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Nursing 231 - Exam 3 > Herbal/OTC > Flashcards

Herbal/OTC Flashcards

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1
Q

Herbs/supplements cannot be marketed for ____, _____, or ____ of disease, because they are not ____?

A
  • Diagnosis, Treatment, Cure

* vigorously tested

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2
Q

Herbal remedies are not used for what anymore?

A

weight loss

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3
Q

Side effects of Ginkgo Biloba?

A

BLEEDING

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4
Q

What kind of claims can manufacturers make about herbal supplements?

A

can make enhancement claims for normal body functions or state

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5
Q

what ages may metabolize substances differently,
therefore creating a safety issue with herbal supplements?

A

Under 18/Over 65

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6
Q

Questions to ask clients in regards to Herbal supplements?

A
  • Are you taking any herbal or natural supplements
  • Are you taking rx/otc meds for the same purpose as herbal supplement (example st johns wort/SSRi for depression)
  • Allergies to plant products
  • Pregnant/breastfeeding
  • Upcoming surgeries
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7
Q

Side effects of St Johns Wort?

A
  • POSSIBLE SEROTONIN SYNDROME*
  • PHOTOSENSITIVITY*
  • Gi disturb
  • Dry mouth
  • Fatigue/dizziness/confusion
  • Impotence

(Remember similar side effects of SSRIs)

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8
Q

Side effects of Kava?

A
  • Sedation*
  • LIVER DAMAGE*
  • Rash
  • oculogyric crisis
  • dystonia(involv muscle contract), Dyskinesia (inv muscle twisting), exacerbation of parkinsons
  • Torticolis

(Remember muscle and sedation issues)

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9
Q

side effects of Ephedra? Do not use with which diseases?

A
  • Cardiovascular issues*

* CVD, DM, BPH, GLAUCOMA, HYPERTHYROIDISM

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10
Q

Black Kohosh Side effects?

A
  • Liver Damage (long term use)*
  • HA
  • Gi upset
  • Weight gain
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11
Q

What does golden seal claim to do? Side effects?

A
  • Claims to improve GI function/laxative

* causes brain damage in new born baby (kernicterus)

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12
Q

interacts with anticoagulants such as aspirin, warfarin, clopidogrel, dipyridamole, etc.

A

Ginkgo Biloba

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13
Q

interacts with antidepressants, may cause Serotonin syndrome with other antidepressants

A

St. Johns wort

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14
Q

interacts with caffeine, decongestants, stimulants

A

Ephedra

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15
Q

May decrease effectiveness of Warfarin

A

Ginseng

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16
Q

Interacts with sedatives, sleeping pills, antipsychotics, alcohol, benzodiazepines, barbiturates, anti-seizure, levo-dopa, etc

A

Kava

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17
Q

may prevent some drugs used to treat lupus from working properly, etc.

A

Echinacea

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18
Q

f allergic to plants in the daisy family such as ragweed and chrysanthemums, this should be avoided.

A

Echinacea

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19
Q

Herbs that increase/magnify action of coumadin?

A
  • Crazy Gays Getting Good Dick Forever*
  • Cannibis
  • Ginkgo
  • Garlic
  • Ginger
  • Dong quai
  • Feverfew
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20
Q

Herbs that block coumadin from working?

A
  • Ginseng

* St. Johns wort

21
Q

Supplements that include ____ and ____ interact negatively with coumadin

A
  • Co-q10

* Green tea extracts

22
Q

Garlic claims to decrease______ and maintain ______, but increases risk for______.

A
  • BP, Cholesterol

* Bleeding

23
Q

Ginseng claims to increase_____/______ but may also cause ____/_____

A
  • Stamina/Energy

* Insomnia/nervousness

24
Q

Ginko claims to help with ____ , ____ and____, but increases risk for_______

A
  • Mental alertness, cognition, Brain blood flow

* Bleeding

25
Q

Ginger claims to be an ____ and ____ but increases risk for ______

A
  • Antiemetic,Antiinflammatory

* Bleeding

26
Q

What does Black cohash claim to do?

A

Provide menopause relief

27
Q

Claims to have promote Immune support (respiratory) . What is it and what is there a risk for?

A

Echinacea - allergic reaction

28
Q

Respiratory aid, weight loss (stimulant) {banned in U.S.}

A

Ephedra

29
Q

claims Prostate & Urinary health. What are some of the risks?

A

Saw palmetto

Hormone, pregnancy, breastfeeding issues

30
Q

ClaimsGI and Respiratory uses, (Mineralcorticoid effects). What are the risks?

A
  • Licorice*

* Potassium issues, Hypo/hyperkalemia*

31
Q

Claims Sedative effect, calms nerves, reduce anxiety, insomnia…risk for hypersenitivity

A

Chamomile

32
Q

Claims to Promote urinary health. What are some issues?

A
  • Cranberry*
  • Kidney stones
  • Interacts with lipitor
33
Q

What does Eucalyptus claim to do? Risks?

A
  • Expectorant, anti-infective, antipyretic

* Oil can cause seizure

34
Q

claims to enhance Milk secretion, menses, birth, libido . What does this interact with?

A
  • Fennel*

* interacts with estrogens and cipro*

35
Q

what does feverfew claim to do? Risks?

A
  • Antipyretic*

* Risks for med interactions

36
Q

What does Flax claim to do? What can it cause?

A

helps with GI issues, can cause GI issues as well

37
Q

claims to assist with Dyspepsia, liver function protection. What are the risks?

A
  • Milk thistle*

* Gi disturbances and allergies*

38
Q

Claims about primrose? Risks?

A
  • premenstrual relief/Sedative

* Gi issues

39
Q

Claims to be a sleep aid. What are the risks?

A
  • Valerian*
  • Drowsiness
  • Liver damage
40
Q

Used for Calming, insomnia, stress relief. What are the risks?

A
  • Lavender*
  • increases effects of CNS depressants
  • GI issues
41
Q

treatment of nausea and vomiting caused by cancer chemotherapy

A

Dronabinol and Nabilone

42
Q

Under _____ law Marijuana continues to be a ________ meaning that it has no currently_____ use and a ________

A
  • Federal
  • Schedule 1 substance
  • accepted medical use
  • High potential for abuse
43
Q

Uses for CBD

A
  • analgesic

* Neuroprotective antioxidant

44
Q

important for drug metabolism

A

liver enzyme

45
Q

increases the metabolism of a substance.

A

inducer

46
Q

decreases the metabolism of a substance.

A

inhibitor

47
Q

Concerns for the older adult using marijuana

A
  • Cognitive impairment due to slower metabolism
  • Increased HR, RR and BP (risk for orthostatic Hypotension when standing)
  • Medication interactions (fluxoetine, warfarin)
48
Q

Infants born to women who smoke marijuana while pregnant are more likely for these?

A
  • Born early
  • Underweight
  • Neonatal intensive care
49
Q

What should be monitored in patients using cannabis and warfarin?

A

increase in INR

Nursing 231 - Exam 3 (5 decks)

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