Diagnosis and treatment of the underlying hemorrhage must be performed rapidly and concurrently with management of shock. Intravascular volume and oxygen-carrying capacity should be optimized. Blood products may be required. Determination of the site and etiology of hemorrhage is critical to guide further interventions and definitive care. Control of hemorrhage may be achieved in the ED, or control may require consultations and special interventions.
Hemodynamic effect is dependent on the dose.
Lower doses predominantly stimulate dopaminergic receptors that in turn produce renal and mesenteric vasodilation. Pregnancy B - Usually safe but benefits must outweigh the risks. Patients with hemorrhagic shock should be admitted to an intensive care or monitored setting appropriate for the underlying condition and physiologic state. In hospitals without facilities to provide definitive care, patients should be stabilized as much as possible and transferred to a facility with a higher level of care. Coagulopathies may occur in severe hemorrhage.