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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Daily Intake Of Fluids To A CRF And CHF Patient?

Hi. I am a Registered Nurse. I assist clients with resettlement into their homes in the community post hospital discharge. Loooking at medications, health teaching, follow up Dr s appts etc. I currently have a patient with CRF and CHF; what would you suggest their daily fluid intake be? or be limited to?
Fri, 8 Aug 2014
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  User's Response
Hi, thanks for posting your concern in the HCM.
You have asked a very important question related to fluid balance in CRF and CHF patients.
In renal patients, where GFR is at least 30% preserved, 1 to 1.5 lit. water may be allowed in excess of daily urine output.
But, water requirement calculation is very complex in advanced CKD or CKD 5 patients. The water intake should be adjusted by a renal dietician based on type of food, presence of fluid overload etc.
Not only water, salt restriction (Weight gain is an important marker of volume overload in these patients.
Hope you are satisfied with my answer. If you have any further query related to this, please write back.
In case you have any new query in future, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. I will try my level best to help you.
Regards,
Dr. Kaushik
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What Could Be The Daily Intake Of Fluids To A CRF And CHF Patient?

Hi, thanks for posting your concern in the HCM. You have asked a very important question related to fluid balance in CRF and CHF patients. In renal patients, where GFR is at least 30% preserved, 1 to 1.5 lit. water may be allowed in excess of daily urine output. But, water requirement calculation is very complex in advanced CKD or CKD 5 patients. The water intake should be adjusted by a renal dietician based on type of food, presence of fluid overload etc. Not only water, salt restriction (Weight gain is an important marker of volume overload in these patients. Hope you are satisfied with my answer. If you have any further query related to this, please write back. In case you have any new query in future, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. I will try my level best to help you. Regards, Dr. Kaushik