Joan Stadler RDN Robert J Dole VAMC 2015 What is heart failure The heart does not pump normally so Blood backs into the lungs Fluids back into the lungs Insufficient oxygen rich blood is available ID: 246051
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Slide1
Congestive Heart Failure – the whole story
Joan Stadler, RDN
Robert J. Dole VAMC
2015Slide2
What is heart failure?
The heart does not pump normally so…
Blood backs into the lungs
Fluids back into the lungs
Insufficient oxygen rich blood is available.
Hormones released make the heart work harder and faster.
Increased heart muscle damage occurs.Slide3
Ejection Fraction (EF)
= how much blood the heart pumps out
This measurement expresses how much heart damage has happened.
Normal EF is 50%. Slide4
2 Types of Heart Failure
1) Systolic
2) DiastolicSlide5
Systolic Heart Failure
EF is lower than normalSlide6
Diastolic Heart Failure
EF is often in normal rangeSlide7
Signs and Symptoms
Shortness of air
Edema (fluid retention)
Fatigue
WeaknessSlide8
Management of CHF
Medications
Low sodium meal plan
Limitation of fluid intake
Monitor weight
Smoking cessation
Physical activity as tolerated
Avoid alcoholSlide9
Common Medications
1) ACE inhibitors- lowers blood pressure
2) Beta blockers- relief stress on heart
3) Diuretics- reduce fluid retention
4) Digoxin- improves pumping strength
5) Aldosterone antagonist-
affects
hormones
6) Hydralazine & nitrates- lowers
blood
pressure
and decrease effort for
heart
pumping
Check with pharmacist or PCPSlide10
Low Sodium Meal Plan
Limit sodium intake
Read labels
No added salt at table or cooking
Limit fluid intakeSlide11
Limitation of Fluids
Anything liquid at room temperature is considered a fluid.
The daily amount will vary as it is individualized.
Generally it will be less than 8 cups daily.
Measuring servings is important.
Keeping a fluid log is helpful.
Keeping a weight graph is helpful too.Slide12
Weight monitoring
Excess fluid retention (edema) may result in weight gain
4 cups of excess fluid may result in 2 pound gain
Know your “dry” or goal weight
Weigh daily and graph or record it
Report weight gains to your PCP of:
2 lbs. in 1 day or 5 lbs. in 1 weekSlide13
Other management
Avoid smoking- which reduces amount of oxygen in your blood
Physical activity- avoid exertion and talk to PCP
Avoid alcohol- which worsens CHFSlide14
Coping with CHF
Quality of life
Share experiences with family/friends/PCP
Support Group
Monitor depressionSlide15
Living with CHF
Be aware of your health or diagnosis
Ask questions of your PCP and team
Take responsibility for your lifestyle, medication and diet compliance and choices
Live life despite your CHF
Follow these practical suggestions…