pharm lecture 4 medicine

Question 1

Complementary medicine

Answer 1

used together WITH conventional medicine

Question 2

alternative medicine

Answer 2

used in PLACE OF conventional medicine, takes a holistic multibody approach

Question 3

conventional medicine

Answer 3

focuses on physical components of the ill patient, emphasis placed on diagnosis and cure based on physical symptoms

Question 4

CAM

Answer 4

complementary and alternative medicine

Question 5

why has the use of CAM increased? -4

Answer 5

~overall dissatisfaction with conventional health care
~desire for greater control over one’s health
~need to blend cultural and philosophical congruence with personal beliefs
~belief in the effectiveness of alternative therapies

Question 6

therapeutic objectives {major areas} -5

Answer 6

~anxiety
~pain
~illness
~depression
~insomnia

Question 7

reasons for acupuncture/acupressure -3

Answer 7

~ pain
~migraines
~anesthesia

Question 8

reasons for yoga -3

Answer 8

~forces in correct balance and flow
~concentration, strength, flexibility, symbolic movements
~breathing, movements, and posture

Question 9

reasons for tai chi -3

Answer 9

~promoted flow of energy
~reduces sx. of fibromyalgia
~used in cardiac rehab programs

Question 10

reiki

Answer 10

it is based on the idea that an unseen “life force energy” flows through us and is what causes us to be alive

Question 11

biologically based therapies -4

Answer 11

~dietary therapies
~aromatherapy
~herbs
~vitamins

Question 12

how does the FDA categorize herbs

Answer 12

as a food and nutritional supplements NOT as drugs

Question 13

dietary supplement health and education act of 1994 -3

Answer 13

~package labeling
~adverse effects
~impurities, adulterants, variability

Question 14

current good manufacturing practices -2

Answer 14

~require quality control procedures
~labeling to reflect active and inactive ingredients

Question 15

dietary supplements and nonprescription drug consumer protection act prevents -5

Answer 15

~deaths
~hospitilizations
~life-threatning experiences
~persistant or significant disabilities
~birth defects

Question 16

USP

Answer 16

U.S. pharmacopoeia

Question 17

private quality certification programs ensure -6

Answer 17

~CGMP
~purity
~identity
~potency
~dissolution
~accuracy of labeling

Question 18

what an RN needs to know about herbals -3

Answer 18

~may delay important diagnoses and treatment
~make certain MD or PCP is aware of patients use of herbals
~what to assess and instruct patient regarding herbal therapy

Question 19

goal of RN and herbals

Answer 19

is to help patients be informed consumers

Question 20

ginko biloba

Answer 20

reduces memory problems, dementia, peripheral vascular disease

Question 21

ginko biloba SE

Answer 21

bleeding when used with anticoagulants

Question 22

garlic

Answer 22

lowers cholesterol, lowers BP, natural antibiotic

Question 23

garlic SE

Answer 23

causes blood sugar to drop, can cause bleeding

Question 24

ginger root

Answer 24

used to treat nausea or joint pain

Question 25

ginger root SE

Answer 25

bleeding, decrease BP, irregular HR, decrease blood sugar

Question 26

feverfew

Answer 26

threat migraines, start prophylaxis

Question 27

feverfew SE

Answer 27

bleeding, uterine contrations

Question 28

echinacea

Answer 28

builds immunity, wound healing

Question 29

echinacea SE

Answer 29

immune system suppression

Question 30

St. Johns Wort

Answer 30

ease mild to moderate depression

Question 31

St.Johns Wort SE

Answer 31

Contraindicated for major depression, do not use with other antidepressants

Question 32

valerian root

Answer 32

used to help sleep, safe but ineffective

Question 33

valerian root SE

Answer 33

potentiates CNS depressant

Question 34

kava

Answer 34

relieves anxiety, promotes sleep, relaxes muscles

Question 35

kava SE

Answer 35

liver damage

Question 36

ephedra

Answer 36

damages heart and CNS, banned from U.S.

Question 37

mind-body interventions -5

Answer 37

~yoga
~medication
~spirituality
~relaxation
~guided imagery

Question 38

hippotherapy

Answer 38

equine therapy {horse}

Question 39

nurses role -3

Answer 39

~educate the public
~teach signals of fraudulent practice
~avoid fake “healers”