aftercare CHF exacerbation

[Sterlink]

If a 24 hr 2 lb weight is gain is all that's apparent, i.e. clear LSs throughout, no c/o SOB, energy level good and improving, no lower extremity edema, B/P and HR stable...is there something else to look for to make the wt gain clinically significant?

[RN1263]

Regularly measure abdomen girth....

[annaedRN, RN]

find out when they weighed themselves? dry weight vs later in the day. Diet? Have they increased their sodium intake along with that. A different scale? Wearing shoes vs stocking feet. Just a few variables might have made a difference. But otherwise, that fluid build up may be occuring without any s/s at present.

[Sterlink]

Thanks!

[KateRN1]

Also consider increased feelings of anxiety, need to turn the air conditioning down to a lower temperature, and need to have a fan on. If it's just a weight gain, I'd make another visit the following day, just to follow up.

[4evernrs]

The 2lb weight gain in itself is clinically significant. I would report it - even if no other symptoms are present. My take on it has always been that the purpose of monitoring weights is to identify this early indication before any other signs are apparent.