URGENT HEALTH CONCERN? PLEASE CALL TELEPHONE CARE …app.ihi.org/FacultyDocuments/Events/Event-2760/Presentation-13883/... · Heart failure, also called congestive heart failure (CHF),
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Heart failure, also called congestive heart failure (CHF), is a serious condition in which the heart does notadequately pump enough blood to the rest of the body.
THINGS YOU NEED TO DOCall your doctor if you have weakness, cough, or sudden weight gain and swelling.•
Take your medications as prescribed.•
Limit salt intake.•
Don't smoke.•
Walk or stay active on the days that you are feeling well.•
Get enough rest, including after exercise, eating, or other activities.•
This is your green zone.Being in this zone means that yoursymptoms are under control.
You have:•No shortness of breath•No weight gain more than 2 pounds (Your weight may change 1 or 2 pounds some days)•No swelling of your feet, ankles, legs. or stomach•
Yellow Zone:
This is your warning zone.If you have any of these problemsyou should contact your medicalteam at:1-800-455-0057
You are experiencing:•You have a weight gain of 3 pounds in 1 day or a weight gain of 5 pounds or more in 1 week.•More shortness of breath•More swelling of your feet, ankles, legs, or stomach•Feeling more tired. No energy•Dry hacky cough•Dizziness•Feeling uneasy, you know something is not righ•It is harder for your to breathe when lying down. You need to sleep sitting up in a chair.•
Red Zone:
This is your emergency zone.Seek help immediately!
Go directly to your local emergency room, or call 911, if:•You are struggling to breathe or have unrelieved shortness of breath while sitting still•You have chest pain•You have confusion or can't think clearly•
Your doctor has prescribed fluid restriction for you. This means you need to limit the amount of fluids that you drink. If your kidneys are healthy, they balance the amount of fluid that enters and leaves your body. If your body cannot maintain this fluid balance because of illness or injury, you may need to limit the amount you drink
It’s easy to forget to take your medicine, especially when you take a lot of pills. But, to get the best results frommedicines, always take them as directed. The tips on these pages can help you keep track
HYDROPHILIC (EQV AQUAPHOR) TOP OINT APPLY SMALL AMOUNT TOPICALLY THREE TIMES A DAY FOR SKIN PROTECTION FOR DRYSKIN
You have 8 refills remaining. Use this number to order a refill of this medication: 4xxxxx
HYDROCHLOROTHIAZIDE 25MG TAB TAKE ONE-HALF TABLET BY MOUTH ONCE A DAY FOR FLUID RETENTION
You have 1 refills remaining. Use this number to order a refill of this medication: 4xxxxx
FUROSEMIDE 80 MG TAB TAKE ONE TABLET BY MOUTH TWO TIMES A DAY FOR FLUID RETENTION
You have 4 refills remaining. Use this number to order a refill of this medication: 4xxxxx
FERROUS GLUC 5GR (EQV 300-325MG) TAB TAKE ONE TABLET BY MOUTH ONCE A DAY WITH FOOD FOR ANEMIA
You have 3 refills remaining. Use this number to order a refill of this medication: 6xxxxx
EPOETIN ALFA,RECOMBINANT 2000 UNT/ML INJ INJECT 2,000 UNITS (1 ML) UNDER SKIN ON MONDAY, WEDNESDAY AND FRIDAY DOSE TOBE GIVEN IN HD CLINIC: 2,000 UNITS. NORMAL DOSE RANGE 10-50 UNITS/KG. LABS:10/27/2016 HGB 6.9 L 10/24/2016 FERRITIN 187 . PHARMACY: DO NOTDISPENSE.
You have 3 refills remaining. Use this number to order a refill of this medication: 6xxxxx
AMIODARONE HCL 200MG TAB TAKE ONE-HALF TABLET BY MOUTH ONCE A DAY FOR HEART RHYTHM
You have 3 refills remaining. Use this number to order a refill of this medication: 6xxxxx
ALCOHOL PREP PAD USE 1 PAD TOPICALLY AS DIRECTED
You have no refills for this medication.
ACCU-CHEK AVIVA PLUS(GLUCOSE) TEST STRIP USE 1 STRIP FOUR TIMES A DAY BEFORE MEALS AND AT BEDTIME FOR TESTING BLOODSUGAR CHECK JUST PRIOR TO MEALS FOR INSULIN DOSING AND ALSO AT BEDTIME FORRECORDING
You have 1 refills remaining. Use this number to order a refill of this medication: 8xxxxxx
If you miss a dose, or are late on a dose, please refer to your pharmacy handout..
JOHN SMITH
My Meds (continued)
My Insulin Sliding ScaleInsulin, Aspart, Human 100 UNT/ML Injectable Solution
Take for Diabetes 3 times a day
Follow this sliding scaletable depending on bloodsugar.
IF MY BLOOD SUGAR IS:
Below 70 glucose tablet or orange juice
60 to 200 Do not take any insulin
201 to 250 Take 2 units
251 to 300 Take 3 units
301 to 350 Take 4 units
351 to 400 Take 5 units
Above 400 Take 6 units and Call your doctor.
JOHN SMITH
Additional Information about My Meds
ALLERGIES
BEANSEGGPLANTGRAPEFRUITBERRIESMELONS
MY PHARMACY
VA3801 Miranda AvePalo Alto, CA 94304TEL: (650) 493-5000
FOR PRESCRIPTION REFILLS
1) Refill by phone- 1-800-311-25112) Refill online at My HealtheVet www.myhealth.va.gov3) Refill by mail- mail your refill slips to: VA Palo Alto Health Care System Pharmacy Service (119) 3801 Miranda Ave. Palo Alto, CA 94304
Medicine Dosage Change ScheduleWednesday, December 7,
LEFT HOSPITAL
Take 40 MG of Prednisone 10 MG Oral Tablet
Thursday, December 8 Take 40 MG of Prednisone 10 MG Oral Tablet
Friday, December 9 Take 30 MG of Prednisone 10 MG Oral Tablet
Take 30 MG of Prednisone 10 MG Oral Tablet
Take 20 MG of Prednisone 10 MG Oral Tablet
Take 20 MG of Prednisone 10 MG Oral Tablet
Take 10 MG of Prednisone 10 MG Oral Tablet
JOHN SMITH
Saturday, December 10
Sunday, December 11
Monday, December 12
Tuesday, December 13
For My Health
My Diet and Nutrition Instructions
Because of your disease you should avoid excessive fluids in your diet. Fluids include all liquids thatyou drink (like water, milk, juices, tea, coffee, and soda) and anything that changes to liquid at roomtemperature (like ice cream, gelatin, and soup). To limit thirst try adding lemon to beverages, chewingsugar-free gum, or hard candies to keep your mouth moist. Any increases in your weight more than ½to 1 pound in a day usually means that you have gained fluid weight. Ask your healthcare provider or adietitian for more information about limiting fluid.
My Activity Instructions
Do not smoke. Do not lift anything.
Warning Signs
Infection: signs and symptoms include: temperature greater than 101F, chills, and/or night sweats,redness, swelling, or increased pain around the wound edges, incision, pus or bad smelling drainagefrom the wound or dressingInability to urinate, urinating frequently in small amounts, or painful urinationIncreased shortness of breathChest Pain: CALL 911
VA’s online personal health record. Veterans can find lab results,immunization records, health care team notes, current medical issues,as well as order prescription refills, see upcoming appointments andcommunicate with their care team.
To gain access to the upgraded features, please be sure to complete thein-person authentication at your nearest VA facility.