Test #2 Herbal and illicit drug PPt-Josh Flashcards
Herbal Supplements:
are they regulated by FDA?
NOpe
Herbal Supplements:
is there rigorus testing such as with Rx meds?
nope
Herbal Supplements:
are the adverse effects all know?
nope
Herbal Supplements:
should be stoped how long prior to Sx
2 weeks
Herbal Supplements:
what is the most popular herbal remedy in currently in the US
Echinacea
Herbal Supplements: Echinacea
is beleived to improve immune system by how?
modulation of cytokine signaling
Herbal Supplements: Echinacea
is used for tx of what?
viral, bacterial, and fungal infections (especially URI)
Herbal Supplements: Echinacea
Chronic use can resut in what?
immunosupression and hepatic faiuler
Herbal Supplements: Echinacea
what are some periop considerations?
avaoid hepatotoxic drugs
avoid in immunosupressed pts (transplant)
Herbal Supplements: Echinacea
other names
purple coneflower
coneflower
American coneflower
Herbal Supplements: Ephedra
other names?
ma Huang
Herbal ecstasy
Cloud 9
(sounds bad ass)
Herbal Supplements: Ephedra
Sale is restricted in the US to Chinese Herbal Medicine only d/t adverse effects r/t dietary suppliments. what are some of those SE
- Palpatations
- HTN
- Tacjycardia
- Stroke
- Seizures
- Cardiomyopathy
- MI
- Dysrhythmias
- Acute hepatitis
- psychosis
- death
Herbal Supplements: Ephedra
it contains what alkaloids?
- ephedrine
- pseudoephedrine
- methylephredrine
- nor-pseudo-ephedrine
Herbal Supplements: Ephedra
has direct effect on ____ and ___ receptors and can indirectly increase the release of norepi for presynaptic neurons
alpha
beta
Herbal Supplements: Ephedra
Used for what 3 things
Weight loss
CNS stimulant
Asthma
Herbal Supplements: Ephedra
periop considerations
- when combined with other sympathomimetics can cause
- HTN
- Dysrhythmias
- Hyperthermia
- CV instability
Herbal Supplements: Garlic
also called what?
Allium sativum
Herbal Supplements: Garlic
has been used for centuries to treat what?
CV disease
DM
Infections
Tumors
Herbal Supplements: Garlic
the _____ in garlic is beleived to decrease thromboxane formation and alter arachidonic metabolism
Cysteine
Herbal Supplements: Garlic
since it decreases thromboxane formation it can inhibit what?
platelet aggregation
Herbal Supplements: Garlic
can potentiate the anti-platelet effects of what drugs (2)?
Aspirin
NSAIDs
Herbal Supplements: Garlic
preop considerations
- Assess bleeding risk
- D?C 7 days b4 sx
Herbal Supplements: Ginger
also called what?
Ziingiber officinale
Herbal Supplements: Ginger
used to treat what?
Arthritis
GI d/o
Vertigo
antiemetic
Herbal Supplements: Ginger
the active component ______ is thought to inhibit prostaglandin and leukotriene sysnthesis
Gingerol
Herbal Supplements: Ginger
is also thought to inhibit ________ synthatase, thus decreasing platelet agregation
thromboxane
Herbal Supplements: Ginger
may ________ the effect of medications with anticoagulation properties
potentiate
Herbal Supplements: Ginger
periop considerations
- assess for bleeding
- Avoid in combination w/ other anticoagulants
Herbal Supplements: Gingko Biloba
is thought to do what?
protect vascular walls and nerve cells
Herbal Supplements: Gingko Biloba
is thought to protect vascular walls and nerve cells by acting as a _____-___ scavengers and ________ platelet activating factor
- free-radical scavenger
- inhibiting
Herbal Supplements: Gingko Biloba
was approved in Germany for the tx of ______
dementia
Herbal Supplements: Gingko Biloba
is also beleived to decrease blood viscosity and improve blood flow to tissues and is used to treat _____
PVD
Herbal Supplements: Gingko Biloba
periop considerations
- Assess bleeding
- Avoid w/ NSAIDs, Aspirin, Warfarin
- D/C 36 hours prior to sx
Herbal Supplements: Ginseng
used in traditional Chinese medicine for what? (3 main things)
immunomodulation
Mood enhancement
aphrodisiac
Herbal Supplements: Ginseng
has mild sympathomimetic effect and may interact with what enzyme? tremors and mania have beenreported
Monoamine Oxidase Enzyme (MAO)
Herbal Supplements: Ginseng
does what to BGL
Hypoglycemia
Herbal Supplements: Ginseng
does what to platelet aggregation
interferes
Herbal Supplements: Ginseng
periop considerations
- Monitor BGL
- May increase bleeding (Assess)
- D/c 7 days prior to sx
Herbal Supplements: Herbal Diuretics
what are 5 types
- Dandelion
- Green tea
- Goldenseal
- Saw Palmetto Berries
- Spearmint
Herbal Supplements: Herbal Diuretics
the MOA is uncertain but it is thought to interfers with the _____ system
RAAS
Herbal Supplements: Herbal Diuretics
do to the diuretic effects significant ____ and _____ disturbances are associated with their use?
fluid and electrolyte
Herbal Supplements: Herbal Diuretics
periop considerations
monitor fluid and electrolytes
correct prior to sx
Herbal Supplements: KAVA
another name
Piper methysticum
Herbal Supplements: KAVA
derived for the dried root of the ___ plant family
pepper
Herbal Supplements: KAVA
what is it used for
anxiolytic and Sedative effects
Herbal Supplements: KAVA
the anxiolytic and seditive effect are mediated by potentiation of what?
GABA
Gamma-aminobutyric acid