VP FINAL HF Self-Check Plan 100815

1 Sudden weight gain of more than 2-3 lbsin a 24 hour period (or 5 lbs in a week)Discomfort or swelling in the abdomen Trouble SleepingShortnessof breathat restIncreased discomfort or swelling in the lower bodyNew or worsening dizziness, confusion, sadness or depressionLoss of appetiteCHECK IN!WARNING! You need to be evaluated right symptoms may indicate:A need for a change in medicationsIncreased swelling of legs, feet, and anklesDry, hackingcoughSelf- check plan for HF Management 2015 American Heart Association, Inc. All rights reserved. Unauthorized use your physician or call 911 Worsening shortness of breath with activityIncreased trouble sleeping; cannot lie flatPay Attention Use Caution!

2 Medical Alert Warning!No new swelling, feet and legs look normal for youWeight check stableWeight: _____No sign of chest painExcellent Keep Up the Good Work!GREAT!CONTINUE:No new or worsening shortness of breathFollow-upVisitsLow SodiumEatingDaily WeightCheckMeds asDirectedPhysical activity level is normal for youSudden weight gain of more than 2-3 lbsin a 24 hour period (or 5 lbs in a week)Frequent dry, hacking coughA need to contact your doctor or providerNationally supported by.