Hello dear nursing comunity.. I have a question, if someone can answer me. If there is a patient with sever bleeding and after taking vital signs, it shows BP 190/90 and according to there family's speech ''have already hypertension for 10 years" and there RBS shows 400 mg/dl and also have already diabetes for 12 years..and also on dialysis now for kidney problem....the question is here , if there is no blood or plasma available, how you manage this case or how to replace fluids had been lost. Thank you all I am a student 3rd stage college of nursing