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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Daily Intake Of Fluids In An Congestive Cardiac Failure Patient?

what should be the total daily fluid intake in a 86 year pt with congestive cardiac failure and ejection fraction 28%.bp90/60. My grand mother is on LAsix 4o,solotrate 30 aspirin 75 atorva 20.losartan 25

creatine is 1.9

when i giove more than a littre a day she becomes brethleass and her pressure goes down and she feels distressed.\

cardiologist havr resufused to do angio for as she is old i dont know why cant they just put a balloon cath with a stent? whatis your opinion sir

Thu, 29 Jun 2017
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Cardiologist,  's  Response
A balloon and stent is not always the answer. They may not be able to help her in that way. Since her kidney function is abnormal, just trying could make her worse.

I usually recommend that daily water intake stay below 1-1.5L/d. However, it is not the water that gets you into trouble. Ideal sodium intake is <2000mg within 24 hours. She should weigh daily if possible. That is the best way to keep up with her fluid level. A gain of more than 5 kg means trouble is coming and you may want to notify her doctor.
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What Is The Daily Intake Of Fluids In An Congestive Cardiac Failure Patient?

A balloon and stent is not always the answer. They may not be able to help her in that way. Since her kidney function is abnormal, just trying could make her worse. I usually recommend that daily water intake stay below 1-1.5L/d. However, it is not the water that gets you into trouble. Ideal sodium intake is 2000mg within 24 hours. She should weigh daily if possible. That is the best way to keep up with her fluid level. A gain of more than 5 kg means trouble is coming and you may want to notify her doctor.