How much water should someone drink with CHF?!
Question: Is 2 liters too much? My dad has had stage 3 CHF for years now. He always fills up in his lungs, and is rushed to the hospital every 2 months it seems like. He always hides and lies that hes retaining fluids. When his weight increases, will blame it on calories and sometimes will try to say hes constipated and he will drink MOM or prune juice to get rid of the weight. He doesnt say that but im so wise to him. He is also supposed to weigh himself, but I think he hasnt been. He puts his weight every morning on the calender, and its been 225 for about 6 days now. I think hes just taking his pills and isnt weighing himself every morning. I should get up earlier and make sure he is, and then his weight will probably be more than 225 and he will blame it on something else!
HE ALWAYS LIES. Im 16 and hes gonna be 72.
I already know all about CHF, on his slip it says 2000ML of fluids per 24 hours. DOes that mean 2 liters every 24 hours? If so, hes been drinking 2 liters everyday.
Answers: Is 2 liters too much? My dad has had stage 3 CHF for years now. He always fills up in his lungs, and is rushed to the hospital every 2 months it seems like. He always hides and lies that hes retaining fluids. When his weight increases, will blame it on calories and sometimes will try to say hes constipated and he will drink MOM or prune juice to get rid of the weight. He doesnt say that but im so wise to him. He is also supposed to weigh himself, but I think he hasnt been. He puts his weight every morning on the calender, and its been 225 for about 6 days now. I think hes just taking his pills and isnt weighing himself every morning. I should get up earlier and make sure he is, and then his weight will probably be more than 225 and he will blame it on something else!
HE ALWAYS LIES. Im 16 and hes gonna be 72.
I already know all about CHF, on his slip it says 2000ML of fluids per 24 hours. DOes that mean 2 liters every 24 hours? If so, hes been drinking 2 liters everyday.
Generally water intake should be limited to 1.5 L daily or less in patients with hyponatremia, though fluid restriction may be beneficial regardless in symptomatic reduction.
2L/24 hours....TOTAL fluids...water,prune juice/tea etc....
It's very good that you're looking after your gandfather. 2000 ML = 2 liters of fluid, and that should be total for all fluids in a 24 hr period. Now if your grandfather is really adhering to that direction and he still ends up in the hospital every 2 months, there need to be some adjustments made somewhere--either in his medications, fluids or salt intake. It sounds like your grandfather is in a great deal of denial if he blames weight gain on constipation instead of CHF. If his CHF is so severe he's in the hospital that often, any weight gain is from his CHF. He MUST let the doctor know when he gains any weight. I think you need to start getting up with him to make sure what the scales say when he says he's on them. His weight needs CLOSE monitoring, and I don't think it sounds like he's going to do that; he's in too much denial. Then when his weight is up even 2-3 lbs, you call his doctor for him. That will prevent him from having to go to the hospital maybe. The doctor can make changes in his medications to keep him from retaining water....and yes he is retaining water. That's what happens in CHF. The thing is to control that very water retention with medication and fluid and sodium restriction. You didn't say what his sodium intake is but it should be very low, like no more than 2-3 grams total in 24 hours. Sodium retains water, so if he's eating too much salt, he'll be back in the hospital again, too. 1000 mg = 1 gram for sodium. You have to keep track of sodium, too, and make sure he is not getting a total of more than 2-3 grams a day. Good luck, and don't be afraid to call your grandfather's doctor yourself with questions and information about what your grandfather is up to....Good going...
Wow!!! 2 liters is A LOT but if that has been OK'd then.....
Trouble breathing? Take him to clinic now.
I have CHF and I was put on minimal fluids at 4 cups per day. That's all fluids and NO SODIUMt - that meant no bread, no milk etc.... Luckily I got to where I could tolerate more.
Check his legs for swelling. You just press your finger hard on the shin and if it leaves a dent, he is retaining fluids, it's called edema.
If he has edema- First try to go to a NO SODIUM diet. It is difficult. Past that cut back on the water some and have him lay down and elevate his legs after he takes his diuretic.
I suggest you ask the Doctor about enrolling in a Cardiac Rehab program. I cannot recommend it more. It saved my life. They teach you what to do, what you can do etc....