In hypertensive patients, intravenous (IV) fluids should be administered cautiously, typically with isotonic solutions such as normal saline or lactated Ringer's solution, as these can help maintain hydration without significantly affecting blood pressure. In cases of volume depletion, careful use of crystalloids is preferred, while avoiding excessive fluid administration that could worsen hypertension. Additionally, in certain situations, hypotonic solutions may be used, but only under close monitoring. Always tailor fluid therapy to the individual patient's needs and overall clinical status.
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