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Doctor insights on: What Is The Tpn Energy Ratio For 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
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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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 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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Total Parenteral Nutrition (Definition)

Total parenteral nutrition is the term used to describe a nutritional formula that is administered through the veins. When the digestive system cannot be used due to inflammation, blockage, or absorption problems, individuals will receive all nutrition via an intravenous catheter. This is usually not the preferred method of delivering nutrition long term and is ...Read more


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