Module 3: Alternative Therapies Flashcards

1
Q

Complimentary medicine

A

Therapies+ traditional medicine

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2
Q

Alternative medicine

A

Alternative therapies used insertad of traditional medicine.

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3
Q

Who monitors dietary supplement regulation

A

DSHEA
Dietary Supplement Health and Education Act of 1994

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4
Q

Weaknesses of DSHEA

A

Testing not required for marketing
Proof of efficacy not needed by manufacturer
Labels not monitored for accuracy

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5
Q

Synergistic reactions

A

Effect of two chemicals taken together is greater than sum of separate effect at same doses.

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6
Q

Additive/Agonistic

A

Effect of two chemicals is equal to sum of effect of two chemicals taken separately

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7
Q

Antagonistic effect

A

May reduce effectiveness of 1+ of the drugs

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8
Q

Interacting supplements with chemotherapy

A

St. John warts
Ginseng
Kava
Cranberry

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9
Q

Interacting supplements with oral contraceptives

A

St Johns wart
Kava

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10
Q

Interacting supplements with
Antiviral meds for HIV infection

A

Garlic
St. John’s wort
Ginseng
Cranberry

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11
Q

Interacting supplements with diuretics

A

Ginkgo
Ginseng
Kava
Cranberry

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12
Q

Interacting supplements with digoxin

A

St. John’s wort
Ginseng
Ginger

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13
Q

Interacting supplements with anticonvulsants

A

Ginkgo
St. John’s wort
Valerian

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14
Q

Interacting supplements with hypoglycemic agents

A

Garlic
Ginkgo
Ginseng
Cranberry

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15
Q

Interacting supplements with anticoagulants, NSAIDS, anti platelet agents

A

Garlic
Ginkgo
St. John’s wort
Ginseng
Saw palmetto
Ginger
Cranberry

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16
Q

Soothes burns

A

Aloe

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17
Q

Actions of aloe

A

Anti inflammatory
Analgesic
Laxative

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18
Q

Adverse effects of aloe

A

Oral-fluid and electrolyte imbalances from diarrhea
Abdominal cramping

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19
Q

Contraindications of aloe

A

Avoid in kidney and cardiac disorders

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20
Q

Interaction with aloe

A

Avoid with digoxin and diuretics (lowers potassium)
Can increase warfarin effects (bleeding)

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21
Q

Patient teachings for aloe use

A

Monitor for s/s of fluid and electrolyte imbalances if taking as laxative

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22
Q

What herbal remedy is used form menopausal symptoms such as hot flashes, PMS, hormones

