Would you push fluids on a hypervolemic patient who is coding?

[Reob]

I am a nursing student and was speaking with a critical care nurse. The nurse said that pushing fluids on a code would never kill the patient and the priority is always getting BP higher to get the heart going. However, if they are coding because of the extra stress on the heart due to hypervolemia... Any thoughts?

[Triddin]

Depends on the patient condition and the cause of the code. Pushing iv fluids in a patient in cardiogenic shock would be a bad idea

[RotorRunner]

It depends on the reason for the arrest. Remember your H's and T's. Fluids won't help in certain situations and can in fact be detrimental if you send the patient into flash pulmonary edema.

[brownbook]

I assume she, and you, mean to run all IV fluids wide open during the code? That she is not referring to making sure whatever meds you push IV are infused into the patient's circulation by following IV meds with a 10 ml IV push, or simply raising the arm?

If you suspect hypovolemic cardiogenic shock, OR, the patient is bradycardic and you suspect hypovolemia, OR pulseless electrical activity and you suspect hypovolemia, yeah run the IV wide open . But it is NOT part of ACLS protocol to run all fluids wide open in every code.