• 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