ABSTRACT

One of the conditions needing immediate response in the emergency ward is hypovolemic shock. The patient in shock requires close monitoring for clinical signs and hemodynamic status and intravascular status. It is due to circulatory assistance and medication provision on the patient are given based on the accuracy of the intravascular volume status of the patient. Fluid responsiveness can be considered as basis for considering administering fluid only or inotropic and vasopresor medication for the patient to maintain her circulatory homeostatis. Passive Leg Raising (PLR) may be a reversible method to evaluate fluid responsiveness. The study aims at evaluating the effect of PLR on hemodynamic. It employs the quasi-experimental design with the within subject repeated measurement design approach. Twentyfour respondents took part as samples, with the consecutive sampling method implemented. The samples were then categorized into responsive and non-responsive groups based on the increase of pulse pressure amounting to or beyond 9% during PLR implementation. The data was tested using the Wilcoxon test to provide uni-variate and bivariate data. The results indicated that 17 respondents belonged to the responsive group while 7 respondents were categorized as non-responsive. There was a significant relationship between PLR and hemodynamic parameters of systolic blood pressure, diastolic blood pressure, mean arterial pressure, and pulse pressure (p>0.05) However, there was an insignificant relationship between PLR and the heart rate parameter (p value <0.05). It implied that PLR may be used as an evaluation method for fluid responsiveness on patients with hypovolemic shock. Further investigation is needed on respondents who are children, adults and senior citizens for every type of shock

Keywords: Passive Leg Raising, hemodynamic, hypovolemic shock