
Cool Weaker Slight ↓
Stage 3
Hypo-dynamic
Cold and clammy Failure Anuric Unconscious, severely unwell

Bounding ↑↑
Restless, chills and fever
↑↑
Thirst pulmonary and peripheral oedema, drowsy
Thready ↑↑
↓↓↓

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