Patient was educated on contraindications for taking Qvar as follows:
- Elevated blood sugars
- Qvar inhalations should be used cautiously in diabetic patients, as their long-term use can result in increased insulin resistance and increased synthesis of glucose from sources other than carbohydrates.
- Increased insulin resistance and synthesis of extra glucose result in elevated blood sugars, contribute towards impaired blood sugar control, and can be detrimental in diabetic patients.
- Elevated blood sugars and poorly managed diabetes, while using Qvar inhalations should be reported to the physician for further investigation, to facilitate a change in plan of care.
- Congestive heart failure
- Qvar inhalations should be used cautiously in individuals with congestive heart failure, as they can result in retention of sodium and water, which adds extra load to an already failing heart.
- This can result in unresolved edema and worsening symptoms of heart failure, such as, exacerbation of shortness of breath.
- Any such findings should be reported to the physician, to facilitate a change in the plan of care.
