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Class 1

Class 2

Class 3

Class 4

Blood Loss, mL

Up to 750

750-1500

1500-2000

gt;2000

Blood Loss,% blood volume

Up to 15%

15-30%

30-40%

gt;40%

Pulse Rate, bpm

lt; 100

gt;100

gt;120

gt;140

Blood Pressure

Normal

Normal

Decreased

Decreased

Respiratory Rate

Normal or Increased

Decreased

Decreased

Decreased

Urine Output, mL/h

gt;35

30-40

20-30

14-20

CNS/Mental Status

Slightly

anxious

Mildly

anxious

Anxious,

confused

Confused,

lethargic

Fluid Replacement, 3-for-1 rule

Crystalloid

Crystalloid

Crystalloid and blood

Crystalloid and blood

PSA - 1 script  PSA - 2 script  PSA - 3 script

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