So I had a patient with CHF that hadn't eaten or drinken all day. There was a 1500cc fluid restriction but she was no where near that limit. That night her pressure dropped into the 70s and 60s. I asked the dr. for a 250cc bolus because she was symptomatic. He agreed but my preceptor said we should never give Chf patients boluses but encourage fluids. I understand the concept but what is the difference a small bolus given slowly vs. drinking the same amount? I agree I would never dump like 1000cc on a chf pt. In the end the chf patient was fine. Was I right to ask for the bolus or was my preceptor?