Question 1

what amount of your fluid intake is derived from diuretics?

Accepted Answer

None: Diuretics account for NO fluid intake. They induce urinary output only.

Question 2

how to reduce blood urea and creatinine in patients with limited fluid intake and diuretics?

Accepted Answer

Depends: If it is irreversible chronic kidney disease you cannot. If it is reversible then you can decrease diuretic dose and increase fluids- this should be done with the help of a doctor otherwise you will become fluid overloaded.

Question 3

re diuretics used for chf and thirst effect what should average fluid intake for 84 yr old/180 pound be? does excess negate the diuretic?

Accepted Answer

Diuretics & fluids: A normal adult should drink about 2 liters of fluid a day to maintain healthy body functioning. As we get older we drink less and have less thirst, so it reduces to about 1.5 liters a day. Generally, when you are put on a diuretic, the amount of fluid that is recommended does not change. In fact, if you restrict your fluid intake and take a diuretic, you are at risk for serious dehydration.

Question 4

is excessive salt intake a contraindication to diuretics?

Accepted Answer

See answer: Excessive salt (sodium) intake leads to fluid retention and its associated risks of high blood pressure and edema. Diuretics used to rid the body of the excess salt/water. Excessive salt intake not only defeats the purpose and effectiveness of a diuretic but also magnifies the loss of potassium, magnesium, and calcium which can cause significant adverse effects. Too little salt can dehydrate.

Question 5

taking diuretic, urine output is more than liquid intake last 2 days. what could be the reason?

Accepted Answer

Catch up: if a pt takes on sodium and water over a short period of time the water pills may cause an increase in urine out put until the "catch up" phase is over and things are back to baseline, if it continues then pts become dehydrated and the urine output decreases as the body tries to "hold on" to water.

Question 6

taking diuretic since last 5 yrs, after cirohsis took 20 mg then reduced to 5 mg, now urine output less than liquid intake, should i increase to 15mg?

Accepted Answer

Talk with Doc...: Clinically, your functional reserve, especially in liver, has declined to its marginal state so it would be most advisable for you to talk and work with the prescribing doc closely and timely for your current concern instead of online, because the margin of error for managing your individual conditions is narrow.

Question 7

besides reducing  salt intake, exercise, and massage, what pharmacological  treatments other than diuretics, may be helpful for facial edema?

Accepted Answer

Facial Edema: Causes of facial edema: allergic reactions, 
angioedema, 
blood transfusion reaction, 
cellulitis, 
conjunctivitis (inflammation of the eye), 
drug reactions, including those due to aspirin, penicillin, sulfa, glucocorticoids, and others, 
head, nose, or jaw surgery, 
injury or trauma to the face (such as a burn), 
malnutrition (when severe), 
obesity, 
salivary gland disorders, 
sinusitis.

Question 8

i'm 72 years old, and i take enarapril  20mg , water pill, and meteroprolol 50mg.  i don't drink, smoke, no salt intake, no fats still my bp is high?

Accepted Answer

Very possibly.: Most high blood pressure is what we call idiopathic.  That means not caused by anything in particular we can discover.  High BP is not caused by smoking or fats, but may be made a little worse with excess salt intake.  The amount of medications you take does not seem excessive.  Your goal BP should be around 135/80 unless you have some special circumstances.

Question 9

last 3 days urine output is less than liquid intake.but body weight remains same.taking diuretic 15 mg.feet swelling, is it ascietes or dehydration?

Accepted Answer

None: If you had less urine out put than fluid intake it's not dehydration, it's fluid overload and edema.  Ascites is accumulation of fluid in the abdomen which could happen with kidney, liver or heart problems.

Question 10

elderly patient given diuretics when extremely sleepy due to cough medicine didn't intake more than 50 ml water in 20 hours, suffers sudden cardiac arrest. did severe dehydration cause this? patient has no prior history of heart disease!

Accepted Answer

Many things possible: Many things are possible in life. It's hard to guess about what happened to a person, on a free public forum. A consultation with a doctor who takes care of elderly patients, and who can review the entire situation, may shed light on the matter. Such a review takes a lot of doctor time and usually several visits.

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Doctor answers about:

What should my fluid intake be while on diuretics

A member asked:

What amount of your fluid intake is derived from diuretics?

A member asked:

How to reduce blood urea and creatinine in patients with limited fluid intake and diuretics?

A member asked:

Re diuretics used for chf and thirst effect what should average fluid intake for 84 yr old/180 pound be? does excess negate the diuretic?

A member asked:

Is excessive salt intake a contraindication to diuretics?

A member asked:

Taking diuretic, urine output is more than liquid intake last 2 days. what could be the reason?

A member asked:

Taking diuretic since last 5 yrs, after cirohsis took 20 mg then reduced to 5 mg, now urine output less than liquid intake, should i increase to 15mg?

A member asked:

Besides reducing salt intake, exercise, and massage, what pharmacological treatments other than diuretics, may be helpful for facial edema?

A member asked:

I'm 72 years old, and i take enarapril 20mg , water pill, and meteroprolol 50mg. i don't drink, smoke, no salt intake, no fats still my bp is high?

A member asked:

Last 3 days urine output is less than liquid intake.but body weight remains same.taking diuretic 15 mg.feet swelling, is it ascietes or dehydration?

A member asked:

Elderly patient given diuretics when extremely sleepy due to cough medicine didn't intake more than 50 ml water in 20 hours, suffers sudden cardiac arrest. did severe dehydration cause this? patient has no prior history of heart disease!

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