• If a ROSC patient is bradycardic and hypotensive, can we proceed with TCP under the Symptomatic Bradycardia MD or must we stick with Dopamine under the ROSC MD?

    Published On: June 19, 2026
  • I had a question about the fluid overload contraindication for the IV and fluid therapy directive. I had a patient who was hypotensive with a history of CHF. They were hypotensive at 84/66, however had a mild increase in peripheral edema from their chronic swelling. Their chest sounded clear and they denied having any shortness of breath. Their work of breathing was laboured and they were satting between 90-93 on room air. They do have home o2 that they use intermittently when needed. Would this patient benefit from fluid bolus, or would they be contraindicated?

    Published On: June 19, 2026
  • 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?

    Published On: November 18, 2025
  • For the modified valsalva manoeuvre the patient must be normotensive. If we bolus and correct the hypotension are we able to then attempt the manoeuvre?

    Published On: January 9, 2024
  • *Updated* I wanted to clarify, which drugs/treatments are contraindicated after the patient is found to be hypotensive, even if the BP normalizes either with or without IV bolus therapy?

    Published On: May 21, 2020