A 31-year-old female complains of heavy vaginal bleeding and generalized weakness. She is conscious and alert; however, her blood pressure is 88/56 mm Hg and her pulse is 120 beats/min and weak. You should apply 100% oxygen and then:

A. place her on her left side and administer up to 3 liters of normal saline or lactated ringers solution.
B. elevate her legs and administer isotonic crystalloid fluids until her blood pressure exceeds 110 mm Hg.
C. insert a trauma dressing inside the vagina and start two large-bore IV lines of normal saline or lactated ringers.
D. place absorbent dressings over the vagina and administer 20 mL/kg boluses of an isotonic crystalloid to maintain perfusion.


Answer: D. place absorbent dressings over the vagina and administer 20 mL/kg boluses of an isotonic crystalloid to maintain perfusion.

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