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Doctor insights on: What Is The Care Of A Patient On Dobutamine For Chf

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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. Bennett Werner
733 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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What is the dosage of dobutamine for CHF / refractory hypotension?

What is the dosage of dobutamine for CHF / refractory hypotension?

Dobutamine: Dobutamine increases cardiac output by reducing systemic vascular resistance and by increasing the rate and force of contraction of the heart. This sometimes results in a higher BP and sometimes in a lower BP so the drug can't be reliably be used to increase BP. Typical doses for CHF are 0-10 mg/kg/minute ...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 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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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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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

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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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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


Dr. Elazer Edelman
312 doctors shared insights

Dobutamine (Definition)

Dobutamine is an inotrope which is a kind of heart ...Read more