Doctor insights on:
Why Is Albuterol Not Used On Patients With Chf
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
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
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
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
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
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
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
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
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
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
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
Maybe: Depends on the level of control the patient's CHF is in. ...Read more
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
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
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
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
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
I am aware that this is a bit of an odd question, but it is still important for me to know the answer (if an answer is possible). If a patient is on bisoprolol and Lasix for CHF and abruptly taken off bisoprolol (no gradual decrease in the dosage) with a
Question: Sorry, but the most important part of your question was not available for us to read. Please rephrase so that we may attempt to provide you with answers. ...Read more
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
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
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
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
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
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
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