ch 10 - use of dietary supplements (focus on herbals) Flashcards
what meds/herbal supplements should be stopped 2-3 weeks before surgeries/procedures because they can increase bleeding time (5)
- garlic
- ginseng
- ginkgo
- saw palmetto
- coenzyme q10
adverse reactions to echinacea (6)
- fever
- sore throat
- diarrhea
- N/V
- abdominal pain
- dry eyes
who should not take echinacea (4)
- h/o asthma
- severe allergy to ragweed
- severe systemic illness (HIV, TB, MS, autoimmune)
- immunosuppressants
side effects fish oil (4)
- GI upset
- belching
- fishy taste
- increased bleeding (w/ 3+g/day)
who should not take fish oil (4)
- diabetes
- for prevention CV disease
- high CV risk
- recurrent afib to prevent stroke
side effects garlic at high doses (3)
- increased flatulence
- nausea
- heartburn
side effects ginkgo (7)
- increased bp
- GI upset
- headache
- palpitations
- dizziness
- muscle weakness
- constipation
pt teaching precautions for taking st johns wort
- photosensitivity
- can cause hypomania with bipolar
- can cause suicidal thoughts
- may cause HTN
side effects st johns wort (7)
- dermatitis
- GI upset
- restlessness
- anxiety
- headache
- dry mouth
- possible sexual dysfunction
side effects melatonin (3)
- headache
- nausea
- irritability
if taking melatonin, what meds should pt be aware of that can increase melatonin concentration (3)
- TCA
- SSRIs
- MAOIs
side effects ginseng (2)
- bp changes
- insomnia
what meds should pts taking ginseng not take (5)
- phenelzine
- MAOIs
- corticosteroids
- imatinib
- large amounts of stimulants (ex: caffeine)
people who have an allergy to shellfish shouldn’t take what supplement
glucosamine
pt teaching for glucosamine
take with food to prevent GI upset
what supplement should not be taken with drugs used to treat BPH or prostate cancer
saw palmetto
what supplement is taken to improve cardiac health
fish oil
what supplement is commonly used to help reduce pain and improve function with
osteoarthritis.
glucosamine
what supplement is commonly used to improve cognitive ability associated with mild or
moderate memory impairment with dementia
ginkgo
what supplement is commonly used to reduce blood pressure and protect against stroke and
atherosclerosis; reduces serum cholesterol and LDL cholesterol
garlic
what supplement has long been believed to improve well-being, help with stress adaptation,
enhance immune function, and decrease oxidative cell damage
ginseng
what supplement may be taken
to lower blood glucose levels.
flaxseed
what supplement is thought to shorten a cold and help prevent upper resp infections
echinacea
what supplement is used as self-treatment for SAD, depression and depression
st johns wort
what supplement is used to self-treat BPH
saw palmetto
what herbal supplement can be used for antiinflammatory and antispasmodic properties
chamomile
what herbal supplement is beneficial for antioxidant properties
green tea
what herbal supplement can be used in the treatment of heart disease and kidney and digestive problems
hawthorn
