Congestive Heart Failure Tampa VA Patient Education

Aug 26, 2023

Congestive Heart Failure Tampa VA Patient Education

8-minute discussion on how to manage CHF by Cardiology CHF specialist.

Content

0 -> ♪Music playing♪

3.74 -> Hi welcome

5.6 -> I'm here to talk to you about Congestive heart failure.

8.73 -> I know it sounds like a terminal illness

11.24 -> It sounds like you’re dying but I'm here to tell you today

14.58 -> we have patients who live a long time with a quality of life.

20.65 -> so what is congestive heart failure some people describe it as

25.27 -> if you think of your body as the car and your heart is the engine well its the

30.65 -> engine is weak

32.64 -> and as a result of that fluid backs into lungs and you feel like you're drowning

37.789 -> or suffocating.

39.579 -> it's our job to determine what caused the engine to fail we get asked a lot is

45.399 -> how to deal with the craving to want to eat more salt because we limit your salt intake

53.539 -> to 2,000 mil a day again

56.319 -> that's barely a teaspoon well we ask you to use as a substitute or actually use

63.469 -> herbs and spices if not just use the garlic or time red pepper and black pepper any one

68.09 -> of these herbs or spices

69.101 -> if not just use garlic or tymeor red pepper or black pepper anyone of these herbs or

73.46 -> spices will take the place of your craving for salt.

77.799 -> I promise you if you give it 4 weeks you will not miss the salt at all, in fact, the

83.28 -> next time you go out to someone's house or a

86.2 -> restaurant

87.509 -> you almost went to split the food out because then you will notice and taste every morsel

92.049 -> of that sodium.

93.479 -> Lastly how to deal with your craving to want to drink.

98.549 -> we asked you to limit it to 64 ounces a day we recommend that you chew gum

105.759 -> or candy, sugarless if your diabetic.

109.4 -> Unless you chit's really going to get that saliva going help you deal with that

113.229 -> craving some of our patients recommend to freeze grapes.

119.479 -> if you ever tried it it's pretty good but it really

122.069 -> helped deal with your Cravings to want to drink

125.579 -> so freeze whatever fruit you like grapes were really well or freeze that water bottle that

132.34 -> you drinking.

133.34 -> That 16 ounces or 20 oz bottle instead of just drinking it straight freeze it and then

138.78 -> you, you can step on it for several hours.

141.19 -> so those are just some of the tricks we want you to do to deal with those craving.

147.9 -> In addition to those Lifestyle Changes in medication

151.5 -> is our job to determine what caused the engine to fail or to weekend and they can

158.47 -> be a number thing some of the most common thing is bad plumbing.

163.26 -> Are the arteries clogged up, how we fix that, we do a procedure called heart catheterization.

170.65 -> Where we looking and see if you have blockages.

174.7 -> we can remedy that by sometimes surgery bypass surgery that's when the surgeons

180.37 -> I have to do a bypass or we can

184.65 -> open up the artery with a balloon and leave a device still call a stent

188.59 -> will keep that artery popped open it acts as scaffold.

193.55 -> In addition to the bad Plumbing it can be a

196.79 -> leaky valve or tight valve with the opening is very small

202.21 -> so not enough blood to go through that opening and so it's very easy for fluid to

208.01 -> back up in the lungs and make you feel like you're drowning.

212.48 -> Uncontrolled blood pressure alcohol sleep apnea we're finding more and more people

218.26 -> actually, have sleep apnea including myself.

221.09 -> Okay, so what is sleep apnea.

224.3 -> well that for example if you have obstructive sleep

227.18 -> apnea and you have a big tongue for example

230.07 -> when you lay down that tongue blocks your breathing tube and when it blocks your

235.9 -> breathing tube

237.04 -> not enough of the normal oxygen that enters actually goes down the lungs and your lungs

242.62 -> collapse and you stop breathing.

