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CHF-Fluid Restriction-Enteral feeding-Dilantin
by mubette, Nov 19, 2008 03:41AM
My mother, 67, has CHF, Renal Insufficiency, is on enteral feeding at 65cc/constant and has been allowed 100cc of H2O every 6 hours. She also takes 100mg of Dilantin 3x daily and 20mg of Lasix daily. Being that we have to stop feeding 1 hour prior to and after giving Dilantin, she loses a total of 6 hours of feeding. Is it okay to double the rate of the enteral feed to 130cc for 2 hours after resuming feed each time Dilantin is given to make up for the lost time? I am concerned that even though we have to worry about volume overload, we also have to worry about dehydration and the effect on her kidneys. Her last BNP levels were in the high 600's and she had come down from 1200hs while in the hospital. She also has what they believe was hospital acquired pneumonia. Her albumin was at 1.5. She is bed bound. Any help would be nice.
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