HERBALS Flashcards

1
Q

which 3 herbals prolong anesthetic effect?

A

Kava kava
Valerian
St. Johns Wort

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2
Q

_________ comes from a polynesian plant and increases the sedative effects of anesthetics. It has potential for addiction and hepatotoxicity

A

kava kava

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3
Q

_________ is is mild anxiolytic/ sedative that you can develop withdrawal syndrome on. avoid it with barb’s, opioids and benzos

A

Valerian

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4
Q

With Saint Johns Wort you must be careful with what two kinds of drugs?

A

drugs that use the CYP450 metabolism and MAOI

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5
Q

The 4 Herbals that increase bleeding are….

A

gingko, garlic, ginseng and palmetto

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6
Q

______________ inhibits platelet aggregation and is used to improve cognitive fx and improve circulation

A

gingko

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7
Q

_____________ inhibits platelet aggregation and causes increase fibrinolys. Used to treat HTN and to lower CHO-

A

Garlic

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8
Q

Outside of its bleeding s/e, Garlic can also cause ______________

A

hypotension

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9
Q

________ is an “upper” and lowers blood glucose and also can cause bleeding.

A

ginseng

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10
Q

_____________ is used for BPH and may have anti-inflammatory effects by inhibition of the COX and platelet dysfunction

A

Saw Palmetto

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11
Q

_______________ has been banned for weight loss. it is a direct sympathomimetic/cns stimulant

A

Ephedra

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12
Q

Ephedra has a life threatening reaction with ______________

A

MAOIs

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13
Q

What 2 herbals decrease blood glucose?

A

ginseng, echinacea

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14
Q

___________ is a short term immune system stimulant

A

echinacea

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15
Q

Major concerns with echinacea are that is causes ____________ is some patients and can decrease effectiveness of ____________ medications

A

allergic reactions

immunosuppressive

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16
Q

____________ is a hormone that controls natural sleep-wake cycle. It increases the effects of _________________

A

melatonin

sedatives

17
Q

How many days preop should herbals be stopped?

A

14 days