Question: I’m a PCP with autonomous IV. It states that a contraindication for a fluid bolus is “signs of fluid overload”. I realize the obvious one is pulmonary edema as that is the example that is always brought up in this scenario. What about a pt that has a clear chest with no fluid accumulation in the lungs, but has peripheral edema in the legs or abdomen? I’ve also had pt’s with hypotension that are on dialysis and have stated that they cannot receive large amounts of fluid due to kidney failure. Do we just document their condition? I’ve heard different answers from everyone and would appreciate some clarification.