Congestive Heart Failure Symptom Management
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1CONGESTIVE HEART FAILURE SYMPTOM MANAGEMENT
Primary Care Physician’s name_______________________________________________ Phone number____________________
Cardiologist’s name________________________________________________________ Phone number____________________
If you have several symptoms in a category, follow the steps in the “What to do” box.
Green Zone: All Clear
Yellow Zone: Caution
Red Zone: Medical Alert
No shortness of breath
Short of breath with exertion, when lying flat or
Short of breath when sitting still
No cough
when trying to sleep – shortness of breath may
Wet cough, wheezing
No weight gain
wake you up at night; Sleeping with more pillows
Sudden weight gain or loss (more than 5
No change in energy level
Dry, hacking cough
lbs in a day)
No change in alertness and
Weight gain of 2 lbs in 1 day
Extreme fatigue and no energy
orientation; “clear as a bell”
More tired, low energy
Mental confusion, trouble concentrating
No change in appetite
Have trouble concentrating; fuzzy
Loss of appetite; feel full or sick to one’s
No change in heart rate
Decrease or change in appetite
stomach
No change in urination
Racing or irregular heartbeats; feel lightheaded or
Chest pain (Call your doctor right away
dizzy
to be seen)
Increased urination
Frequent urination; especially at night
Tight shoes; swelling in legs
Unable to wear shoes
What to do
What to do
What to do
Your symptoms are under
Your symptoms indicate your doctor needs to
Your symptoms indicate you need
control.
review your condition. Your doctor may adjust your
attention right away.
Keep taking your medications
medications.
as ordered.
Call your doctor. Request an appointment as soon
Call your doctor right away. Request to be
Continue daily weights
as possible within the next 2 days.
seen within the next 4 hours.
Follow a low-salt diet
Keep all doctor appointments.
Call your doctor if you note any
changes.
Recommendations from your Doctor
Dry weight_______________
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Parent category: Life