The guidelines for management of this well-known illness have long included the use of diuretics and cardiac glycosides. Since accumulation of fluid is present in many of these patients along with high blood pressure, it is understandable that dieticians and physicians will recommend dietary sodium restriction [1, 2].
One major change, however, has been a turn away from the use of activity limitation or bedrest in these clients. In fact—as is also true with coronary heart disease—clinicians have observed that ambulation of the individual enhances recovery. Nevertheless, the use of diuretics is still the mainstay of therapy for those who suffer from congestive heart failure