Patient/caregiver was educated upon findings to watch for and report in individuals with history of congestive heart failure as follows:
- Exacerbation of SOB: Reduced output of oxygenated blood from the heart, secondary to heart failure, will result in reduced blood and oxygen supply to all the vital organs, contributing to increased dyspnea and SOB. Also, fluid back-up into the lungs can lead to fluid retention in the chest, difficulty in gas exchange in the lungs, poor oxygen pick-up, and exacerbation of shortness of breath. Observe compliance with log maintenance of everyday oxygen saturation readings. Report to your physician regarding any oxygen saturations consistently below 90. Oxygen dependent individuals must report any need for increase in oxygen requirements.
- Chest pain and discomfort: Poor blood and oxygen supply to heart muscle in individuals with heart failure can result in chest pain and discomfort. In severe cases, individuals can even present with an episode of myocardial infarction or heart attack, damaging the heart muscle further. Keep a close watch and report to your physician regarding any chest pain and/or discomfort, how insignificant it may be.
- Increased weakness and fatigue: Reduced blood supply to the muscles in individuals with heart failure can result in reduced oxygen supply to the muscle, thus leading to muscle pain, fatigue, and reduced endurance to activity. Report to your physician regarding any persistently growing fatigue and exhaustion.
