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    SpecialPatrolGroup is offline T-rex is cranky until she gets her coffee.
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    Default A question for nurses or anyone with medical knowledge

    Ok, let me preface this by saying I am not seeking a diagnosis, obviously no one can tell me conclusively, but I just want an opinion if this is something worth questioning.

    My MIL is morbidly obese, has congestive heart failure, insulin dependent diabetic. She was in hospital a couple of weeks ago because she had fluid on her lungs. Among other things she was given diuretics that she is continuing to take, as per the drs instructions. Whilst in hospital she was told she could only have 1.5 litres a day of fluid and apparently is meant to continue this at home. My question is, does this sound like something that we should be questioning. She is a big woman, passing a lot of fluid, it is 30+ degrees here this week and only able to drink 1.5litres of all fluid each day. I am concerned that dehydration will be more detrimental to her.

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    Default Re: A question for nurses or anyone with medical knowledge

    Sounds life it could be right. When you have congestive heart failure parts of your heart muscles die leaving you're heart unable to pump the blood properly around your body. When this happens blood/fluid tends not to be able to be pumped out of heart and lungs etc properly. The more fluid on the heart, the harder the heart has to work. To help with this you need to take medication to help "dry" up extra fluid around the body. With diabetes people tend to drink more, hence more fluid. So the idea of reducing fluid in got weather may seem backwards but it is essential in reducing fluid off heart and lungs. Reducing fluid intake isn't necessarily a long term thing.

    I'm no expert but I had to look this exact info up for my Nana.

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    SpecialPatrolGroup is offline T-rex is cranky until she gets her coffee.
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    Thanks for that.

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    Default Re: A question for nurses or anyone with medical knowledge

    Quote Originally Posted by SpecialPatrolGroup View Post
    Thanks for that.
    No problems. My Nana questioned it and got me to look it up just to make sure. It does seem strange when you're told constantly to drink lots of water. I thought it was strange too but makes perfect sense now I know why. The only thing you may need to question is the medication she is on. My Nana resumed taking her normal medication along with the diuretics. It wasn't till she went to fill her prescription that the pharmacist questioned some of them. Turned out she was also on ones that negated the diuretics.

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    SpecialPatrolGroup is offline T-rex is cranky until she gets her coffee.
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    I think that is all ok, when she left the hospital they gave her a sheet with all of her medications charted out, including her vitamins, with times and dosages and she is sticking to that so I'm fairly confident that any clashes would have been picked up.

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