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this mnemonic is known as unload fast u stands for upright or sit upright n stands for nitro or nitrates l stands for lasix lasiks are diuretics that we use to help to control the amount of volume thats inside the intravascular spaces for these patients o stands for oxygen some patients in congestive heart failure need supplemental oxygen a stands for amino flame aminophylline is a medication used to help improve breathing d stands for digoxin digoxin is a medication thats helped to improve the hearts ability to squeeze and pump out blood f stands for fluids in our congestive heart failure patients we want to decrease the amount of fluids in the intravascular space a stands for afterload or decrease the afterload you can help the heart to beat more efficiently s stands for sodium what we want to do is we want to teach our patients to use lower amounts of sodium in their diet finally t stands for tests these are tests that youre going to do for your patient