1. Diet in Heart Failure: What Can I Eat? Robin J Trupp PhD, RN, ACNP-BC, CHFN The University of Illinois at Chicago

2. Adequate Nutrition Can be challenging in general – Even more challenging when specific dietary restrictions are required In heart failure this means: – Sodium intake of ~ 2000mg per day – Avoiding drinking “excessive” fluids – Adequate intake protein, vitamins, and fiber

3. Salt and Water Both are essential for health and survival In setting of heart failure, body is unable to effectively get rid of salt Wherever there’s salt, there’s water

4. Sources of Salt

5. The Salty 6 Breads and rolls Cold cuts and cured meats Pizza Poultry Canned soups Sandwiches

6. Changing Your Salty Ways Fresh is best Read package labels Don’t cook with salt – Use herbs and spices liberally – NO salt substitute without OK from clinician When dining out, ask for “no added salt” and avoid dressings or sauces – Review menu in advance and have plan for what to eat

7. What About Water? Really are referring to fluids – Coffee, jello, soup, ice cream, etc No longer restrict fluid intake but should not drink gallons of water per day – If worsening symptoms that require increased diuretics, then should reduce fluid intake

8. Which Should You Eat?

9. Summary Eat well-balanced meals filled with fresh fruits and vegetables Limit salt intake to 2000mg per day – Read labels, noting serving size and sodium content – Drink when thirsty Take a multivitamin daily Take your medications as directed