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Part A -Calculating Fluid Intake for a Patient with Congestive Heart Failure Dav

ID: 243384 • Letter: P

Question

Part A -Calculating Fluid Intake for a Patient with Congestive Heart Failure David's grandfather, who is 76, has been suffering from congestive heart failure (CHF) for the last few years. This morning his legs are swollen, his pulse is racing, and he has difficulty breathing with even the lightest activities, such as moving from bed to a sofa. It's definitely time for serious fluid restriction! Can you help David calculate grandpa's fluid allowance for today? David's grandfather is 57" and weighs 172 lb. He already knows that, when it comes to his CHF crises, he has to lay off his favorite soups for a while and really follow the "prescribed" amounts of fluids. How many fluid ounces of liquids is he allowed to consume? Round your answer to the nearest whole number. During calculations, use values rounded to the first decimal place.

Explanation / Answer

For a patient with CHF, the fluid intake should be restricted to 30 -35 ml/ kg /24hours

Here, David's grand father is in CHF crisis

Weight of patient is = 172 pounds = 70 kg

Height of patient is. = 5.7feet

So his fluids should be 75 x 30 to 35 ml /day

2250 - 2625ml / 24 hours

= 75 - 87.5 ounces per day