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Preventative Med. & Nutrition > Exam #2: CAM - Complimentary and Alternative Medicine > Flashcards

Exam #2: CAM - Complimentary and Alternative Medicine Flashcards

1
Q

What is integrative medicine?

A

A combination of conventional medicine and alternative medicine

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2
Q

What are the principles of integrative medicine?

A

1) Holisitic care
2) Active learning
3) Natural healing
4) Prevention

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3
Q

What is holisitic care?

A

Treating the whole person: bind, body, and spirit.

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4
Q

What is the principle of active learning?

A

Seeing yourself as a teacher/ facilitator in practice; the patient actually produces healing

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5
Q

What is natural healing?

A

Recognizing the body’s ability to heal itself

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6
Q

What are some of the therapies that fall under the label of “integrative medicine?”

A

1) Natural products
- Herbs and supplements
2) Mind-body interventions
- Meditation
- Yoga
3) Manipulative and body-based methods
- Osteopathy
- Massage
4) Movement and energy therapies
- Pilates

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7
Q

What is the National Center for Complementary and Integrative Healthy?

A

This is a branch of NIH that researches complementary and integrative health

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8
Q

What is the whole medical systems part of the NCCIH - NIH?

A

This is where the site lists opinions on schools of thought e.g.

  • Traditional Chinese med.
  • Ayurvedic medicine
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9
Q

What are the top five most common complementary and integrative therapies?

A

1) Natural products
2) Deep breathing
3) Yoga, Tai Chi, Qi Gong
4) Osteopathic medicine
5) Meditation

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10
Q

What are the top four most common natural products?

A

1) Fish oil/ omega 3
2) Glucosamine
3) Echinacea
4) Flaxseed oil

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11
Q

What is the most important thing to remember about natural products?

A

SAFETY

  • Fall under the umbrella of “dietary supplements” i.e. no FDA regulations
  • Manufacturer does NOT have to prove effectiveness
  • Dose extremes
  • Fillers
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12
Q

What are the two main NIH safety concerns about natural products?

A

1) Drug interactions
2) Product contamination
- Drugs not listed
- Common allergens not listed

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13
Q

What are the “NIH Top 6?”

A

1) Check with your doctor for alt. medicine recommendations
2) Find out as much as you can about the provider
3) Is the new provider willing to work with your conventional provider?
4) Has the provider worked with problems like yours?
5) Don’t assume insurance will cover costs
6) Keep all providers UTD

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14
Q

What are alternative sources of omega 3’s aside from fish?

A
  • Plant foods
  • Flax seeds
  • Walnuts
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15
Q

What diseases has Omega 3 been shown to improve?

A
  • CAD
  • Depression
  • HTN
  • Lipids
  • RA

May improve cognitive function

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16
Q

What are some of the adverse consequences of fish oil/ omega 3 fatty acids?

A

1) High dose increase risk of bleeding
2) Increased blood glucose
3) Heavy metal and toxin contamination

17
Q

What part of garlic gives it it’s health benefits?

A

Allicin

18
Q

What is garlic used to treat?

A
  • HTN
  • CAD
  • Hypercholesteremia
19
Q

What is an adverse effect of garlic?

A

Bleeding–use with caution in patients already on blood-thinners

20
Q

What is glucosamine used for?

A

OA

Note that glucosamine has LESS side effects than NSAIDs

21
Q

What is a major allergen concern for glucosamine?

A

Comes from SHELLFISH

22
Q

What is a common side effect of Glucosamine?

A

Reduction in the effectiveness of hypoglycemia drugs

23
Q

What has research shown about Echinacea use for flu?

A

Ongoing NIH studies have shown it to be as efficacious as Tamiflu

24
Q

What are side effects of Echinacea?

A

May cause:

  • Allergic reactions
  • Asthma flares
25
Q

What can a side effect of Flexseed be?

A

Absorption interference with other medications

26
Q

What has Ginseng been used to treat?

A
  • Reduce fatigue in cancer
  • Antioxidant in heart disorder
  • Improves thinking and sleep

Note that short term use is recommended

27
Q

What re the beneficial components of Ginkgo?

A
  • Flavonoids (antioxidants)

- Terpenoids (vasodilator)

28
Q

What are the side effects/ interactions of Ginkgo?

A

1) Thiazide diuretics

2) ASA

29
Q

What has Coenzyme Q10 been used to treat?

A
  • Improvement of heart disease
  • HTN
  • CHF
  • PD
30
Q

What is Saw Palmetto used for?

A

BPH

31
Q

What do you need to be cautious about with Saw Palmetto?

A

Will cause INCREASED bleeding time

32
Q

How can you help your patient protect themselves with alternative medicine?

A

1) Information investigation- lead them to the best sources
2) Check YOUR attitude
3) Look for COMPLEMENTARY therapy, not complete replacement

33
Q

What are the general classes of medications that you should be especially wearing of prescribing supplements with?

A
  • Anti-coagulants
  • Arrhythmic
  • Anti-convulsants
  • Meds to prevent organ rejection

Preventative Med. & Nutrition (30 decks)

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