Fluid Restrictions in Congestive Heart Failure: Evidence and Best Practices, Cheat Sheet of Nursing

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Fluid Restrictions for CHF

patients

Paighton Dawkin Care of the Med Surg Patient Miss Ashley Lessecki

Are fluid restrictions effective at minimizing exacerbation

symptoms in Congestive Heart Failure patients?

Herrmann J, Beckers-Wesche F. Fluid restriction in heart failure vs liberal fluid uptake: Rationale and design of the randomized fresh-up study. Science Direct. June 13, 2022. Accessed January 21, 2025. https://www.sciencedirect.com/science/article/pii/S1071916422005449#:~:text=Pa tients%20with%20HF%20are%20often,impact%20on%20quality%20of%20life. Smith Haghighi A. Fluid restriction for heart failure: Link, evidence, and tips. Medical News Today. January 31, 2022. Accessed January 22, 2025. https://www.medicalnewstoday.com/articles/fluid-restriction-in-heart-failure.

Interesting Facts

Fluid restrictions can lead to

significantly decreased quality of

life

Not restricting fluid intake leads

to swollen hands, feet, legs, and

abdomen; frequent urination;

weight gain; and shortness of

breath

There has been very little

research done on patients with

CHF regarding fluid restrictions

Fluid Restriction in Heart Failure v Liberal Fluid Uptake

• (^) Lack of evidence to support fluid restrictions
• (^) Distress caused by thirst
• (^) Decreased quality of life
• (^) Difficulty tracking fluid intake
• (^) Common nonadherence
• (^) Negative impact on self-esteem Fluid Restriction for heart Failure
• (^) Less fluid reduces the strain on heart and organs
• (^) 30mL/kg of body weight minimally effects thirst level
• (^) There are many tips and tricks to help a patient cope with a fluid restriction Abstracts