Q: pt has been dx by a doctor with pneumonia and the pt is now septic from not taking anti-biotics. Pt is hypotensive from sepsis and has the crackles in lungs from the pneumonia- not fluid overload from CHF. Is it okay to bolus this pt?

If I attend scene and the patient has already received care outside of the 911 system (i.e. fluid bolus with homecare or community paramedicine), and they are still hypotensive, can I provide further care via the ALS-PCS (i.e. fluid bolus for a hypotensive patient)? Would I only be able to give 20cc/kg IVF bolus including the fluid administered before my arrival?