day 5 Flashcards

1
Q

What do chiropractors believe is the major source of morbidity?

A

malalignment of the spine

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2
Q

What is the major mode of chiropractic therapy?

A

manipulation

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3
Q

What are the two camps of chiropractors and what do they promote?

A

Int’l chiropractic association-opposed to mandated vaccines
american chiropractic association- focuses on muscoskeletal disorders, includes excercise, nutritional and dietary counseling

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4
Q

What do naturopaths believe?

A

The body has innate power to heal and its symptoms are manifestion of the body’s attempt to achieve wholeness

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5
Q

What does treatment of naturopaths include?

A

hydrotherapy, massage/excercise therapy, lifestyle counseling, herbal medicines/nutritional counseling

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6
Q

What two principles are homeopathy based on?

A

“like cures like” and “potentization”

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7
Q

What are the top 3 most common CAM therapies in adults?

A

natural products, deep breathing, meditation

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8
Q

What are the top 3 most common CAM therapies in children?

A

natural products, chiropractic/osteopathic, deep breathing

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9
Q

What is potentization?

A

serial dilutions of homepathic preparations

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10
Q

Describe homepathic preparations.

A

Begin w/a mineral, plant, or animal substance, pulverized and mixed w/a water-alcohol soln

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11
Q

What is Hering’s Law of Cure?

A

human body seeks to externalize disease, healing progesses from top to bottom of body, healing proceeds in reverse order of symptoms

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12
Q

Describe acupuncture.

A

refers to procedures used to stimulate anatomical points with needles. Also, manual pressure, electrical, magnetics, low power lasers, heat and ultrasound

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13
Q

What is the basic theory of acupuncture?

A

maintain the body’s harmonious balance in relation to environment. perceives world as interconnected

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14
Q

What is proposed MOA of acupuncture?

A

endorphin release at spinal level and supraspinal level, also affects connective tissue

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15
Q

What are acupuncture indications?

A

chronic pain, postoperative, chemotherapy nausea, acute pain, headache including migraines, hypertension

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16
Q

What are some rare but serious complications of acupuncture?

A

transmission of disease, needle fragment left in body, pneumothorax, pneumoperitoneum, organ puncture, cardiac tamponade, osteomyelitis

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17
Q

What are local complications of acupuncture?

A

bleeding, contact dermatitis, infection, pain, presthesias

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18
Q

What are top 3 natural products used?

A

echinacea, ginseng, ginkgo

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19
Q

What are top 3 conditions CAM used for?

A

back pain, neck pain, joint pain

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20
Q

What is regulation for herbal products?

A

In the US manufacturers do not have to demonstrate accurate labeling, purity of contents or use of good manufacturing practices.

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21
Q

Why do Americans use herbs and supplements?

A

to enhance health, to help with common chronic symptoms, appeal to those who perceive nature as healing

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22
Q

How should you counsel patients regarding herbal supplements?

A

Ask about use of herbs and OTC preparations, discourage use of those that contain heavy metals or ephedra. Offer appropriate convential treatment.

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23
Q

What popns should avoid herbal supplements?

A

pregnant/nursing, infants/children, the elderly, surgical patients

24
Q

What is echinacea primarily used for?

A

to treat and prevent URI

25
Q

What are adverse effects of echinacea?

A

dyspepsia, diarrhea, unpleasant taste. in children it causes rash.

26
Q

What are potential drug interactions of echinacea?

A

interfere with immunosuppressant therapy, can increase proliferation of cancer with exposure to doxorubicin, pts shouldn’t take longer than 8 consecutive weeks.

27
Q

What is garlic used for?

A

lower cholesterol, thins the blood, anti-atherosclerotic effect

28
Q

What are adverse effects of garlic?

A

bad breath and odor, increases bleeding

29
Q

What are potential drug interactions with garlic?

A

possible with warfarin, aspirin, NSAIDS, antiplatelet meds

30
Q

What is gingko used for?

A

improves cognitive fxn in patients with Alzheimer’s and vascular dementia

31
Q

What are adverse effects for gingko?

A

GI upset and HA, increased bleeding/bruising

32
Q

What are drug interactions with gingko?

A

increased risk of bleeding so shouldn’t combine with NSAIDS, heparin, warfarin, garlic, ginseng, ginger.

33
Q

What is ginseng used for?

A

improve health in those recovering from illness and increase stamina. treat ED and menopause

34
Q

What are adverse effects of ginseng?

A

bleeding, Gingseng abuse syndrome

35
Q

What is gingseng abuse syndrome?

A

diarrhea/HTN, nervousness, rash, insomnia

36
Q

What are drug interactions with gingseng?

A

interact with antihypertensives, anticoagulants, NSAIDS, antiplatelet agents, CNS stimulants, drugs w/hypoglycemic activity

37
Q

What are uses of St. John’s Wort?

A

for mild to moderate depression

38
Q

What are adverse rxns of St. John’s Wort?

A

GI sx, dizziness, confusion, sedation

39
Q

What are drug interactions with St. John’s Wort?

A

other anti-depressants, reduces effectiveness of OCP, digoxin, warfarin, methadone, verapamil, simvastin

40
Q

What is saw palmetto used for?

A

benign prostatic hypertrophy

41
Q

What are adverse effects of saw palmetto?

A

HA, nausea, dizziness, HTN, ED

42
Q

What are drug interactions of saw palmetto?

A

OCP or hormone rx, risk of increased bleeding with antiplatelet/anticoagulant drugs

43
Q

What is black cohosh used for?

A

menopause, PMS, arthritis, muscle spasm

44
Q

What are adverse effects of black cohosh?

A

nausea, vomiting, HA, HTN, weight gain.

45
Q

What are drug interactions of black cohosh?

A

increased bleeding or GI distress if taken with salycylates, contraindicated in pts with h/o estrogen tumors/endometrial CA

46
Q

What is fish oil used for?

A

lower triglyceride levels, CHD, prevent dementia, essential for early brain development during gestation/infancy

47
Q

What are adverse effects for fish oil?

A

nausea, fishy taste

48
Q

What are drug interactions for fish oil?

A

none!

49
Q

What is red yeast rice used for?

A

promote blood circulation, lower LDL and total cholesterol

50
Q

What are adverse effects of red yeast rice?

A

HA, dizziness, gas, heartburn, bloating, muscle aches

51
Q

What are drug interactions of red yeast rice?

A

with other cholesterol lowering meds, with any other drugs that might damage liver, lowers CoQ levels in body

52
Q

What is niacin used for?

A

Synthesis and metabolism of carbs, fatty acids, proteins. lowers LDL and total cholesterol

53
Q

What are adverse effects of niacin?

A

flushing, liver toxicity, pruritus, hives, constipation, myopathy, elevate uric acid levels

54
Q

What are drug interactions of niacin?

A

adversely with statins/alcohol

55
Q

What are uses of hawthorn berry?

A

CHF, improves cardiac fxn and excerise tolerance

56
Q

What are adverse effects of hawthorn berry?

A

nausea, sedation, arrhythmias, hypotension

57
Q

What are drug interactions with hawthorn berry?

A

adversely with anti-HTN, beta-blockers, calcium channel blockers, any med that causes drowsiness, digoxin, narcotics