Patient/caregiver was instructed regarding life-style measures to be observed with systolic heart failure as follows:
- Reduced output of blood from the heart, in individuals with systolic heart failure, can result in low blood pressure and hypotensive symptoms of dizziness and lightheadedness. Observe compliance with log maintenance of everyday blood pressure and heart rate readings. Report to your physician regarding any consistent systolic readings below 90 and above 160. Report consistent diastolic readings below 60 and above 90. Report any consistent heart rate readings below 55 and above 100. Observe compliance with all cardiac medications, as prescribed.
- Persistent back-up of fluid from the heart chambers can lead to increased workload on the heart, progressive deterioration of heart function, further weakening of heart muscle, and worsening of heart failure. Individuals can present with swelling of the lower legs, with pitting upon applying slight pressure. Keep a close watch on the severity of pitting and report to your physician regarding any progressively increasing pedal edema. Observe compliance with intake of diuretic medications prescribed, if any. While resting, observe compliance with elevation of feet above heart level, which can help return the fluid towards the heart and reduce the swelling. Observe compliance with sodium intake limitations, as recommended.
- Observe compliance with recommendations for heart healthy diet and fluid volume intake limitations, if any. Limit sodium intake to no more than 2 grams or 2000 mg per day. Make healthy food choices that are low in saturated and trans fats.
- Reduced blood supply to brain and muscles can result in increased confusion, frequency of dizzy episodes, muscle pain, fatigue, and reduced endurance to activity, thus contributing to falls and accidents. Observe compliance with use of assistive device for fall and accident prevention. Seek therapy assistance for planned and safe execution of activities. Always, seek for caregiver assistance, as needed.
