Dietary Flashcards
When should herbal supplement be discoontinued
2 weeks prior to surgery
Adverse effects of Aloe
Hypoglycemia
N/V
Diarrhea
Loss of K+
Black Cohosh is used for______ with what adverse effects
Cough, rheumatism, gynecologic & induce labor
Brady, HOTN,liver damage & increased bleeding
CoQ 10 is used for____with what drug interaction & adverse effects
CHF, HTN
Anticoags & insulin
GI upset & nausea
Echinacea is used for______, interacting with_____and these side effects
Upper respiratory infections
Steroids & transplant rejection drugs
Immune suppression, liver inflammation & allergic reaction/anaphylaxis
Ephedra is used for_____
Causes this release______
Interacts with____
Adverse effects_____
Wt loss, energy & treat infections
Sympathomimetic, release NE, alpha & beta receptors
Interact with MAOIs, sympathomimetics & halothane
Adverse effects include vasoconstriction, sensitized myocardium, arrhythmias, catecholamine depletion & risk of hemodynamic instability
Garlic is used for ______
Pharmacologic______
Interacts with_____
Adverse effects____
CV, fight infection & CA
Inhibits cholesterol synthesis, PLT aggregation, thromboxane synthesis (potent vasoconstrictor) & increases fibrinolysis
Interacts with anticoags, NSAIDS, CV drugs & hyperglycemia agents
Adverse effects include bleeding, asthma exacerbation, N/V, GI upset
Discontinue >1-2 weeks prior to surgery & regional anesthesia
Ginger uses_____
Pharmacology______
Drug interaction______
Adverse Effects_____
Anti-emetic, anti-inflammatory & vertigo
Serotonin Antagonist & inhibits prostaglandins
Interacts with anticoags & NSAIDS
Adverse effects include increased bleeding, arrhythmias & CNS depression/sedatino
Ginkgo Biloba uses____
Pharmacology
Interaction
Adverse Effects
Cognitive, CV & vertigo
Antioxidant & inhibits PLT activating factor
Interacts with Anticoags & NSAIDS
Increased risk of bleeding, seizure risk, N/V, GI upset
Take 36hours to moralize hemostasis
Ginseng used for____
Pharmacology____
Drug interaction____
Adverse Effects
Stress relief, homeostasis & energy/stamina
Similar to steroidal hormones & sympathomimetics
Interacts with Anticoags, NSAIDs, hypoglycemic agents/insulin, SSRI, antipsychotics
Adverse effects- hypoglycemia, increased bleeding, CV (HTN & tacky), agitation/irritability
Discontinue 7 days (34 hours for hemostasis for regional)
Kava uses_____
Pharmacology___
Interaction___
Adverse effects
Used for anxiety, stress, psychosis, migraines, URI, & pain
Acts on limbic system, potentiate GABA mediated effects (doesn’t bind GABA)
interacts with barbiturates, alcohol & benzos
Reduces anesthetic requirements/sedation & can cause hepatotoxicity
St. Johns Wort uses___
Interaction_____
Adverse Effects
Depression, psych disorders & neuropathy
Interacts with anesthetic, opioids, anti-psychotic & drugs that increase serotonin levels, anticoags, NSAIDs & oral contraceptives
Adverse Effects include CYP34A & CYP2C(, sedation, serotonergic crisis, irritability, anxiety, agitation
Discontinue >5days
Valerian uses____
Pharmacology___
Interaction____
Adverse Effects____
Sleep disorders, psych disorders, depression, seizures & gynecologic
Inhibits reuptake of GABA
Interacts with anesthetics, benzodiazepines, opioids, SSRI & antipsychotics
Adverse effects: sedation, hypnosis, bento withdrawl s/s with abrupt discontinuation, excitability, cardiac & hepatotoxicity
Fish oil uses____
Pharmacology___
Interaction____
Adverse effects
Anti-inflammatory, CV, cerebrovascular, bipolar disorder
Inhibits PLT aggregation, decreases prostaglandin production & inhibits LDL oxidation
Interacts with anticoags & NSAIDs
Increases bleeding
What is the preferred route of feeding
Enteral
