Fill in, then print

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Patient's name Date Your usual (dry) weight, kg Fluid limit per day If weight rises, do this

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Every morning

Weigh yourself after passing urine and before breakfast, in similar clothes, on the same scale.
Write the weight down.
Check your feet and ankles for swelling.
Take your medicines.

A 14-day weight record is on the printed sheet. Press Print to get it.

Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7
Day 8	Day 9	Day 10	Day 11	Day 12	Day 13	Day 14

Call your doctor the same day if

Your weight has gone up by more than 2 kg in 3 days, or by about 1 kg a day for two or more days
You are more breathless than usual, or need more pillows to sleep
Swelling of the feet, legs or stomach area is increasing
You have a new cough at night, or you are more tired than usual
You feel light-headed, or you are passing much less urine
Your weight has fallen by 2 kg in 3 days: the diuretic dose may be too high

Fluid builds up in the body before you feel breathless. The scale shows it first.

Salt

Keep total salt below 5 grams a day: about one level teaspoon, including the salt used in cooking.
Do not add salt at the table.
Avoid pickle, papad, namkeen, chutney powders, sauces, salted snacks, and packaged and restaurant food.
Fizzy antacid salts and tablets that fizz in water are high in sodium. Avoid them.
Do not use "low sodium" salt substitutes unless your doctor agrees. They contain potassium, which can rise dangerously with heart medicines.

Fluids

Follow the limit your doctor has written above. Not everyone needs a limit.
Count everything: water, tea, milk, buttermilk, soup, juice.
In very hot weather, or with vomiting or loose motions, ask the doctor: you may need more fluid and a smaller diuretic dose for a few days.

Medicines

Do not stop or skip heart medicines, even when you feel well.
Take the tablet that makes you pass urine (the diuretic) in the morning. If there is a second dose, take it in the early afternoon, so that sleep is not disturbed.
Avoid painkillers such as ibuprofen and diclofenac. They hold salt and water in the body and harm the kidneys. Paracetamol is the safer choice.
Tell every doctor and chemist that you have heart failure before taking any new medicine, including cold remedies and steroids.

Living well

Walk or stay active every day, as much as is comfortable. Rest when breathless.
No smoking or tobacco. Keep alcohol to a minimum, or none if your doctor says so.
Take the influenza vaccine every year and the pneumococcal vaccine once.

Emergency

Severe breathlessness at rest, or you cannot speak a full sentence
Chest pain or pressure
Coughing up pink, frothy sputum
Loss of consciousness, or lips turning blue

Call 108 or go to the nearest hospital with a cardiac emergency service. Caspian has no cath lab, intensive care unit or emergency department.

Questions about this sheet? Call Caspian Healthcare reception on +91 89193 41154. A doctor is on duty at all hours for problems that are not critical. Caspian has no emergency department: in an emergency call 108.

Where this comes from

Prepared by Caspian Healthcare from the sources above. Last reviewed October 2026. General information: your own doctor's written instructions come first.