Heart Failure Self-Management Plan

A Comprehensive Guide for Patients Living with Heart Failure

Cardiology

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Last updated: Mar 24, 2025

Daily Monitoring

Weight Monitoring

  • Weigh yourself every morning after urinating and before breakfast
  • Use the same scale on a flat surface
  • Record your weight daily
  • Contact your healthcare provider if you gain:
    • More than 2 pounds in 24 hours
    • More than 5 pounds in a week

Symptom Monitoring

Check daily for:

  • Increased shortness of breath
  • Swelling in feet, ankles, legs, or stomach
  • Feeling more tired or weak than usual
  • Difficulty breathing when lying flat
  • New or worsening cough
  • Dizziness or lightheadedness

Medication Management

Daily Medications

  • Take all medications exactly as prescribed
  • Never skip doses or stop medications without consulting your doctor
  • Use a pill organizer if needed
  • Keep an up-to-date medication list

Dietary Guidelines

Sodium Restriction

  • Limit sodium to 2,000mg per day
  • Avoid adding salt while cooking or at the table
  • Read food labels carefully
  • Choose fresh foods over processed ones

Fluid Management

  • Follow your healthcare provider's recommendations for fluid intake
  • Typical limit: 1.5-2 liters (6-8 cups) per day
  • Include all liquids in this count

Physical Activity

Exercise Guidelines

  • Start slowly and gradually increase activity
  • Aim for regular, moderate exercise
  • Stop if you experience:
    • Chest pain
    • Severe shortness of breath
    • Dizziness

Emergency Action Plan

Call 911 if you experience:

  • Severe chest pain
  • Severe shortness of breath
  • Fainting
  • Rapid or irregular heartbeat with weakness

Contact Your Healthcare Provider if:

  • Your symptoms are getting worse
  • You have questions about your treatment plan
  • You experience medication side effects

Follow-up Care

  • Keep all scheduled appointments
  • Bring your symptom and weight logs to visits
  • Update your medication list regularly
  • Get recommended vaccinations

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