245.03 -> Okay, so, fortunately, God made it so for the brain that wakes us up when it's been

251.04 -> since we're not breathing and so you wake up almost like in the panic

255.37 -> and as a result of that, you don't get your good deep REM sleep because you don't

261.28 -> sleep well at night

262.75 -> when you don't get your REM sleep you're extremely fatigued for the rest of the

268.07 -> day and you may still have problems with your

271.23 -> memory you may wake up with a headache.

274.51 -> You may notice uncontrolled blood pressure you may notice the rapid heartbeat.

280.5 -> Those are some of the signs and symptoms related to untreated

283.82 -> sleep apnea and eventually congestive heart failure.

288.43 -> We try to treat that a lot of patients wear a mask called the CPAP device

295.98 -> and what it does is it allows the normal oxygen that enters and it creates and

300.46 -> vacuum around

302.57 -> your mouth and nose that will force literally the oxygen down the lungs

307.79 -> under pressure keeps those lungs open

311.1 -> so you don't stop breathing you don't wake up in the middle of the night you

315 -> get a good deep sleep.

318.87 -> And in and we can prevent those unfortunate side effect for complications

323.76 -> that we spoke of and more specifically congestive heart failure.

328.7 -> If you getting short of breath especially when you lay down and you have to sit up

332.48 -> to breath, that's most likely congestive heart failure.

336.41 -> or you get on that scale in the morning and you gained 3 lb of unexplained weight

343.11 -> gain.

344.11 -> generally, that means the fluid is back and you had to much salt or water.

349.32 -> So what we expect you to do is go ahead and double up on those water pills,

353.81 -> instead of taking one in the morning or one in the evening we don't mean that

358.9 -> you double up by taking two at the same time and if that doesn't work then that's when

364.751 -> we want you to call us.

366.25 -> Obviously, if you're very short of breath even sitting up we want you to call 911.

373.78 -> So when you double up we want you to go ahead and do that for two to three days

377.08 -> until you lose those 3 pounds of extra fluid

382.78 -> and again if it doesn't work please give us a call because we may instruct you to

388.58 -> triple up or quadruple up

390.06 -> and then we'll have to see you in the office because you can lose too much

394.45 -> electrolytes.

396.46 -> For example potassium.

397.59 -> Then you start getting that cramping and that a painful

401.43 -> feeling.

402.54 -> So we also don't want you to wait till you gain 5 to 10 lb because again these

407.77 -> water pills may not work when you double up

410.66 -> and again we may have to triple up or quadruple up.

414.57 -> Okay so now that's how you recognize when you have too much fluid we also want you

420.52 -> to recognize when maybe you taking too much water pills.

425.21 -> So most people if you drink 2 liters or 64 oz is a day and you're taking your

431.92 -> water pill that kind of keeps your fluids status even.

436.8 -> You don't have too much and you don't have too little but you can have too little if

441.88 -> you doing what we ask but in addition to that you have diarrhea.

447.07 -> For some reason or you working out in that sun in your sweater does that means

452.34 -> you may be putting out more than you're taking in

455.36 -> and you will experience lightheadedness or dizziness.

460.13 -> Okay, Feeling like you want to pass out.

463.389 -> okay or you may start to see that your urine instead of being clear yellow urine

468.93 -> looks pretty dark.

470.09 -> If that's the case that may be a sign that you're not drinking enough water.

476.92 -> We asked you to go ahead to drink an additional 8 ounces of water that day

481.41 -> Or maybe you decide to hold off on your fluid pill that day or the following day

486.85 -> okay

487.96 -> so but if you have any questions about whether or not if you have too much fluid

492.479 -> or perhaps dehydrated

494.49 -> just give us a call.

495.68 -> We'll help too, help you figure that out as well.

500.41 -> Otherwise, thank you for your attention please don't hesitate to call us if you have any

505.54 -> questions about anything we talked about today.

507.81 -> Thank you.

Source: https://www.youtube.com/watch?v=AmhLGDFpbD0