Complimentary Alternative Medicine

Question 1

There are regulating aspects of governing availability, standardization & use of herbal supplements?

True or False

Answer 1

False

• no regulations in place for quality control of herbal products
• do not have to demonstrate accurate labeling, purity of contents, or use of good manufacturing practices

Question 2

Which of the CAM therapies are performed by non-licensed personnel?

Answer 2

Homeopathy

Question 3

Chiropractors

-what is the basis of their practice?

Answer 3

emphasize, diagnosis, treatment, and prevention of musculoskeletal disorders especially the spine

Question 4

Natropathy

-what is the basis of their practice?

Answer 4

they believe the body has a natural power to heal itself.

-use hydrotherapy, massage, exercise therapy, life counseling, herbal medicines

Question 5

Homeopathy

-what is the basis of their practice?

Answer 5

“like cures like”
“potentization” - step-wise dilutions in the preparations of their medications

***meta analyses failed to demonstrate homeopathic preparation are effective treatments for any disease.

Question 6

Acupuncture

-what is the basis of their practice?

Answer 6

needles used to maintain the bodies harmonious balance

*most likely to be recommended by conventional medical professionals.

Question 7

Complications of needle use?

Answer 7

• disease transmission
• needle fragment left in body
• pneumothorax
• pneuomoperitoneum (air/gas in abdominal cavity)
• organ puncture
• cardiac tampnade (fluid accumulation in pericardial sac)
• osteomyelitis (inflamm of bone d/t infection)

Question 8

Populations who should avoid herbal supplements:

Answer 8

• pregnant/nursing women
• infants/children
• elderly
• surgical patients

Question 9

Echinacea

• use
• adverse effects
• interaction with bleeding?

Answer 9

Use
-treat and prevent URI

Adverse effects

• dyspepsia (heartburn)
• diarrhea
• unpleasant taste

No effect on bleeding

Question 10

Garlic

• use
• adverse effects
• interaction with bleeding?

Answer 10

Use

• lower cholesterol
• thins blood
• anti-atherosclerotic effects

Adverse Effects

• bad breathe and body odor (enters blood stream)
• GI SE & allergic rxns

Interaction w/ bleeding- YES, inhibit platelet aggregation

Question 11

Gingko

• use
• adverse effects
• interaction with bleeding?

Answer 11

Use

• improves cognitive function in pt w/ alzheimers
• depression
• vertigo
• PVD
• macular degeneration

Adverse Effects

• GI upset
• HA

Interaction w/ bleeding: yes, inhibits binding of platelet activating factor

Question 12

What herbs cause an increased risk of bleeding?

Answer 12

Garlic, Ginsing, Gingko, Ginger, Saw Palmeto, Red Yeast Rice, black cohoash

Question 13

Ginseng

• use
• adverse effects
• interaction with bleeding?

Answer 13

Use

• improves health of those recovering from illness
• increase stamina and well being
• erectile dysfunction
• menopause

Adverse Effects

• HA
• GI distress
• insomnia
• palpitations
• menstrual irregularities

Interaction w/ bleeding: yes, alters hemostasis.

Question 14

St. Johns Wart

• use
• adverse effects
• interaction with bleeding?

Answer 14

Use
-depression

Adverse Effects:

• GI symptoms
• dizziness
• confusion
• sedation
• photosensitivity
• dry mouth
• urinary frequency
• anorgasmia
• edma

NO interaction w/ bleeding

*Reduces the effectiveness of over the counter contraceptives

Question 15

Saw Palmeto

• use
• adverse effects
• interaction with bleeding?

Answer 15

Use
-benign prostatic hypertrophy

Adverse effects

• HA
• nausea
• dizziness
• HTN
• erectile dysfunction

Interaction w/ bleeding: YES, if combined w/ antiplatelet/anticoagulants

Question 16

Black Cohoash

• use
• adverse effects
• interaction with bleeding?

Answer 16

Uses

• anti-inflamm effects d/t small amounts of salicylic acid**
• menstrual symptoms, hot flashes
• muscle spasm
• arthritis
• PMS

Adverse effects

• N/V
• HA
• hypotension
• weight gain
• CI in pts w/ hx of estrogen dependent tumors
• acts like estrogen
• CI in pregnant, lactating, endometrial cancer, and estrogen dependent tumors

Interactions w/ bleeding: YES, increased blood thinning effects if taken w/ salycylates

Question 17

Fish oil/Omega 3 fatty acids

• use
• adverse effects
• interaction with bleeding?

Answer 17

Use

• lower triglycerides
• may lower dementia
• essential in brain development
• reduce risk of sudden cardiac death in coronary heart disease

Adverse Effects

• GI effects (nausea)
• fishy taste

Interaction w/ bleeding? NO

Question 18

Red Yeast Rice

• use
• adverse effects
• interaction with bleeding?

Answer 18

Use

• promote blood circulation
• lowers LDL & Cholesterol

Adverse Effects

• HA
• Dizziness
• Gas, Heartburn
• Stomach ache
• bloating
• muscle aches (potential rhabdomyalsis)

Interaction w/ bleeding: Yes, may thin the blood.

Question 19

Niacin

• use
• adverse effects
• interaction with bleeding?

Answer 19

Use

• metab of carbs, fatty acids, protein
• lower LDL and cholesterol

Adverse Effects

• flushing
• N/T
• itching (pruiritis)
• constipation
• hives
• myopathy
• elevate uric acid levels causing gout
• liver toxicity

Interaction / bleeding? NO

Question 20

Hawthorne Berry

• use
• adverse effects
• interaction with bleeding?

Answer 20

Uses

• treat CHF
• improve cardiac function and exercise tolerance

Adverse Effects

• Nausea
• sedation
• arrhythmias
• hypotension

Interaction w/ bleeding?? NO

Question 21

What is a STATIN

Answer 21

class of cholesterol lowering drugs that inhibit the enzyme HGM-CoA reductase which plays central role in the production of cholesterol

*statins lower cholesterol