Congestive Heart Failure Tampa VA Patient Education

Congestive Heart Failure Tampa VA Patient Education

January 4, 2020 0 By Bertrand Dibbert


♪Music playing♪ Hi welcome I’m here to talk to you about Congestive
heart failure. I know it sounds like a terminal illness It sounds like you’re dying but I’m here
to tell you today we have patients who live a long time with
a quality of life. so what is congestive heart failure some
people describe it as if you think of your body as the car and
your heart is the engine well its the engine is weak and as a result of that fluid backs into
lungs and you feel like you’re drowning or suffocating. it’s our job to determine what caused the
engine to fail we get asked a lot is how to deal with the craving to want to
eat more salt because we limit your salt intake to
2,000 mil a day again that’s barely a teaspoon well we ask you
to use as a substitute or actually use herbs and spices if not just use the garlic
or time red pepper and black pepper any one of these herbs or spices if not just use garlic or tymeor red pepper
or black pepper anyone of these herbs or spices will take the place of your craving
for salt. I promise you if you give it 4 weeks you
will not miss the salt at all, in fact, the next
time you go out to someone’s house or a restaurant you almost went to split the food out because
then you will notice and taste every morsel of that sodium. Lastly how to deal with your craving to
want to drink. we asked you to limit it to 64 ounces a
day we recommend that you chew gum or candy, sugarless if your diabetic. Unless you chit’s really going to get that
saliva going help you deal with that craving some of our patients recommend
to freeze grapes. if you ever tried it it’s pretty good but
it really helped deal with your Cravings to want to
drink so freeze whatever fruit you like grapes were
really well or freeze that water bottle that you drinking. That 16 ounces or 20 oz bottle instead of
just drinking it straight freeze it and then you, you can step on it for several hours. so those are just some of the tricks we
want you to do to deal with those craving. In addition to those Lifestyle Changes in
medication is our job to determine what caused the
engine to fail or to weekend and they can be a number thing some of the most common
thing is bad plumbing. Are the arteries clogged up, how we fix that,
we do a procedure called heart catheterization. Where we looking and see if you have blockages. we can remedy that by sometimes surgery
bypass surgery that’s when the surgeons I have to do a bypass or we can open up the artery with a balloon
and leave a device still call a stent will keep that artery popped open it acts
as scaffold. In addition to the bad Plumbing it can be
a leaky valve or tight valve with the opening
is very small so not enough blood to go through that
opening and so it’s very easy for fluid to back up in the lungs and make you feel
like you’re drowning. Uncontrolled blood pressure alcohol sleep
apnea we’re finding more and more people actually, have sleep apnea including
myself. Okay, so what is sleep apnea. well that
for example if you have obstructive sleep apnea and you have a big tongue for
example when you lay down that tongue blocks your
breathing tube and when it blocks your breathing tube not enough of the normal oxygen that enters
actually goes down the lungs and your lungs collapse and you stop breathing. Okay, so, fortunately, God made it so for
the brain that wakes us up when it’s been since we’re not breathing and so you
wake up almost like in the panic and as a result of that, you don’t get your
good deep REM sleep because you don’t sleep well at night when you don’t get your REM sleep you’re
extremely fatigued for the rest of the day and you may still have problems with
your memory you may wake up with a headache. You may notice uncontrolled blood pressure
you may notice the rapid heartbeat. Those are some of the signs
and symptoms related to untreated sleep apnea and eventually congestive
heart failure. We try to treat that a lot of patients
wear a mask called the CPAP device and what it does is it allows the normal
oxygen that enters and it creates and vacuum around your mouth and nose that will force
literally the oxygen down the lungs under pressure keeps those lungs open so you don’t stop breathing you don’t
wake up in the middle of the night you get a good deep sleep. And in and we can prevent those
unfortunate side effect for complications that we spoke of and more specifically
congestive heart failure. If you getting short of breath especially
when you lay down and you have to sit up to breath, that’s most likely congestive
heart failure. or you get on that scale in the morning
and you gained 3 lb of unexplained weight gain. generally, that means the fluid is back and
you had to much salt or water. So what we expect you to do is go ahead
and double up on those water pills, instead of taking one in the morning or
one in the evening we don’t mean that you double up by taking two at the same time
and if that doesn’t work then that’s when we want you to call us. Obviously, if you’re very short of breath
even sitting up we want you to call 911. So when you double up we want you to go
ahead and do that for two to three days until you lose those 3 pounds of extra
fluid and again if it doesn’t work please give us
a call because we may instruct you to triple up or quadruple up and then we’ll have to see you in the
office because you can lose too much electrolytes. For example potassium. Then you start
getting that cramping and that a painful feeling. So we also don’t want you to wait till
you gain 5 to 10 lb because again these water pills may not work when you double up and again we may have to triple up or
quadruple up. Okay so now that’s how you recognize when
you have too much fluid we also want you to recognize when maybe you taking too
much water pills. So most people if you drink 2 liters or
64 oz is a day and you’re taking your water pill that kind of keeps your fluids
status even. You don’t have too much and you don’t have
too little but you can have too little if you doing what we ask but in addition to that
you have diarrhea. For some reason or you working out in
that sun in your sweater does that means you may be putting out more than you’re
taking in and you will experience lightheadedness or
dizziness. Okay, Feeling like you want to pass out. okay or you may start to see that your
urine instead of being clear yellow urine looks pretty dark. If that’s the case that may be a sign that
you’re not drinking enough water. We asked you to go ahead to drink an
additional 8 ounces of water that day Or maybe you decide to hold off on your
fluid pill that day or the following day okay so but if you have any questions about
whether or not if you have too much fluid or perhaps dehydrated just give us a call. We’ll help too, help
you figure that out as well. Otherwise, thank you for your attention please
don’t hesitate to call us if you have any questions about anything we talked about today. Thank you.