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 |