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15 Cards in this Set
- Front
- Back
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Complementary medicine
What percentage of adults in the US use multivitamins? |
25%
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Complementary medicine
What percentage of patients failed to disclose their herbal medicine medications during post-op assessment? |
70%
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Complementary medicine
What herb reduces the risk of prostate CA by 45%? Where is it found? |
Lycopene
Found in tomato-based foods |
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Complementary medicine
What did the Gait study prove? |
Proved that glucosamine and chondroitin sulfate alone or in combo did not decrease knee pain in patients with osteoarthritis however it may be effective in patients with moderate to severe knee pain.
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Complementary medicine
What are the actions of Ginko Biloba? What is it used to treat? |
Actions: alter vasoregulation, is an antioxidant, alters neurotransmission, and inhibits platelet activating factor. (must stop at least 36hrs before surgery)
Treats: cognitive disorders and peripheral vascular disease |
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Complementary medicine
What is the mechanism of action of Saw Palmetto? |
It inhibits the binding of dihydrotesterone to prostate androgen receptors and may act as an alpha-1-adrenergic blocker.
Use: ameliorate BPH (not yet proven) |
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Complementary medicine
What does Ginger help? |
Ginger
Helps gas evacuation and is used as an anti-emetic (pre-post- operative nausea) It also prolongs bleeding time |
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Complementary medicine
What does Ginseng do? (3) |
Ginseng?
1. it is a "adaptogen" - protecting the body against stress and restoring homeostasis. 2. it can lower postprandial blood glucose in patients with/without diabetes. 3. Has irreversible platelet inhibition (must stop for 7 days prior to surgery) |
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Complementary medicine
If a patient has atherosclerosis and wants to try an herb to help it which herb should he take? |
Garlic - lowers serum lipid levels and BP via the sulfur-containing compound called Allicin.
It inhibits platelet aggregation and is irreversible (like ginseng) so it must be stopped for 7days. |
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Complementary medicine
If you have jet lag and want to get over it quicker - which herb should you take? |
Melatonin - helps insomnia from jet lag or shift work.
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Complementary medicine
VIP Which herb is a cyto p450 enzyme metabolizer? In what situation should this herb NOT be used? |
St. John's wort
Should not be used in major depression. |
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Complementary medicine
What drug, if used with an SSRI, can cause "central serotonin excess syndrome"? Why? |
St. John's wort - because it's MOA involves inhibition of serotonin, NE, and dopamine reuptake.
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Complementary medicine
Explain how ECHINACEA can be wonderful but then can cause bad effects after prolonged (>8wk) use? |
Echinacea: has initial immunostimulatory effets (increase macrophage proliferation and increase effect of T-lymph and NK cells).
Long term use(>8wks) causes immunosuppression because of desensitization, POOR WOUND HEALING, & HEPATOTOXICITY |
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Complementary medicine
What drug can cause poor wound healing? |
Echinacea with prolonged use.
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Complementary medicine
What herbs (2) that does not start with a "G" must also be stopped well before surgery? |
St. John's wort
Echinacea |
