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There are also conditions where IV therapy is often still possible, but only after consultation with a physician to adjust formulation, volume, or infusion rate: Heart or circulation issues , such as controlled congestive heart failure, uncontrolled high blood pressure, or a history of blood clots Kidney conditions , including chronic kidney disease, reduced kidney function, or patients currently on dialysis Electrolyte imbalances , such as elevated potassium, sodium, or calcium levels Prescription medications that may interact with IV fluids, vitamins, or minerals Pregnancy and breastfeeding also fall into this category