ࡱ> kmj%`  bjbj"x"x 8V@@e:::N8  N5)"""""((((((($1+h-(:g"(""E(!!!|R":"(!(!!h$":$" `&9`j_ d$%)05)$,'.i '.$'.:$d!(('!^5)NNNNNNNNN Heart Failure Symptom Tracker Every day, watch for signs and symptoms that you are retaining water/fluid CALL your doctor for: Weight gain of 3 pounds overnight OR 5 pounds over 5 days Worsening symptoms (swelling, breathing, fatigue, lightheadedness, heart racing) DateMissed MedicinesWeightBlood Pressure & Pulse Blood Sugar (if diabetic)Symptoms OR CommentsSu M T W Th F Sa  DateMissed MedicinesWeightBlood Pressure & Pulse Blood Sugar (if diabetic)Symptoms OR CommentsSu M T W Th F Sa      12.07   )k      $ % , : ɺth_SJSh:hGhG5CJOJQJaJhBb5OJQJhGhBb5OJQJhG5OJQJhGhG5OJQJhIhG5OJQJhGCJOJQJaJhsOhGCJOJQJaJh~hGCJOJQJaJh~hG5CJOJQJaJh~h~CJOJQJaJh~hGCJ$OJQJaJ$"h~hG5>*CJ$OJQJaJ$*jhBbCJOJQJUaJmHnHu k    % , = F S a m v $$Ifa$gdGgdG^gd# ^`gd# & FgdGgd~$a$gdBbe y ~ : < = E R S a i u w y {  ŹŚŚŚŚŚŚzqzqzazqzqhGhBb5CJOJQJaJhBb5OJQJhGhBb5OJQJhIhBb5OJQJh~OJQJhIOJQJhcishGCJOJQJaJhGOJQJhIhG5OJQJhIhI5OJQJhsOhG5CJOJQJaJhI5OJQJhG5OJQJhGhG5OJQJ&v w z /# $$Ifa$gdGkd$$IfTl@ֈ& X*(qGQ t0d+644 laytPVTz { | } ~  $IfgdG /## $$Ifa$gdGkd$$IfTlֈ& X*(qGQ t0d+644 laytPVT $IfgdG /## $$Ifa$gdGkd$$IfTlֈ& X*(qGQ t0d+644 laytPVT $IfgdG /## $$Ifa$gdGkdO$$IfTlֈ& X*(qGQ t0d+644 laytPVT $IfgdG /## $$Ifa$gdGkd$$IfTlֈ& X*(qGQ t0d+644 laytPVT $IfgdG /## $$Ifa$gdGkd$$IfTlֈ& X*(qGQ t0d+644 laytPVT $IfgdG /## $$Ifa$gdGkd$$IfTlֈ& X*(qGQ t0d+644 laytPVT $IfgdG /* $$Ifa$gd`$gdGkdc$$IfTlֈ& X*(qGQ t0d+644 laytPVT  ! $$Ifa$gd`$  " & , / 5 8 > A G K Q T Z ^ d e f h i k l n o q w x y z { | } ~  ƿh`$ hBbhBb%jP hBbhBbCJ$OJQJUaJ$hBbh0h ,hShjhShU hGhIh~OJQJhIh~5OJQJhBb5OJQJhGhBb5OJQJhsOhBb5CJOJQJaJ$! " % /# $$Ifa$gd`$kd($$IfTl@ֈ% W*(qGQ t0a+644 laytPVT% & ' ( ) * + $Ifgd`$+ , . / /## $$Ifa$gd`$kd$$IfTlֈ% W*(qGQ t0a+644 laytPVT/ 0 1 2 3 4 $Ifgd`$4 5 7 8 /## $$Ifa$gd`$kd$$IfTlֈ% W*(qGQ t0a+644 laytPVT8 9 : ; < = $Ifgd`$= > @ A /## $$Ifa$gd`$kdw$$IfTlֈ% W*(qGQ t0a+644 laytPVTA B C D E F $Ifgd`$F G J K /## $$Ifa$gd`$kd< $$IfTlֈ% W*(qGQ t0a+644 laytPVTK L M N O P $Ifgd`$P Q S T /## $$Ifa$gd`$kd $$IfTlֈ% W*(qGQ t0a+644 laytPVTT U V W X Y $Ifgd`$Y Z ] ^ /## $$Ifa$gd`$kd $$IfTlֈ% W*(qGQ t0a+644 laytPVT^ _ ` a b c $Ifgd`$c d e g h /*((gd~kd $$IfTlֈ% W*(qGQ t0a+644 laytPVTh j k m n p q w x y z | } ~  gd~gdBb$a$gd ,6&P1h:pG/ =! " #h$@%h $$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl@ td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5o525D5\#v#v!#vo#v2#vD#v\:Vl td+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl@ ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT$$If!vh55!5n525D5Z#v#v!#vn#v2#vD#vZ:Vl ta+655(5q5G5Q5ytPVT Dd  "!N  C *Aj03666182k5txG `!?5tx)VO~* xڍtUgg9`E ))ZnAb-ARxE Cq+V܊4H&{ Y>ă$:;_Ɍߎ o /_WzGwWU ?wxz¿ޭA {7>q|;+}CZ_-!nO&nK/PGS#?}UuR>=X_\~'9 >c '$G!_ `H#,[$դ~4oi})kZBEI?G!Rʷ T%gF>gαQ`<ϳh^Z oy'|wdm;j{N8Wq~|\q&I>ג.^zP.EW}]`9a1be',`\%g;q2_q#9= PR/.!UO MXOPXиan!_ 8,XعjUsGk>O -jϢ: >)g+s^~E2N8RI3)J{&yCҗ:H.c9B'p?: Ѭ:C`WbZ;? /t8øM8Xd< ԗsP.Ggjө>/+TO٘\NRpj/L>N%w IBI@莏7h?B́4k_:~%=QBy>Ƈ4iܛڳHϦO.<' R# 0H+*8O?7(Kq(L>0YG7ZͿ*ܴ23=ڰ<ϟ.~!]12 4{&Hͣ_ctѵ;}99f}y"R|S.9Fg~Qڍjo>ߘW0V w޼XO}ʽ"ObrnJ'(yb{r![Lj:a?޲هė9 p?}4QǗa7~]ٷ5'tϵmٛ|nS'd l99Sn䙭jIxer RO<1.Sie1V`6''c}Hl|roYq:ӷ>LX~,.Fq؊]I$K~Pή9Lr{!of|2Zshݠ=// 1ٚY'a3ކ ks*])S:q^]w=vÚv NK 7i)|K5a$UTQqBa&}(!,]M7tNzQLOPE=I,qb R=9BWOVVNZ hlѲ*&K,2Bd9iO6梴iġi#d 6ƥ4| [(AQPV+sEV3}1]zc6Q~lHi/]d4RVIaI"9/ۧ,]ǿLzOGvДA%Rx:&$h3{bxOڟ_7^S88l\4zw*xه#![~f1_KHj"ըt2~%O钤uK-]IZhj=.U0x^;1.pą=xmŭ:.tiO]]Q7eMO1U.tO1;g3ҍƤw\Y|E! z 4졭#` uT".4ZЊ>T |Ѕ2B/#?tU>Du:׳Υ:Cw2vwx6"C/I9 pUksKF~ ^,"Y7'h@mtBs#D.uekm`-։bug̀ev~]˄\MN2qǰdc#Wȵ46Q4uԊPa:IH$^?%'x~*;) n$etfqo^:Bg ͨ+TPC!E:rP BesmF4vi{ZQ4B;S;BؚAPD#iI7%.H:桟J sML!0W= Z:e|6'[Dq햋JJEkFz)$攔Z^^KS&=L2\+Fp<36ZEkZ3lM(;7MF8n\a 4BЍĦ| p °ճաؒ+ņ$A I$k#ɢ$H8+d앳F^,cv֞RW?.5<Ɠd usvPXγ`9۬ Z3xz_2O `ޘ sFb2cuΆ-\ۮbyCnIQ9kl$3@-Ψ,e+¦o(FSn25G].hIfYE@^B% ?v0ke}x i?۸;HQTRJ 5F?~A1&[ /#&ؚ°HKAXCy!EZiůaK w<{bG&Z| e:/q3d)V:Z2 ÇrRH-@Ԇ B䑹vsZ_MT2LIkۤ.:ݧ/0ݲ۩$Hɱ&A.<5~8a'߅Uf3N}9NL CwO\su'Mv b|G6) C"q%2wxF~;r c$kJʠ)Vڊh/`D {-aU%W#\pΡ8iA0ab:W._cU[Sq #byplSea*hL f=]'tn%F\g':s@L4ƫRlXL9d1a0BZZђ&]cj^iv-ѽ8KyJ&*B %d>d 6]װJ.ϒ8Yh]$o9&dcdnIQh8\mj35/MMĪ&>|e43b6 TAoh3:fY P(,氐\ZBH'|jHp.