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Doctor insights on: Albuterol Patients Chf

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Why is albuterol not used on patients with chf?

Why is albuterol not used on patients with chf?

Albuterol and HF: Patients with heart failure are prone to develop heart rhythm disturbances, some of which can be fatal. Albuterol can stimulate the heart and produce rhythm disturbances that will be potentially dangerous for patients with heart failure. ...Read more

Ventolin (Definition)

Ventolin is the trade name for the chemical / drug albuterol. This drug is a medicine to be inhaled to open the airways and it acts quickly, so it is called a "short-acting bronchodilator". The medicine comes in both a hand-held inhaler and as a liquid to be used with a nebulizer machine. It also comes in a liquid form to take by mouth, but this should not be used ...Read more


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If a patient has COPD and CHF can you give them albuterol?

If a patient has COPD and CHF can you give them albuterol?

YES: If CHF is, stable, compensated and albuterol has to be used yes. There are alternatives, to try and stabilize COPD with maintenance medications so one doesn't need to use rescue albuterol too often. (inhaled steroids, laba's). ...Read more

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Can Albuterol cause me to wheeze? I have CHF and seem to wheeze worse after I use it. I also seem to cough alot more after I use Albuterol.

Can Albuterol cause me to wheeze? I have CHF and seem to wheeze worse after I use it. I also seem to cough alot more after I use Albuterol.

Wheezing: In patients who have significant wheezing, it is not uncommon for the wheezing to get LOUDER after their albuterol- (before the inhaler, air movement was less...not enough to create much of a wheeze). Now with that improved air movement, cough increases for a period as the lungs are trying to expel mucus. IF your chest feels tighter after albuterol -that's a problem that needs evaluation ASAP ...Read more

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Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Unknown: Longer term studies show that both drugs are quick acting and relieve acute dyspnea/shortness of breath. It appears unlikely that either drug affects the natural history of asthma/copd. Longer acting drugs called maintenance inhalers are associated with significant decreases in exacerbation (flares) of these diseases and may affect lung function longer term. ...Read more

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Do beta blockers like nadolol really lessen the effects of the albuterol for asthma patients?

Do beta blockers like nadolol really lessen the effects of the albuterol for asthma patients?

Yes, to some extent.: Non-selective beta blockers can worsen or help cause an attack. Selective b-blockers are less likely. Those with so caslled, isa effect are less likely. ...Read more

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What happens in the heart of CHF patients?

What happens in the heart of CHF patients?

See Below: Increased pressure and/or increased volume leading to a dilated or thickened heart. This is a gradual process which is why early detection and intervention (diagnosis and medication) can make a significant difference. ...Read more

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Can you give beta blockers to a CHF patient?

Can you give beta blockers to a CHF patient?

Yes: Long time ago the first beta blockers like propanolol were contraindicated in chf. Nowadays we prefer to use more selective beta blockers for CHF like coreg (r) (carvedilol) or metoprolol.Poole-wilson pa, swedberg k, cleland jg, et al. Comparison of Carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure in the Carvedilol or metoprolol european trial (comet): randomise. ...Read more

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Why are CHF patients in and out of afib a lot?

Afib and chf: Atrial fibrillation is common when left atrium is dilated or under a pressure or volume load. These are the loading conditions which are present during chf. This is why afib is common in chf. ...Read more

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What is d-ribose? Is it safe to add for patients with chf?

Yes: Ribose is one of the building blocks of atp, the energy currency of the body. Your CHF might be due to defective energy metabolism, so ribose might help. ...Read more

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Why shouldn't you lay a CHF patient supine?

Fluid shifts: When a person lies flat, blood that has pooled in the legs and abdomen (from gravity) returns to the heart. The extra volume typically causes no problems for healthy persons. In pts with heart failure (chf), however, the failing heart cannot pump the extra fluid so the pressures in the chambers increase. Blood backs up into the lungs causing trouble breathing. This is relieved by sitting up. ...Read more

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What is the TPN energy ratio for CHF patients?

What is the TPN energy ratio for CHF patients?

Depends: Energy ratio is an imprecise term. Maybe you mean the energy/nitrogen (or protein) ratio. As an estimate most patients need about 25 kcal/kg body wt /day and about 1-2 grams /kg /protein/ day. These numbers are estimates and vary based on how "stressed" a patient is. For example after surgery some patients need more calories. So the exact ratio varies. CHF affects fluid needs > calorie needs. ...Read more

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What is the care of a patient on dobutamine for chf?

What is the care of a patient on dobutamine for chf?

Low salt & fluid: Salt and fluid restriction is the mainstay to help a patient with CHF on Dobutamine drip whether outpatient or inpatient. In the hospitalized patient, close monitoring of blood pressure and rhythm are required. ...Read more

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Does lying prone adversely affect patients with CHF?

Does lying prone adversely affect patients with CHF?

Possibly: Patients with CHF are prone to developing fluid overload within the lungs. During times of fluid overload when legs are swollen, lying prone can increase the amount of fluid from the legs to reenter the bloodstream and traveled back towards the heart, with heart failure the heart is not able to handle this increase of fluid return and fluid builds up in the lungs, causing shortness of breath, ...Read more

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How to reduce or eliminate fluid retention for CHF patients?