A

Black cohosh

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23
Q

What hormone does black cohosh substitute

A

Estrogen

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24
Q

Adverse effects of black cohosh

A

Gi upset
Vaginal bleeding
Hepatitis
Blood thinning

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25
Contraindications of black cohosh
Pregnancy Breast cancer Kidney disease Liver disease
26
Interactions with black cohosh
Increases effects of: Anti-hypertensives Estrogens BCP Hypoglycemic risk if taking insulin Avoid: Statins Tylenol Methotrexate
27
What herbal supplement is commonly used for the common cold and boasting immunity
Echinacea
28
Actions of echinacea
Treat viruses Activate immune system
29
Adverse effects of echinacea
Bitter GI upset Fever Allergic reaction
30
Contraindications for echinacea
Immunocompromised
31
What herbal supplement is used for migraines and arthritis
Feverfew
32
Actions of feverfew
Block platelet aggregation Blocks factor causing migraines
33
Adverse effects of feverfew
GI upset Aggravate bleeding Post fever few syndrome (do not withdraw abruptly in order to avoid)
34
Contraindications of feverfew
Blood thinners Pregnancy Surgery (dc 2 weeks prior)
35
What dietary supplement is used to reduce atherosclerosis, hyperlipidemia, and hypertension
Garlic
36
Actions of garlic
Release enzyme allicin Blocks LDL Increased HDL Suppresses platelet aggregation Vasodilation
37
Adverse effects of garlic
GI upset, bad breath, body order, increase bleeding
38
Contraindications of garlic
NSAIDS Heparin Warfarin Hemophilia Surgery (stop 2 weeks prior)
39
What herbal supplement helps with nausea, upset stomach, morning sickness, and motion sickness
Ginger root
40
Action of ginger root
Relives vertigo and nausea Increases gastric motility Decreased GI spasms Suppresses platelet aggregation
41
Adverse effects of ginger root
Increased bleeding with blood thinners Hypoglycemia with diabetic drugs
42
Contraindications of ginger root
Increase risk of miscarriage Risk of bleeding with blood thinners
43
What herbal supplement has blood thinning effects
Ginkgo biloba
44
Actions of ginkgo biloba
Vasodilation Decreases platelet aggregation Increased blood flow to brain
45
Adverse effects of ginkgo biloba
GI upset Possible seizures
46
Contraindications of ginkgo biloba
Blood thinners Antihistamines Antidepressants Antipsychotics Epilepsy
47
What herbal supplement is used for osteoarthritis
Glucosamine
48
Actions of glucosamine
Stimulates cells to make cartilage and synovial fluid Suppresses inflammation of joins
49
Adverse effects glucosamine
Nausea Heartburn Bleeding
50
Contraindications of glucosamine
Shellfish Anticoagulants
51
What herbal supplement is used for insomnia, anxiety, and muscle cramping
Kava
52
Actions of kava
Acts on GABA receptors of CNS Promotes sleep Decreased anxiety Muscle relaxant
53
Adverse effects of kava
Dry, flaky skin Liver injury with large doses
54
Contraindications of kava
CND depressants, ETOH
55
What herbal supplement is used for mild pain and depression
St. John’s wort
56
Action of St. John’s wort
Increase serotonin Reduces pain and inflammation
57
Adverse effects st John’s wort
Dry mouth Lightheadedness Constipation GI upset Skin rash with sun exposure
58
Contraindications of St. John’s wort
Antidepressants Amphetamine Cocaine
59
Patient teachings for use of St. John’s wort
Avoid excessive sun exposure
60
What herbal supplement is used for benign prostatic hyperplasia
Saw Palmetto
61
Action of saw palmetto
Decrease prostate enlargement
62
Adverse effects saw palmetto
GI upset Blood thinning
63
Contraindications saw palmetto
Pregnancy X Finasteride Anticoagulants
64
What herbal supplement is used for insomnia and anxiety
Valerian
65
Action of valerian
Increase GABA system
66
Adverse effects of valerian
Drowsiness Lightheadedness Depressive effects Risk of dependency
67
Contraindications of valerian
Pregnancy Breastfeeding CNS depressant ETOH Mental health disorders
68
Patient teachings with valerian
Patients should know how the supplement makes you feel prior to driving.
69
What herbal supplement is used for hypertriglyceridemia, reducing risk of MI and stroke,enhance brain function, enhance visual acuity, and inflammatory conditions
Omega 3 fatty acids
70
Actions of omega 3 fatty acids
Blocks production of thromboxane, prostaglandins, and leukotrienes
71
Adverse effects of omega 3 fatty acids
Belching GI upset Fishy taste Arthralgia
72
Contraindications of omega 3 fatty acids
Pregnancy category C Fish/ seafood allergy
73
Patient teachings with omega 3 fatty acids
Ask about allergies (Fish/seafood allergy)
74
What herbal remedy is used for improved memory, Alzheimer’s,erectile dysfunction, increasing sexual stimuli, fatigue in those with MS
Ginseng
75
Actions of ginseng
Ginsenosides
76
Adverse effects of ginseng
Insomnia Hypoglycemia Bleeding
77
Contraindications of ginseng
Pregnancy Bleeding disorders Warfarin Autoimmune conditions
78
Patient teachings for ginseng
S/s of toxicity Should not be taken longer than 3 months.
79
Which herb supplement is used for pain, fibromyalgia, neuropathies, cachexia
Cannabis
80
Actions of cannabis
Activates cannabinols receptors.
81
Adverse effects of cannabis
Increased heart rate and appetite Sleepiness,dizziness Dry mount and eyes Hallucination Paranoia Anxiety Impaired attention Dependency
82
Xontrajndications of cannabis
Asthma Cardiac disease