![]() Weigh yourself at the same time every day using the same scale.Even small changes to your regular pattern can alter your weight by 2 pounds or more. Write down your daily weights in a log or small notebook and bring this record to your doctor visits. Record your dry weight and compare you daily scale readings to this number, not the previous day's scale weight.To get an accurate picture of your weight trends: If not, your doctor or nurse can help you determine the right number. If you recently have been in the hospital or had your medicines adjusted, you may already know your dry weight. Your goal should be to keep your weight as close as possible to your "dry weight." This is your regular weight when you are not retaining fluid. The best method to monitor your weight is daily weighing. "Don't wait until you don't feel well, you may have gained 5 or more pounds by then and could be well on your way to a serious problem." Daily weighing He instructs his patients to take action as soon as they notice their weight going up. However, symptoms such as coughing and shortness of breath, loose stools, nausea and feeling full when without eating much may develop at the 5-to-7 pound mark" says Dr. Most people will retain 8 to 15 pounds of excess fluid before they see leg and belly swelling. "Weight change is the earliest sign of a problem with fluid balance. The good news is that you can tell if you're beginning to retain fluid merely by getting on the scale. When the kidneys detect the diminished blood flow, they activate hormones that prompt the body to retain fluid and sodium in an effort to boost the volume of blood in circulation. Other physical processes also come into play. To compensate for its weakened state, the heart undergoes a series of structural transformations. Regardless of what triggers the decline, heart failure culminates in a progressive weakening of your heart's power to pump.Ĭonsequently, blood circulates through your heart and body more slowly your cells thirst for fresh oxygen and nutrients. Many times, it is the product of years of toil against high blood pressure and clogged arteries. Heart failure may start with injury from a heart attack or develop as a result of damaged valves, infection or disease of the heart muscle cells. Eldrin Lewis, a heart failure specialist at Harvard-affiliated Brigham and Women's Hospital. "Fluid buildup can quickly escalate into a life-threatening situation," says Dr. However, they all signal water retention, which can mean trouble for people with a history of heart failure. You may be tempted initially to dismiss this hodgepodge of problems as having little to do with your heart. The buildup of excess fluid in your body can take a variety of forms from belly bloating and swollen ankles to nausea, persistent coughing and fatigue. Thus, more accurately, intravenous D10W at 60 or 80 mL/kg daily is the equivalent of a glucose infusion rate of about 3.8 or 5.05 mg/kg per minute of glucose, respectively.Fluid buildup indicates worsening heart failure. ![]() Remember that hydrous dextrose is not equivalent to anhydrous glucose the conversion factor is simplified as 0.91. 5 To provide this rate of dextrose delivery, most NICUs restrict premature infants initially to about 60 to 80 mL/kg IV daily of D10W (10% dextrose by volume in water) 60 mL/kg of D10W provides 4.167 mg/kg per minute of dextrose, and 80 mL/kg of D10W provides 5.56 mg/kg per minute of dextrose. Extrapolating from studies of hepatic glucose production in lambs, a rate of about 4 to 6 mg/kg per minute was estimated for term infants. For example, because preterm infants are at risk for hypoglycemia and cannot take adequate nutrition by mouth initially, intravenous dextrose is used as a glucose source. ![]() The degree of fluid restriction is limited by the need to use intravenous fluids to deliver other necessities to the patient. 2, 3, and 4 Therefore, initial fluid intake for premature infants should be restricted to the least fluid necessary. Many studies have shown that, for premature infants, delayed water loss results in a worse outcome, specifically an increased incidence of chronic lung disease and persistent patency of the ductus arteriosus. Particularly for preterm infants, this loss of water is both physiologic and necessary. ![]()
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