6 doctors weighed in:
Re diuretics used for CHF and thirst effect what should average fluid intake for 84 yr old/180 pound be? Does excess negate the diuretic?
6 doctors weighed in

Dr. Colin Kerr
Family Medicine
4 doctors agree
In brief: Diuretics & fluids
A normal adult should drink about 2 liters of fluid a day to maintain healthy body functioning.
As we get older we drink less and have less thirst, so it reduces to about 1.5 liters a day. Generally, when you are put on a diuretic, the amount of fluid that is recommended does not change. In fact, if you restrict your fluid intake and take a diuretic, you are at risk for serious dehydration.

In brief: Diuretics & fluids
A normal adult should drink about 2 liters of fluid a day to maintain healthy body functioning.
As we get older we drink less and have less thirst, so it reduces to about 1.5 liters a day. Generally, when you are put on a diuretic, the amount of fluid that is recommended does not change. In fact, if you restrict your fluid intake and take a diuretic, you are at risk for serious dehydration.
Dr. Colin Kerr
Dr. Colin Kerr
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Dr. Mark Rasak
Internal Medicine - Cardiology
In brief: Depends
For pts with a severe cardiomyopathy and a very weak heart too much water can cause pts to become short of breath and develop chf.
The pts are usually told a specific amt of water they can have to avoid this. The more accurate measure is to weigh yourself daily in the morning. If you gain more than 5 # in 24 hrs from your "dry" weight you may be taking on more water and salt than u should.

In brief: Depends
For pts with a severe cardiomyopathy and a very weak heart too much water can cause pts to become short of breath and develop chf.
The pts are usually told a specific amt of water they can have to avoid this. The more accurate measure is to weigh yourself daily in the morning. If you gain more than 5 # in 24 hrs from your "dry" weight you may be taking on more water and salt than u should.
Dr. Mark Rasak
Dr. Mark Rasak
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1 comment
Dr. Mark Rasak
Thirst is a subjective measure. Pts with severe cardiomyopathy are on a diuertic to unload the heart. Most pts are restricted to 1500ml of total volume in a day. Other food items contain water as well and many pts will drink milk pop and coffee and not count it as " water ". For NYHA 1 or 2 pts more liberal restrictions. We don't have that info on this pt.
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