Restrict salt: Salt intake causes fluid retention. Heart failure patients need to monitor the amount of salt in the foods they consume. The salt intake should be no more than 2-4 grams daily, less if someone has severe failure. Fluid intake also needs to be restricted to 1.5 liters per day or less, depending on the doctor's recommendation. ...Read more

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Why is it more difficult to start an IV on CHF and COPD patient?

Why is it more difficult to start an IV on CHF and COPD patient?

Not necessarily: In any one with poor veins it is difficult to access. People with low BP and collapsed veins, it is even more difficult. ...Read more

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Why would it be difficult to start an IV on a CHF and COPD patient?

Why would it be difficult to start an IV on a CHF and COPD patient?

Not related: Some people have good veins, some have very small and fragile veins, some have used up their veins. There is nothing particular to COPD and CHF to make difficult IV access. ...Read more

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Why might it be that it be difficult to start an IV on CHF and COPD patient?

Why might it be that it be difficult to start an IV on CHF and COPD patient?

Congestive failure: Usually it is easy to start ivs on CHF and cold patients. It may be difficult if the veins are scarred from prior ivs or if the patient is dehydrated. ...Read more

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What are some recommendations for food allowed on water restriction diets for CHF patients?

What are some recommendations for food allowed on water restriction diets for CHF patients?

Salt restriction: Salt restriction is more important than fluid restriction in most patients. Fluid restriction might be appropriate in a patient with low sodium. Salt restriction is important in all patients with congestive heart failure. A typical recommendation would be 2000 milligrams of sodium daily. ...Read more

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What are some suggestions for food allowed on water and salt restricted diets for CHF patients?

What are some suggestions for food allowed on water and salt restricted diets for CHF patients?

Proper diet: The american heart association's website (www. Heart. Org) has recommendations for proper diet for patients with heart failure. Your doctor should be able to provide a nutritionist with whom you can discuss healthy diets. ...Read more

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Why would a patient's hemoglobin and hematocrit be elevated if he or she has chf?

Why would a patient's hemoglobin and hematocrit be elevated if he or she has chf?

Treatment effect: In point of fact, someone with untreated CHF will have a lower h&h. These measurementa go up with "hemoconcentration" which reflects the volume contracting effects of treatment for chf. Bottom-line: in the absence of an unrelated cause, elevated h&h reflect treatment, not disease. ...Read more

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What could you give to a patient with chf?

What could you give to a patient with chf?

Heart Failure: There are 2 types of heart failure. Diastolic and Systolic heart failure. One is failure to contract while other is failure to relax. Equal prognosis

What can you do?
- Lifestyle Modifications are key
- healthy Diet, no smoking, low sodium are very important

Medications usually given
- Beta Blockers, ACEinhibitor/ARBs, Aldosterone blockers, Nitrates/Hydralazine (better in Black Males) ...Read more

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How long can stage 4 CHF patients live?

How long can stage 4 CHF patients live?

Hard to say: There really isn't a crystal ball on prognosis of disease but I would recommend that somebody in later stages seek out care and comfort through hospice. Hospice can give more quality to the rest of a patient's life so I would recommend you speak to your physician about this. ...Read more

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How much exercise should CHF patients get?

How much exercise should CHF patients get?

As much as possible: Exercise is particularly beneficial for the heart and for patients with heart failure regular exercise will help to strengthen and improve overall function. Because heart failure can limit exercise tolerance, always consult with your doctor before embarking on an exercise regimen. ...Read more

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Will dialysis help a patient with end-stage chf?

Will dialysis help a patient with end-stage chf?

Yes if kldney fail: If concomitant kidney failure, then dialysis will get rid of fluid overload symptoms. ...Read more

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What would RBC indicate with a patient with chf?

Not rbc: We don't use rbc count anymore, we use hemoglobin and hematocrit. They should be normal. If they are low, the prognosis in CHF is adversely affected. ...Read more

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Wanted to know if CHF patients in general receive fluids while in the icu?

Wanted to know if CHF patients in general receive fluids while in the icu?

Yes, but not much: Most CHF patient are treated with diuretics, to remove fluid from circulation. In some instances, depending on the cause of CHF, we might give a modest amount of fluid to keep the heart filled properly so it can pump. ...Read more

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What is the life expectancy for a CHF patient with hodgkin lymphoma if they are not treated?

What is the life expectancy for a CHF patient with hodgkin lymphoma if they are not treated?

Depends: Hodgkin lymphoma is a highly curable cancer. Severe CHF might limit some of the chemotherapy options, but even in the unusual circumstance that no chemotherapy could be given, cures can still be achieved with radiotherapy alone. Life expectancy for untreated disease depends on a number of factors but is likely to be only about 12 months on average with some doing better and some worse. ...Read more

Dr. Joseph Shen
3,316 Doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


Dr. Bennett Werner
761 Doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more