Too much fluid volume makes internal hemorrhage worse by ___?

Too much fluid volume can make internal hemorrhage worse primarily because it increases blood pressure. When excessive fluid is administered, it raises the overall blood pressure in the vascular system. This particularly affects areas where there are existing injuries or clots forming in response to hemorrhage. Higher blood pressure can exacerbate bleeding by causing clots to dislodge or "pop," leading to increased blood loss and complicating the body’s natural hemostatic mechanisms.

In cases of hemorrhage, maintaining a delicate balance of fluid volume is crucial. The goal is often to prevent hypotension while also avoiding situations that could lead to increased bleeding. Therefore, while poppings clots can also be a concern, the underlying mechanism primarily involves the increase in blood pressure that comes from administering too much fluid. This makes understanding hemostasis and the body's responses to fluid resuscitation critical in managing injured patients effectively.