Knowing Your Symptoms (HF)

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Lecturette 4: Supplemental Information
Knowing Your Symptoms (HF)
Working Phase
1. Discuss the patient’s well status: The patient should have no increase in shortness of breath, no weight gain, no swelling in the extremities, no angina and no feelings of dizziness (CCAC, CHF zone).
2. Discuss abnormal signs and symptoms:
Abnormal signs and symptoms of heart failure include:
a) Shortness of breath: If heart failure is severe, shortness of breath can even happen during rest. Shortness of breath can occur with exertion as well and can be due to fluid retention, muscle weakness, deconditioning and muscle weakness.
b) Fatigue
c) Edema: Edema can be seen in the ankles, feet and legs as well as in the abdomen. One may even have generalized edema.
d)
…show more content…
Discuss patient’s knowledge of his/her medication: Patient is able to understand what the medication is for and what it is doing for their health. These are common classes of medications that patients with heart failure take:
a) Beta-Blockers: Beta-blockers reduce how hard the heart works by lowering the blood pressure and reducing the pulse rate. This is important to take because it will slow the progression of heart failure. Common examples of Beta-Blockers: Coreg (Carvediolol), Toprol XL (Metoprolol succinate), Zebeta (Bisoprolol), Atenolol
b) ACE (Angiotensin Converting Enzyme) Inhibitors: This medication works by reducing workload of the heart by reducing the amount of resistance it has to pump against. It also helps the heart empty as it dilates the blood vessels resulting in lower blood pressure. Common examples of ACE inhibitors: Zestril (lisinopril), Vasotec (enalapril), Captopril (captopen), Altace (Ramipril), Coversyl (perindopril), Mavik (trandolapril).
c) Angiotensin Receptor Blockers (ARBS): It works by preventing the arteries (small blood vessels) from constricting (getting smaller/thinner). This helps reduce blood pressure. Common examples of ARBS include: Diovan (Valsartan), Atacand

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