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Anesthesia "Pearls" > Herbal Medicines > Flashcards

Flashcards in Herbal Medicines Deck (9)
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1
Q

Echinacea

A

–stimulates immune system
Periop: allergic rxns, hepatotoxicity,interference with immunosuppressants (discontinue as far before surgery as possible)

2
Q

Ephedra

A

–promotes weight loss; increases energy

Periop: ephedrine-like sympathetic stimulation, MI, stroke (discontinue at least 24hrs before surgery)

3
Q

Garlic

A

–reduces BP and cholesterol

Periop: inhibition of platelet aggregation-irreversible (Discontinue 7 days before surgery)

4
Q

Ginkgo

A

–improves cognitive function, increases peripheral perfusion
Periop: inhibition of platelet-activating factor (discontinue 36hrs prior to surgery)

5
Q

Ginseng

A

–protects against stress

Periop: hypoglycemia; inhibition of platelet aggregation and coagulation cascade (discontinue 7 days prior to surgery)

6
Q

Kava

A

–decreases anxiety
Periop: GABA-mediated hypnotic effects may decrease MAC. possible risk of accute withdrawal. (Discontinue 24 hrs prior to surgery)

7
Q

St. John’s Wort

A

–reverses mild to moderate depression
Periop: inhibits serotonin, norepi and dopamine reuptake; increases drug metabolism. (discontinue 5 days prior to surgery)

8
Q

Valerian

A

–reduces anxiety
Periop: GABA-mediated hypnotic effects may decrease MAC. benzodiazepine-like withdrawal. syndrome (taper does weeks before surgery)

9
Q

Yohimbine

A

–historically used to increase sexual arousal

Periop: hypertension, sleep disturbances (dangerous when combined with sympathomimetics or MAO inhibitors)