Patient/caregiver was educated on precautions to be exercised while taking Fluticasone as follows:
- Fluticasone should be cautiously administered to individuals with history of congestive heart failure. Fluticasone, being a steroid, carries the risk of sodium and water retention in the body, which can add extra load to an already failing heart, in individuals with history of congestive heart failure. Closely follow for signs and symptoms of worsening heart failure, such as, episodes of dizziness, fatigue, chest congestion, exacerbation of shortness of breath, dyspnea even at rest, irregular heartbeat, edema, and abnormal weight gain. Report any such findings to your physician immediately, so that, an alternative plan of care could be considered and necessary changes made to your plan of care. Individuals with heart failure must observe compliance with antihypertensive and diuretic medications prescribed. Observing compliance with fluid and dietary limitations recommended can help with better control of CHF symptoms.
- Fluticasone must be cautiously used in individuals with history of ulceration and non-healing wounds in the nasal and oral cavities. Fluticasone, being a steroid, acts as an anti-inflammatory and opposes the natural body defenses, thus contributing to poor wound healing. Closely follow for development of any new ulcers and signs and symptoms of poor healing of existing ulcers in the nasal and oral cavities, such as, nasal crusting, recurrent episodes of bleeding from the ulcers, progressive thinning of the cartilage in the nasal septum leading to perforation, and infection of the ulcers with foul smell and drainage. Report any such findings to your physician immediately, so that, an alternative plan of care could be considered and necessary changes made to your plan of care.
