Herbals

Question 1

herbals that prolong anesthetic effect

Answer 1

kava kava, valerian, st johns wort

Question 2

kava kava

Answer 2

(piper methysticum) CNS depressant, sedative, anxiolytic

Question 3

valerian

Answer 3

(valeriana officinalis) sedative, mild anxiolytic, sleep aid

Question 4

St Johns wort

Answer 4

(hypercium perforatum) prozac alternative, used to treat depression

Question 5

increases risk of bleeding

Answer 5

gingko, garlic, ginseng, saw palmetto

Question 6

gingko

Answer 6

inhibition of platelet aggregation and platelet activating factor, used to improve cognitive function and improve circulation

Question 7

garlic

Answer 7

(allium sativum) inhibition of platelet aggregation, increased fibrinolysis, used to treat HTN and lower cholesterol, may have anticancer properties

Question 8

ginseng

Answer 8

(panax quinquefolius, panax ginseng) lowers blood glucose, inhibition of platelet aggregation, used as a mood and energy level enhancer and to protect against stress and restore homeostasis

Question 9

saw palmetto

Answer 9

(serenoa repens) used for BPH, may have anti-inflammatory effects by inhibition of COX and platelet dysfunction

Question 10

increased clotting risk

Answer 10

coenzyme Q10, goldenseal, St. John’s wort

Question 11

coenzyme Q10

Answer 11

enhances insulin sensitivity in diabetics, antioxidant to act as an anticancer medication, decreases response to warfarin

Question 12

hypo or hypertension

Answer 12

garlic (hypo) ephedra (hyper)

Question 13

ephedra

Answer 13

(ma Huang) direct and indirect sympathomimetic effects, CNS stimulant, used as weight loss aid, increased energy, and asthma treatment

Question 14

hypoglycemia

Answer 14

echinacea, melatonin

Question 15

echinacea

Answer 15

(echinacea purpurea) short term immune system stimulation, used in prophylaxis and treatment of infections, esp URIs

Question 16

melatonin

Answer 16

hormone, controls natural sleep-wake cycle used to treat insomnia, jet lag, shift work sleep aid, readily cross BBB and increases sedative effects of hypnotics, benzos, (has been studied as a preop anxiolysis drug), may interact with anticoagulants, immunosuppressants, diabetic meds, BCP