What is the typical IVF bolus amount given to hypotensive critically ill patients?

In critically ill patients experiencing hypotension, a common strategy for resuscitation involves administering intravenous fluids (IVF) to quickly restore blood volume and improve hemodynamics. The typical bolus amount recommended in such scenarios is around 30 mL/kg. This volume is generally sufficient to assess the patient's response to fluid therapy and to replenish intravascular volume effectively, particularly in the setting of conditions such as sepsis or septic shock, where rapid fluid resuscitation is crucial.

Administering around 30 mL/kg allows for adequate fluid resuscitation while minimizing the risks associated with fluid overload, which can worsen pulmonary edema or lead to other complications, especially in patients with compromised physiology. Following this initial bolus, the patient's vital signs and response should be closely monitored to guide further therapy and determine if more fluid is needed or if other interventions are required.