Definition | Decreased blood volume | Increased blood volume |
Etiology | Excessive fluid loss (e.g., bleeding, diarrhea) | Fluid overload (e.g., excessive fluid intake, impaired fluid regulation) |
Fluid Balance | Negative fluid balance | Positive fluid balance |
Blood Pressure | Decreased blood pressure | Increased blood pressure |
Heart Rate | Increased heart rate (compensatory response) | May be normal or increased depending on underlying cause |
Capillary Refill Time | Prolonged | Normal |
Skin Turgor | Decreased | Normal or increased |
Urine Output | Decreased | May be normal or increased depending on underlying cause |
Thirst | Increased thirst | May or may not have increased thirst |
Clinical Symptoms | Dizziness, weakness, fatigue, dry mucous membranes, decreased urine output | Edema, shortness of breath, weight gain, elevated blood pressure |
Diagnostic Tests | Blood tests (electrolyte levels, hematocrit), urine specific gravity, vital signs | Blood tests (electrolyte levels, renal function), urine output measurement, imaging studies (if needed) |
Treatment | Fluid replacement (oral or intravenous) | Fluid restriction, diuretic medications (if necessary), treatment of underlying cause |
Complications | Hypotension, electrolyte imbalances, organ dysfunction | Edema, pulmonary congestion, increased workload on the heart |