If administering a fluid bolus check BP and lung sounds every 250cc. Discontinue bolus if pulmonary edema is discovered, or once BP is in therapeutic range (generally SBP above 90 mm/Hg). Avoid hypervolemia.
•It should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency and in clinical states in which there exists edema with sodium retention.
•In patients with diminished renal function, administration of Normal Saline may result in sodium retention.