For the IV bolus directive when one of the contraindications is fluid overload, if a patient has CHF and is presenting hypotensive, and is not experiencing SOB but has chronic edema in his/her feet/legs is that technically a contraindication to not bolus? Considering that would fall under fluid overload ? What are the signs and symptoms of fluid overload you guys are wanting us to look out for and be aware of?
Per the OBHG Companion Document, Pulmonary edema is a sign of fluid overload secondary to a fluid bolus. As such, frequent chest assessments are required. Therefore, please auscultate for crackles. Pedal edema in the absence of pulmonary edema not considered a contraindication to IV bolus.