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Patient education CHF

Presentation easily understood laymans terms
by

Michelle DuBridge

on 7 February 2013

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Transcript of Patient education CHF

Increasing shortness of breath or a new shortness of breath while resting.

Trouble sleeping due to difficulty breathing. For example, waking up suddenly at night due to difficulty breathing.

A need to sleep sitting up or on more pillows than usual.

Fast or irregular heart beats, palpitations, or a
"racing heart" that persists and makes you feel
dizzy or lightheaded. Weigh Yourself Daily!
Call physician:
If you gained 1 pound in 2-3 days





Restricted Salt Diet
2,000-3,000mg Daily
Read labels
Avoid high salt foods
(ex: hot dogs, pickles, olives)





Medications
Take medications every daily,
Even if you feel better






Activity/Exercise
Stay Active!!!
Quit Smoking Congestive Heart Failure A Patient's Interactive Guide What is Congestive Heart Failure? The heart functions to pump blood around the body.

Heart failure simply means that the heart is not pumping blood through the body as well as it should.

The heart is unable to pump enough blood around the body.


The term "heart failure" doesn't mean that your heart has stopped or is about to stop working. How Does Congestive Heart Failure
Affects Your Body? Heart:
Weakens
Works harder
Fluid Back-Up Lungs:
Fluid Back-Up
Less oxygen intake Liver
Fluid Build- Up
Less able to remove toxins and waste from body Intestine
Fluid Build-Up from the backed up blood vessels
Decreased absorption of medications and nutrients Your New Medications Most people with heart failure require several medicines for the best results. Purpose: To treat symptoms in the short run, and the disease in the long run.

Important to keep taking your medications even if you feel better!

The main types of heart failure medicines are:
ACE (angiotensin-converting enzyme) inhibitors
Beta-blockers
Digoxin
Diuretics (water pills)
Aldosterone antagonists
ARBs (angiotensin receptor blockers) Heart Failure Affects Your Entire Body! ACE-I Pills Beta Blockers Digoxin Diuretics (Water Pills) Aldosterone Antagonists Angiotensin Receptor
Blockade (ARB) Pills ACE inhibitors are very beneficial for people with heart failure.

Research has shown that ACE inhibitors help people live longer and decrease hospitalizations.

They can also decrease symptoms of heart failure and increase your ability to be more active. Beta-blocker pills are another group of medicines that are very effective for people with heart failure.

Research studies have shown that beta-blockers improve heart function and can help people with heart failure feel better, live longer and go to the hospital less frequently.

They can also control high blood pressure, prevent heart attacks, and help regulate the heart rhythm. Digoxin pills improve heart function by making the heart beat stronger.

Patients with heart failure breathe more easily and feel better as a result of digoxin.

Studies show that among patients with heart failure, those taking digoxin go to the hospital less often.

However, not all people with heart failure need digoxin. ARB pills reduce the impact of certain harmful stress hormones (substances that build up in the body of people with heart failure).

They have actions similar to those of ACE inhibitors.

They may be recommended for people who can not tolerate an ACE-I. Diuretics work by helping your body get rid of extra fluid. Less fluid in your lungs makes breathing easier.

Less fluid also means less swelling in other parts of your body to help you feel more comfortable.

Taking your diuretic as directed can decrease the chance that you will have to go to the hospital.

Being thirsty does not mean your body needs more fluid. You need to be careful NOT to replace the fluids that diuretics (water pills) have helped your body get rid of.
Instead try sucking hard candy or chewing gum to relieve thrist
1.5-2.5 liters of fluids at the most each day Aldosterone antagonists work by blocking the effects of a stress hormone called aldosterone (a substance which can make heart failure worse).

One study shows that people with advanced heart failure who take aldosterone pills live longer and stay out the hospital. What Causes
Heart Failure? Heart Attack High Blood Pressure Infection of the
heart muscle Lung Disease Diabetes Unknown
(Idiopathic) Managing Your Heart Failure Healthy Diet Exercise Lifestyle Change Decreasing Your Salt Intake Why Decrease Your Salt Intake? Heart failure causes the body to hold on to extra sodium.

The salt causes extra fluid to build up in your body.

The extra fluid makes your heart work harder.

The extra fluid can also cause symptoms such as: Swelling of Ankles Weight Gain Shortness of Breath The typical American diet is very high in sodium!
Even if you do not add salt while cooking or do not use the salt shaker at the table, you are probably eating too much sodium.

A low-sodium diet includes no more than 2,000 to 3,000 milligrams (mg) of sodium per day.
1 teaspoon of salt = 2,300 mg sodium.

Guess the amount of sodium in these common foods? Reading nutrition labels: 1 Big Mac= 2400mg 1 Slice of Ham= 1500 mg 1 Cup of Watermelon= 3 mg Track Your Sodium Intake Throughout the Day...
Remember a low sodium diet is 2,000-3,000mg New Apps for iPhone and Droid can now help you track your sodium intake:
Sodium 101
Sodium One
BeFit Sodium Tracker Add the total sodium from your daily meals which should be less than 3,000 mg to best manage your heart failure. Salt is EVERYWHERE... How to Decrease Your Salt Intake: Stop adding salt to your foods

Consider getting a low-salt cookbook

Use salt substitutes (Mrs. Dash)

Choose fresh foods Becoming More Active: To start, pick a simple aerobic activity that you like.

An aerobic activity is one that involves moving the large muscles.

A great way to become more active is to start doing activities such as gardening or walking.
Or resume hobbies such as fishing or bowling that you may have stopped.

Other examples include walking, biking, dancing, and swimming. Tips and Guidelines for Activity Get walking shoes that fit comfortably and have good support.

Take frequent breaks and rest regularly

Do not exercise on either an empty or a full stomach.

Avoid activities or exercising outdoors when it is colder than 40°F or warmer than 80°F or on high smog days.

Always warm up and cool down with stretching and slow walking.

Do any activity at a slow and steady pace.

A lack of exercise can cause worsening of heart failure symptoms Do not exercise or increase your activities when you:
Have more shortness of breath at rest or more symptoms than usual.

Feel exhausted.

Have a fever, infection, or feel ill.

Have chest pain.

Are going through a major change
in your medication regimen. When You Should Not be More Active Weigh yourself every day to see if you are retaining fluid. Avoid alcohol or drink sparingly (less than 2-3 standard drinks/week). Get vaccinations such as flu shots routinely. Quit smoking cigarettes and cigars if you smoke. When to call for help...

Chest discomfort or pain that lasts more than 15 minutes that is not relieved with rest or nitroglycerin.

Severe, persistent shortness of breath.

Fainted or passed out.

Urgent Symptoms of Heart Failure Call 911 for emergency help, if you have: Call your doctor immediately, if you have any of the following symptoms: What is an Ejection Fraction? Your ejection fraction (EF) is used to measure how well your heart pumps with each beat to determine the level of heart dysfunction.
EF= Pumping Ability of the Heart

Ejection fraction is usually expressed as a percentage (%).
A reduced EF may confirm a diagnosis of heart failure.

Your EF can help your doctor determine the best course of treatment for you.
You should have your EF measured when you are first diagnosed, and again as determined by your physician. Symptoms of Heart Failure Things to Remember Legs:
Fluid builds up in the legs
Swelling Depression can be very common when you have
heart disease. It can be treated with medications,
therapy and other treatment modalities

Talk to your medical provider if you
think you may be depressed Stress can lead to heart and blood vessel problems Long term stress can lead to severe health problems. Chronic stress disrupts nearly all systems in your body
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