A member asked:

What are the possible negative outcomes for emergency iv fluid treatment for a patient with low blood pressure who also has end stage renal disease?

4 doctors weighed in across 2 answers

Fluid overload: Too aggressive IV fluids in a pt with esrd can cause fluid overload and bring to pulmonary edema, congestive heart failure, etc, which can be letal. That is why one has to use extra caution managing low blood pressure with fluids.

Answered 1/14/2016

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Dialysis patient: The fact that needs to be ascertained is what the low BP was caused by. Was the patient bleeding or have a heart attack? When was the patient's last hemodialysis? Iv fluids may be appropriate in the short term and the object of therapy is to find the cause of the low BP and treat it. I assume that the patient is in the hospital and can be dialyzed for fluid removal with pressors to raise it.

Answered 6/10/2014

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