ch 10 - use of dietary supplements (focus on herbals)

Question 1

what meds/herbal supplements should be stopped 2-3 weeks before surgeries/procedures because they can increase bleeding time (5)

Answer 1

• garlic
• ginseng
• ginkgo
• saw palmetto
• coenzyme q10

Question 2

adverse reactions to echinacea (6)

Answer 2

• fever
• sore throat
• diarrhea
• N/V
• abdominal pain
• dry eyes

Question 3

who should not take echinacea (4)

Answer 3

• h/o asthma
• severe allergy to ragweed
• severe systemic illness (HIV, TB, MS, autoimmune)
• immunosuppressants

Question 4

side effects fish oil (4)

Answer 4

• GI upset
• belching
• fishy taste
• increased bleeding (w/ 3+g/day)

Question 5

who should not take fish oil (4)

Answer 5

• diabetes
• for prevention CV disease
• high CV risk
• recurrent afib to prevent stroke

Question 6

side effects garlic at high doses (3)

Answer 6

• increased flatulence
• nausea
• heartburn

Question 7

side effects ginkgo (7)

Answer 7

• increased bp
• GI upset
• headache
• palpitations
• dizziness
• muscle weakness
• constipation

Question 8

pt teaching precautions for taking st johns wort

Answer 8

• photosensitivity
• can cause hypomania with bipolar
• can cause suicidal thoughts
• may cause HTN

Question 9

side effects st johns wort (7)

Answer 9

• dermatitis
• GI upset
• restlessness
• anxiety
• headache
• dry mouth
• possible sexual dysfunction

Question 10

side effects melatonin (3)

Answer 10

• headache
• nausea
• irritability

Question 11

if taking melatonin, what meds should pt be aware of that can increase melatonin concentration (3)

Answer 11

• TCA
• SSRIs
• MAOIs

Question 12

side effects ginseng (2)

Answer 12

• bp changes

- insomnia

Question 13

what meds should pts taking ginseng not take (5)

Answer 13

• phenelzine
• MAOIs
• corticosteroids
• imatinib
• large amounts of stimulants (ex: caffeine)

Question 14

people who have an allergy to shellfish shouldn’t take what supplement

Answer 14

glucosamine

Question 15

pt teaching for glucosamine

Answer 15

take with food to prevent GI upset

Question 16

what supplement should not be taken with drugs used to treat BPH or prostate cancer

Answer 16

saw palmetto

Question 17

what supplement is taken to improve cardiac health

Answer 17

fish oil

Question 18

what supplement is commonly used to help reduce pain and improve function with
osteoarthritis.

Answer 18

glucosamine

Question 19

what supplement is commonly used to improve cognitive ability associated with mild or
moderate memory impairment with dementia

Answer 19

ginkgo

Question 20

what supplement is commonly used to reduce blood pressure and protect against stroke and
atherosclerosis; reduces serum cholesterol and LDL cholesterol

Answer 20

garlic

Question 21

what supplement has long been believed to improve well-being, help with stress adaptation,
enhance immune function, and decrease oxidative cell damage

Answer 21

ginseng

Question 22

what supplement may be taken

to lower blood glucose levels.

Answer 22

flaxseed

Question 23

what supplement is thought to shorten a cold and help prevent upper resp infections

Answer 23

echinacea

Question 24

what supplement is used as self-treatment for SAD, depression and depression

Answer 24

st johns wort

Question 25

what supplement is used to self-treat BPH

Answer 25

saw palmetto

Question 26

what herbal supplement can be used for antiinflammatory and antispasmodic properties

Answer 26

chamomile

Question 27

what herbal supplement is beneficial for antioxidant properties

Answer 27

green tea

Question 28

what herbal supplement can be used in the treatment of heart disease and kidney and digestive problems

Answer 28

hawthorn