What is a potential consequence of hemodilution during resuscitation?

• A. Hypercoagulability
• B. Coagulopathy
• C. Hypervolemia
• D. Hypernatremia

Answer: (B)

Hemodilution during resuscitation dilutes clotting factors and platelets, reducing the blood’s ability to form clots. When large volumes of fluids are given to restore circulation, the plasma becomes more dilute, lowering the concentration of fibrinogen and other coagulation factors and impairing platelet function. This dilutional effect can lead to a coagulopathy, with a higher risk of bleeding.

Hypercoagulability isn’t expected because dilution tends to weaken clot formation. Hypervolemia can occur with aggressive fluid administration, but it’s a volume issue rather than a direct consequence of diluting coagulation components. Hypernatremia isn’t a typical direct outcome of hemodilution in this context.