ĵ8c{;*ak|\a)5:ꚢM94i]utTY싛7ѯpFa h=,0'Io܅rNj/atn~pH3W[SiC-ŵՁV59cOLOT_n@*yq\WɹWwJ6 |,PP֑WB)ǥ%%bαg܀k:j`3Dj۵v m:RM.Ў}VEW$f1j{þ5z-涕@Ȏ V b(U BEaZլi?24N"W?6e9׫Y@ ] A=| oH`J M5<:H+RJyuF[) $YՎ]vAs9aVy%.ԔT1T'PGCy%`*Cش<%2"'ce'S鰑zCVtSmVk4'3E(lƢTʢ+G4 lʆ \$VA!Xa-`K'.8b`8X QLVbS+j+ M5nT CWPU'B9kk(5FKUh-]-tv.:*G{M?4XLHjE GSl'u$.Uj;0DnH3Lu JzLn4:Xۼ0 ;|Siy8l9jzOSC_JSc Mgp-`ui:@kLh+Sj;J !X8 c0N@ zY!@C&'!Ebzeg' u1S#!JK@M:^'| = U3>,j3»&a\U*↑V̝;5oC¸yƝ_rR޴_ŧe?$7xd6.եhI'=yo-t5YH9}OmǩJ rw /~\ =bO}flgLW1/,Z 쉍[e"pںCT,bAp>L.  L3C>`;p.4 N1B|'.tAoxAQmj2TӅSu9Uu=El*QGESCKR.bE16O.NtERHY(K  c:$0kZc@IlH8(phuA@[( %/X3h}uLʥ .F Rmn%{|G9qMa<#7ͫ:3|  F8ˇJ_wRx?|zτ!Fy^ P,ɟ`}nb.'H\Nj, *٨42&qhwL{R.wUtB1zԭi}^k Aʐ, U)p2[2Œ\A,Ŵ草PIӽ+.un@ABCDEFGJKLMNOPQSTUVWXYZ]^_`abcdeghjkmnpqwxyz|}00 0 0@0@0@00 00 0 00 00 00 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 00 0 00 00 00 @0 @0@0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 0X00X00X00X00X00X00X00X00@0X00X00 0P00X%vw !"+,YZ]^_`abcd00^00000000 00x00(f00(f @00 0000 0 0 0 00 000 0000 @00 00x,@000 ,0000@0000000@0  00  :   v z ! % + / 4 8 = A F K P T Y ^ c h    !"#$%&'()*~ 8@(  b  C "` B S  ?)J-|tGIeegghhjkmnpqxy}eegghhjkmnpqxy} <=RSvwz!"deegghhjkmnpqvxyeegghhjkmnpqxy9( 8^8`CJOJQJo(hHpp^p`OJQJ^Jo(hHo@ @ ^@ `OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hHPP^P`OJQJ^Jo(hHo  ^ `OJQJo(hH9         0_$sOp6W/CWM*ncis$;x#PVG`$zSh ,BbSaI~%,Favw{|}~ !"&'()*+,/01234589:;<=>ABCDEFGKLMNOPQTUVWXYZ^_`abcd@8 p@UnknownS: Times New RomanTimesUSymbolTimes New RomanI& : Arial HelveticaCFComic Sans MS5& zaTahoma?5 z Courier NewI WingdingsSymbol"1h&F&F&[ [ Y hx4ddd2QHX ?G2Heart Failure Symptom Trackerapeterso Ruth Ferguson Oh+'0 ,8 X d p | Heart Failure Symptom Tracker apeterso Normal.dotRuth Ferguson2Microsoft Office Word@F#@@@]j_@]j_[ ՜.+,0 hp  Centura Healthd' Heart Failure Symptom Tracker Title  !"#$%&'()*+-./0123456789:;<=>?@ACDEFGHIJKLMNOPQRSTUVWXY[\]^_`acdefghilRoot Entry F`;`j_nData ,]+1TableB7.WordDocument8VSummaryInformation(ZDocumentSummaryInformation8bCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q