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Flashcards in Herbs Deck (54):
1

What are indications for Garlic use

anti-lipedemic anti-microbial anti-inflammatory anti-asthmatic

2

What components of Garlic potentiate bleeding?

ajoene allicin sulfur containing compounds

3

What portion of garlic causes the potent smell

allicin

4

How does garlic cause anti platelet effects

acts on arachidonic pathway

5

What are indications for Gingko use

Brain stuff- prevent decreased cerebral function peripheral vascular insufficiency with Alzheimers disease improve memory

6

What are indications for Ginseng use

Anti-cancer, slows again prevent heart attack reduce hypertension improve digestion strengthen immunity CNS stimulant

7

What are indications for ginger use

motion sickness decrease arthritis pain and inflammation upset stomach

8

What are indications for feverfew use

anti-inflammatory (RA) fever reduction prevent migraine muscle soreness

9

What are indications for use of fish oils

skin disorders cardio protection diabetes headache immune support memory PMS ulcerative colitis

10

What are the indications for St. John's Wort

depression

11

What are the indications for Vitamin E use

Antioxidant

12

What are the indications for use of Echinacea

common cold cough bronchitis

13

What are the indications for Kava-Kava

anxiety stress relief muscle tranquilizer

14

What are the indications for use of Licorice

GI disorders antitussive apthous ulcers herpes simplex

15

What are the indications for use of Valerian

sedative anxiety depression

16

What are the active ingredients of Gingko

Terpenoids

17

What are the active ingredients of Ginseng

Ginsenosides

18

What are the active ingredients of ginger

pungent principles volatile oils proteolytic enzymes

19

What are the active ingredients of feverfew

sesquiterpene lactone parthenolide

20

What are the active ingredients of St. John's wort

hyperforin hypericin flavanoids tannins

21

What active ingredient of St. John's Wort is involved with neurotransmitter reuptake

Hyperforin

22

What active ingredient of St. John's Wort induces cytochrome P450

hypericin

23

What active ingredient of St. John's Wort is involved with bleeding

hypericin

24

What herbs alter efficacy of warfarin

Few E G's

25

medications with what therapeutic range are at a greater risk for adverse HDS-drug interactions

narrow therapeutic range

26

What herb decreases effects of corticosteroids

echinacea

27

What herb causes apthous ulcers and irritation to the oral mucosa

feverfew (15% of pts)

28

What HDS potentiate effects of CNS depressants

Kava-Kava, Valerian

29

What HDS are contraindicated with pregnancy

Feverfew, Kava-Kava, Licorice

30

What herb causes hypertension

licorice

31

What vitamin effects Vitamin K on clotting factors

Vitamin E

32

How long do you hold herbal use prior to surgery

14 days

33

What herb causes difficulty to awaken after anesthesia

St. John's Wort, Kava-Kava

34

Two websites for reliable herbal information

CAM on PubMed and naturalstandard.com

35

What is important to know about a patients herbal use

is it in place of or as an adjunct to conventional treatment

36

What are some of the most popular products used by adults according to 2007 survey

fish oil, glucosamine, echinacea, flaxseed, ginseng

37

What are the most common supplements used according to 2007 survey

multivitamins, Vitamins E and C, calcium, B-complex vitamins

38

Who is at most risk for adverse HDS-drug interactions due to polyherbacy and polypharmacy

geriatric

39

What drug is the most commonly involved in HDS-drug interaction

warfarin (Coumadin)

40

Most common reasons for supplement use among adults

improve general health, arthritis, colds, memory

41

What drugs report the most HDS-drug interactions

warfarin, insulin, aspirin, digoxin, ticlopidine

42

From vitamins, minerals, and herbs... which is most likely to be the cause of HDS-drug interactions

herbs

43

Would you say patients are aware or unaware of adverse bleeding effects of supplements?

unaware

44

What 2 effects does garlic have on platelets?

anti platelet by inhibiting PAF and adenosine

45

Which drug has a risk for severe spontaneous bleeding with concurrent aspirin use and warfarin

Ginkgo

46

In what ways does ginseng cause anti platelet effects?

inhibit PAF, thrombin and thromboplastin

47

What potentiates bleeding with aspirin, NSAIDS, warfarin and heparin

ginseng

48

What herb causes increased photosensitivity and irritation to oral mucosa and tongue

feverfew

49

How much fish oil do you have to take to increase risk for hemorrhagic stroke?

a crap ton

50

What herb is involved with 5-HT reuptake inhibition?

St. John's wort

51

What herb reduces effect of warfarin and lowers INR

St. John's wort

52

What herb renders oral contraceptives ineffective

St. John's wort

53

What supplements are hepatotoxic

echinacea, Kava-Kava

54

What are dental considerations with patients on supplements

synergistic drug effects with aspirin and NSAIDS, monitor patients on warfarin, cross reference all prescriptions to avoid HDS-drug interaction