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Doctor insights on: Energy Chf Patients

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What is the TPN energy ratio for CHF patients?

What is the TPN energy ratio for CHF patients?

???: This question has been floating around for months. I don't think anyone knows the answer! congratulations - you've won "stump the chumps!" i'm sure it's listed in a table somewhere but clearly, no one feels inclined to look it up. Why do you want to know ? ...Read more

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Dr. Bennett Werner
731 doctors shared insights

Congestive Heart Failure (Definition)

Congestive heart failure, 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 sufficent oxygen and nutrients. When the left side of the heart is damaged, fluid builds up in the lungs, which results in difficulty breathing. When the right side of the heart is affected, fluid builds up in the extremities and abdomen, resulting in swelling of the legs and poor absorption of nutrients due to ...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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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 would RBC indicate with a patient with chf?

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 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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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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Dr. Joseph Shen
3,283 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