Apex- Herbal supplements Flashcards

1
Q

4G drugs that increase bleeding tendency

do they increas the risk of spinal hematoma?

are they contraindications to regional?

A

Garlic
Ginger
Ginseng
Ginko Biloba

no

no, as long as they arent on other OACs

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2
Q

2 supplements known to reduce MAC due to their increased GABA actions

A

kava kava & valerian

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3
Q

St. John’s Wort is considered an SSRI
SSRI’s are generally considered enzyme inhibitors
how is St. John’s Wort different?

A

it INDUCES CYP 3A4

3A4 inducers = “ERS has TB, C!” ; inhibitors = “CAGES”

3A4=
Opioids: fent, su, al; methadone
Locals: **Lido, BPV, **Ropi
Benzos: Midaz & Diaz

Bold= high hepatic extraction ratios (blood flow dependent)
italic = low ERs (enzyme depdendent)

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4
Q

What is Saw Palmetto used for and what’s the risk

A

BPH, increased bleeding

no data on how long to stop it before surgery

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5
Q

How long to stop St. Johns Wort prior to surgery

A

5 days

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6
Q

T/F: there are no currentguidelines that say surgery must be postponed in the patient taking an herbal supplmement

A

True

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7
Q

Match the following supplements with their beneifit:

Garlic, Ginger, Ginseng, Gingko Biloba

Anti-aging, poor circulation
Antioxidant
Nausea
Anti-platelet, HTN, HLD

A

Anti-aging, poor circulation → Ginko Biloba
Antioxidant → Ginseng
Nausea→ Ginger
Anti-platelet, HTN, HLD → Garlic

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8
Q

Match the following supplements with their benefit:
Kava Kava, Licorice, Saw Palmetto, St. John’s wort

Depression
BPH
Anxiety
Gastric and duodenal ulcers

A

Depression → St. Johns Wort
BPH → Saw Palmetto
Anxiety → Kava Kava (and Valerian)
Gastric and duodenal ulcers → Licorice

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9
Q

Ingestion of what supplement can mimic conns syndrome

A

Licorice

mimics aldosterone

increased sodium and water retention
decreased K and hydrogen

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