OTC, herbal, Supplements

Question 1

a. Nonprescription drugs

b. Use for short-term treatment of common minor illnesses

Answer 1

OTC

Question 2

OTC indication for use, consumer must be able to easily

Answer 2

a. Diagnose condition
b. Monitor effectiveness
c. Benefits of correct usage must outweigh risks

Question 3

Drugs must have:

Answer 3

i. Favorable adverse event profile
1. Shouldn’t be causing severe side effects
ii. Limited interaction with other drugs
iii. Low potential for abuse
iv. High therapeutic index

Question 4

Practicality for OTC use, drugs must be

Answer 4

easy to use

easy to monitor

Question 5

Potential hazards using OTC

Answer 5

a. May postpone effective treatment of more chronic disease states
b. May delay treatment of serious or life-threatening disorders
c. May relieve symptoms of a disorder but not the cause
d. Toxicity
i. Could interact with current prescriptions
e. Interactions with current prescription medications may occur
f. Abuse

Question 6

orally administered alternative medicines, including herbal supplements, vitamins, minerals, botanicals, amino acids, enzymes

Answer 6

Dietary supplement

Question 7

Come from nature: plant components, including bark, berries, roots, leaves, gums, seeds, stems, and flowers, used for their medicinal qualities

Answer 7

Herbs

Question 8

Consumer use of herbs

Answer 8

Therapeutic, Prophylatic (prevent of disease, proactive (maintain)

Question 9

Aloe has a

Answer 9

laxative effect

Question 10

i. Possible hypersensitivity, possible fluid & electrolyte imbalances, abdominal cramping

Answer 10

Aloe & adverse effects/precautions

Question 11

Aloe & avoid in pts with

Answer 11

Kidney disorders

History of cardiac disorders

Question 12

Aloe interactions

Answer 12

Digoxin, diuretics, corticosteroids and antidysrhythmic

Question 13

Aloe nursing admin

Answer 13

Teach to recognize manifestations of fluid/electrolyte imbalance

Question 14

stimulates immune system, decreases inflammation, topically heals skin disorders, wounds, burns, possibly treats viruses (common cold, herpes), used to increase T lymphocyte)

Answer 14

Echinacea

Question 15

Echinacea adverse effects

Answer 15

Bitter taste
Mild GI symptoms/fever
ALLERGIC REACTION

Question 16

Echinacea interactions

Answer 16

Chronic use (more than 6 mo)- can decrease positive effects of meds for TB, HIV & CANCER

Question 17

Echinacea nursing administration

Answer 17

Available in many forms

Question if they have have TB, Cancer, HIV, Lupus, RA

Question 18

migraine headaches

Answer 18

feverfew

Question 19

Feverfew adverse effects & precautions

Answer 19

• Mild GI symptoms
• Post-feverfew syndrome
• allergic reactions

Question 20

agitation, tiredness, inability to sleep, headache, and joint discomfort.

Answer 20

Post-feverfew syndrome

Question 21

Feverfew interactions

Answer 21

INCREASED RISK FOR BLEEDING

discontinue 2 weeks prior to surgery

Question 22

Feverfew nursing considerations

Answer 22

Question clients about concurrent use of NSAIDs, heparin, and warfarin

Question 23

lower chlolesterol, vasodilator

Answer 23

Garlic

Question 24

Garlic interactions

Answer 24

INCREASE RISK FOR BLEEDING

Question 25

Garlic nursing considerations

Answer 25

- concurrent use of NSAIDs, heparin, and warfarin. | - anti platelet or anticoagulant medication (call provider)

Question 26

- vertigo/nausea - increases intestinal motility - treats rheumatoid arthritis

Answer 26

Ginger root

Question 27

Ginger Root Adverse effects (unknown) /precautions (3 things)

Answer 27

- Pregnancy | - Potential CNS depression& cardiac dysrhythmias

Question 28

Ginger root interactions

Answer 28

- Medications that interfere with coagulation (NSAIDS, warfarin, and heparin) - Increase hypoglycemic effects of diabetes medications

Question 29

Ginger root nursing considerations

Answer 29

Monitor for hypoglycemia

Question 30

joint health

Answer 30

glucoseamine

Question 31

Glucosamine adverse/precautions

Answer 31

Mild GI upset Caution with shellfish allergy INCREASED RISK FOR BLEEDING

Question 32

Kava promotes

Answer 32

sleep, decreases anxiety, muscle relaxation

Question 33

Kava- ADVERSE EFFECTS AND PRECAUTIONS

Answer 33

dry, flaky skin and jaundice | -liver damage/liver failure

Question 34

Kava interactions

Answer 34

Sedation when taken concurrently with CNS depressants.

Question 35

affects serotonin-producing antidepressant effects, used for mild depression

Answer 35

St. John's Wort

Question 36

St. Johns worts adverse effects

Answer 36

i. Mild - dry mouth, lightheadedness, constipation, GI symptoms ii. Skin rash when exposed to sunlight

Question 37

St johns worts interactions

Answer 37

oral contraceptives

Question 38

St johns worts nursing admin

Answer 38

Prevent prolonged sun exposure and use sunscreen

Question 39

Saw Palmetto treatment for

Answer 39

prostate health

Question 40

Saw palmetto adverse effects

Answer 40

mild GI effects

Question 41

Saw palmetto interactions

Answer 41

Pregnancy Risk Category X

Question 42

Saw palmetto nursing admin

Answer 42

- before prostate specific antigen tests | - about concurrent use with aspirin, heparin, and warfarin

Question 43

sleep, decrease anxiety

Answer 43

Valerian

Question 44

Valerian adverse effects/precautions

Answer 44

i. Drowsiness, lightheadedness, depression ii. Risk of physical dependence Patients with mental health disorders

Question 45

Valerian interactions

Answer 45

may potentiate effects of CNS depressants

Question 46

Valerian nursing considerations

Answer 46

Alert patients to the possibility of drowsiness when operating motor vehicles and other equipment

Question 47

use of herbal products and other nontraditional remedies (not using western, OTC, prescription)

Answer 47

Alternative medicine

Question 48

simultaneous use of both traditional and alternative medicine

Answer 48

Complementary medicine