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52 Cards in this Set
- Front
- Back
What natural plants interfere with Warfarin?
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garlic, ginko, chamomile, green tea, ginsing, st. johns wart
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What natural plants interfere with Warfarin?
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garlic, ginko, chamomile, green tea, ginsing, st. johns wart
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What natural plants interfere with Warfarin?
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garlic, ginko, chamomile, green tea, ginsing, st. johns wart
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What natural plants interfere with Warfarin?
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garlic, ginko, chamomile, green tea, ginsing, st. johns wart
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ginger root
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has anti platelet properties (Does not affect warfarin)
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ginko and garlic
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INCREASE warfarin effect (thereby increasing bleeding time)
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chamomile
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has an additive effect with warfarin (thereby increasing bleeding time)
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green tea, ginsing, and st. johns wart
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all decrease the effects of warfarin (thereby decreasing bleeding time)
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Fat soluble vitamins
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ADEK
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Water soluble vitamins
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B complex, C
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What effect do laxatives have on the body?
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They wash out important vitamins and minerals
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What to teach patients about photosensativity?
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Wear sunscreen, long sleeved clothing, stay out of sun,
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Patient teaching for home medication use?
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ADVERSE EFFECTS, correct dose, admin technique, where to dispose of sharps, interactions, etc.
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When to get a med reconciliation?
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On admit, with any transfer, and on d/c.
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Nurses role in med reconciliation?
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Obtain a complete med reconciliation from patient and then communicate with patient and doctor.
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What is most important for patients with new meds?
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teaching.
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Health problems with Native Americans
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sensitivity to alcohol-- more susceptible liver issues, suicide, DM II, Depression
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Health problems with Mexican American/hispanic
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DM II, HTN, Cardiovascular issues, Birth Control issues,
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What health beliefs do the mexican american population hold?
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Magicoreligious
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What is magicoreligious?
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focus on supernatural forces controlling health and illness. Illness are the result of "being bad" or "opposing god's will."
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African American health problems
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HTN, sickle cell, P450 system is different-- do not respond to BETA BLOCKERS
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What are the 3 types of health beliefs?
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Biomedical, magicoreligious, and holistic
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Pharmacogenomics
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the study of patterns of human genome variations that are in or near genes known to influence drug action
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pharmacogenetics
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study of individual inherited differences in response to clinical drug therapy.
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White americans
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value time, nuclear family, biomedical health belief, christianity
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Black americans
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present oriented, matriarchal, circular view of time (more relaxed than white), very spiritual, folk medicine,
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Asian and Pacific Islander Americans
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Sensitive to alcohol, yin/yang, holistic health belief, naturalistic, life cycles,
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Purnell's model
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A model for healthcare providers for cultural competence. 12 domains of every cultre tht HCP should consider.
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4 outside macro aspects
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person, family, community, and global society
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Liver tests
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ALT/AST
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Kidney tests
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BUN/creatinine
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anticoagulant tests
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plt, PT, PTT/INR
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Tests used for pts on Lovenox (enoxaparin)?
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plt count
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Is Health history important for people on anticoagulatns?
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Not really
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s/s hypoglycemia
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lethargy
confusion irritability BLURRED VISION dizziness |
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Glucose
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Is a large molecule that can damage the tissue of the kidneys, eyes. Needs insulin to work
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Glyburide
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non insulin antidiabetic
2nd generation sulfonylurea |
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Major contraindications for glyburide?
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POOR DIET, ALCOHOL,
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kava
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oculogyric crisis and exacerbation of parkinsons, intensify effects of barbiturates and alcohol
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lily of the valley
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digitalis-like toxicity
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sassafras
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hallucinations, hepatotoxicity, possible carcinogenic activity
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cranberry
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decreases elimination of many renally excreted drugs
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echinacea
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interferes with immunosupressant therapy
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ephedrine ( ma huang)
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increase CNS stimulation and adverse effects from caffeine, decongestants, bronchodilators, and CNS stimulants
Arrhythmias, CVA, HF, HTN, MI, nephrolithiasis, psychosis, seizures |
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garlic
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interfere with hypoglycemic therapy, increase bleeding times with anticoagulant/antiplt therapy,
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ginsing
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increase MAOI, antihypertensives, hypoglycemics, increase CNS stimlant oftea/coffee, interfere with axn of steriods
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ginger root
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interfere with cardiac, antidiabetic, anticoagulant therapy
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st johns wort
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serotonin syndrome when used with serotonic drugs, produced increased drug effects with anidepressants
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chamomile
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increased risk for bleeding with anticoagulants
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copper
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involved in making RBC, immune functions, improves insulin action
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iron
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needed to make RBC, deficiency results in anemia
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zinc
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promoted wound healing and functions in antibody production
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