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Community Care: Heart Failure Checklist

Heart Failure Checklist


Every day:

  • Weigh yourself in the morning before breakfast, write it down and compare to yesterday’s weight.
  • Take your medicine as prescribed.
  • Check for swelling in your feet, ankles and stomach.
  • Eat low salt food and stick to your fluid restriction if you have been given one.
  • Balance activity and rest periods.
  • Don’t drink more than 1-2 units of alcohol daily.

 

Which Heart Failure Zone are you today?

Green, yellow, or red?

Green

(symptoms  well controlled):
  • No changes in your shortness of breath.
  • No extra swelling of your feet, ankles or stomach.
  • No chest pain.
  • No extra weight gain of more than 2-3lbs/1-1.5kg (it may change 1 or 2lbs / 0.5kg some days).
  • If your weight gain has increased by more than 2-3lbs/1-1.5kg - check very carefully tomorrow and go to the yellow area if it has.

 

Yellow

(contact your doctor or nurse as soon as  possible if you  experience):
  • Rapid weight gain of 4-5lbs/2-3kg or more over 2-3 consecutive days or a week.
  • Increased shortness of breath and/or tolerating less activity than your normal.
  • Increased swelling of your feet, ankles, or stomach.
  • Any of the following: Loss of appetite, feeling full, bloating, nausea, or stomach/waistline larger than your normal
  • Worsening dry cough.
  • New dizziness or change in the frequency or type of dizziness if you already experience this.
  • Feeling uneasy, you know something is not right.
  • It is harder for you to breathe when lying down.

Red

(call for help  immediately if you experience):

Call 999 if you have any of the following:

  • Struggling to breathe.
  • Unrelieved shortness of breath while sitting still.
  • Have chest pain not relieved by GTN spray (unless you have been advised not to use it by a medical professional).
  • Severe and persistent shortness of breath.

 

Medicine Sick Day Rules


If you have been unwell for 24hrs with any of the following:
  • Vomiting and/or diarrhoea (unless only minor)
  • Fevers, sweats and shaking

Then please contact your nurse, pharmacist or GP for advice regarding your heart failure medications.


Date of publication: 15/01/2020
Reference code: UHMB-FT105
Date of next review: 01/04/2026