Heart Failure Top 10 Rules for Life 1 Weigh daily. Weight gain can be a sign that you are retaining fluid even if you have no other symptoms. Weigh yourself every day at the same time, wearing the same amount of clothing. Weigh after using the bathroom but before you eat or drink. 22 Take your medicine. You must take your medicine every day. Be sure to take it exactly as prescribed. Skipping doses or not refilling a prescription could cause serious problems. Do not stop taking your medicine without talking to your doctor. Keep a current list of your medicines with you, including all non-prescription medicines and herbals. Do not take medicines you can buy over the counter unless your doctor approves. 3 Limit your sodium and fluids. Too much sodium could cause swelling and could make it harder for you to breathe. 4 Exercise daily. Establish an exercise schedule. A little movement every day helps to strengthen your heart. Walking is safe and healthy. Follow your doctor’s instructions about exercise and activity. Don’t overdo. Listen to your body to learn to slow down or stop and rest. 5 Report early warning signs. Call your doctor any time you notice a change in your body. Be especially aware of these signs: • difficulty breathing during normal activities, sleep, or rest • gaining or losing 5 pounds in 3 days • swelling in your feet • coughing more than usual • stomach pain • feeling more tired than usual 6 Stop smoking or using tobacco products and avoid drinking alcohol. Tobacco is the single most dangerous thing you can do to your body. Nicotine robs the heart of oxygen and constricts the blood vessels. This raises your heart rate and blood pressure. Ask your doctor for help. 7 Keep your doctor’s appointments. Regular doctor’s visits are very important to help you manage your symptoms and prevent going back to the hospital. 8 Maintain a healthy body weight. Ask your doctor or dietitian what weight is right for you. Extra body weight makes your heart work harder. Exercise and a healthy diet will help you keep an ideal body weight. 9 Limit stress. When you are anxious or upset, your heart beats faster and you breathe more heavily. Find ways to reduce stress. Get some execise, deep breathe, read a book, laugh with someone, watch a good movie, or pray. 10 Get annual immunizations. Protect yourself from the flu and pneumonia. Getting sick with a cold, flu, or other infections adds to the extra work your heart already has to do. This means you can get much sicker than you normally would, and it could take longer for you to get better. This is for education only. Ask your own doctor any questions you have about your health. © 2008 by Vanderbilt University. All rights reserved. Vanderbilt Medical Center Patient & Family Centered Care HC-0070 06/09