Heart Failure - Monitoring Weight and Blood Pressure

A rapid weight gain may be a sign that you are retaining fluid or that your heart failure condition is getting worse. You can gain weight without experiencing any signs of swelling. So, it is important for you to monitor your weight every day.

A rapid weight gain may be a sign that you are retaining fluid or that your heart failure condition is getting worse. You can gain weight without experiencing any signs of swelling. So, it is important for you to monitor your weight every day.

Weight Monitoring

It is best to:

  • weigh yourself in the morning (at the same time each day), after emptying your bladder and before breakfast
  • wear the same amount of clothes each time you weigh yourself and record it daily in your diary or chart
  • use the same weighing scale

Watch for sudden weight gain and contact your case/care manager or doctor – if you suddenly gain more than 1 kg of weight a day for three days.

Related: What is a Healthy Weight?

Measuring Your Blood Pressure

  • Record your blood pressure reading daily
  • Measure your blood pressure at the same time everyday using the same arm. Be relaxed when taking the blood pressure
  • Use the correct cuff size for accurate readings
  • Avoid drinking coffee, smoking or doing strenuous exercise 30 minutes before measuring your blood pressure
  • Sit upright with your back supported, and place both feet on the ground
  • Rest your arm on a table with the palm of your hand facing up
  • Make sure the blood pressure monitor cuff around your arm is at the same level as your heart
  • If your blood pressure reading is high, rest for five minutes before measuring it again

Contact your case/care manager, nurse or doctor if your blood pressure reading remains high after repeating it three times.

How to Read Blood Pressure

  • The higher reading is your systolic blood pressure (when your heart beats)
  • The lower reading is your diastolic blood pressure (when your heart relaxes between beats)
  • In general, the target resting level of blood pressure should be 130/80mmHg or less, if tolerated. Please check with your doctor for your personal blood pressure target.

If you are on medication for high blood pressure

  • Take your medicines regularly and as prescribed by your doctor
  • Do not double the dosage if you have missed a dose
  • Do not stop taking them even when your blood pressure is lowered

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