Presentation on theme: "Joan Stadler, RDN Robert J. Dole VAMC 2015. The heart does not pump normally so… Blood backs into the lungs Fluids back into the lungs Insufficient."— Presentation transcript:
Joan Stadler, RDN Robert J. Dole VAMC 2015
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.
= how much blood the heart pumps out This measurement expresses how much heart damage has happened. Normal EF is 50%.
1) Systolic 2) Diastolic
Systolic Heart Failure EF is lower than normal
Diastolic Heart Failure EF is often in normal range
Shortness of air Edema (fluid retention) Fatigue Weakness
Medications Low sodium meal plan Limitation of fluid intake Monitor weight Smoking cessation Physical activity as tolerated Avoid alcohol
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 PCP
Limit sodium intake Read labels No added salt at table or cooking Limit fluid intake
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.
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 week
Avoid smoking- which reduces amount of oxygen in your blood Physical activity- avoid exertion and talk to PCP Avoid alcohol- which worsens CHF
Quality of life Share experiences with family/friends/PCP Support Group Monitor depression
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…