Key nursing considerations include accurately measuring and recording vital signs, weight, oedema extent and skin condition, respiratory rate and ease, pulse oximetry, and fluid balance. Nurses also record ECG and continuous cardiac monitoring, secure IV access, obtain relevant blood samples, administer prescribed oxygen, diuretics, and symptom relief, and refer to the heart failure team for specialist drugs. Care follows organizational procedures and is determined by the MDT, with any changes in the person's condition reported promptly.

Key points

Accurately measure and record vital signs, weight, respiratory rate, rhythm, ease of breathing, and pulse oximetry.
Assess the extent of any oedema and the condition of the skin.
Record ECG and commence continuous cardiac monitoring according to local protocols.
Secure IV access and obtain relevant blood samples.
Administer and record prescribed oxygen therapy, diuretic therapy, and other symptom-relief medications.
Restrict fluid intake normally to 1.5–2 L/day and accurately record fluid input and urine output.
Refer to the heart failure team for optimization of treatment, including specialist drugs such as sacubitril/valsartan and SGLT2 inhibitors, and promptly report any changes to the MDT.

What are the key nursing considerations for a person admitted to hospital with heart failure?

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