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24 Cards in this Set
- Front
- Back
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what are the symptoms of fibromyalgia? what other diseases is it associated with? what are the typical pharmacological drug class treatments? |
musculoskeletal pain, stiffness, tender points fatigue, sleep disorders, depression TCAs, SNRIs, analgesics, anticonvulstants |
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what are the cam practices for FM? when is CBT most beneficial? what supplements are used for FM? |
physical activity, CBT, meditation, acupuncture if patient is experiencing depression as well omega 3s, vit D, Turmereic, ginger, boswellia |
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when would you d/c omega 3s? what do you want your vitamin D levels between? |
2 weeks before surgery since it causes bleeding 40-100 ng/mL |
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how does turmeric work? what are the adverse effects? who should you avoid it in? |
mild analgesic bleeding, bladder contractions, lower glucose patients with gallstones |
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how does ginger work in fibromyalgia? adeverse effects? how does boswellia work? |
analgesic same as turmuric analgesic and anti inflammatory |
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what botanicals are used to treat depression? does SAMe work? ADE? cost? |
SAMe, St johns wort, 5 HTP yes, show to be as effective as TCA and may help FM symptoms insomnia expensive |
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how does st johns wort work? does it work? any drug interactions? |
inhibits reuptake of serotonin, dopamine, NE effective as low dose TCA induces cyp 450 |
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how does 5 HTP work? adverse effects? |
increases serotonin levels, improves depression drowsiness, take a bedtime |
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what is in the revitalizing sleep formula? why is hops an issue? how does melatonin improve sleep? |
valerian, passionflower, theanine, hops, lettuce, dogwood good for sleep but can worsen depression reduces sleep latency and improves sleep quality |
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what is RA? what are some of the symptoms? what are the risk factors for RA? |
autoimmune inflammatory disease that destroys cartilage and bone pain/stiffness in joints, muscle weakness, fatigue, hand foot swelling women, age, smoking, caffeine |
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what is normal pharmacology treatment for RA? |
steroids, DMARDs like MTX, sulfasalazine, hydroxychloroquine or biologics like tnf inhibitors |
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what type of physical activity is recommended in RA? what type of physical activity should be avoided? |
low impact activity like walking or light weight training heavy weight lifting |
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why should echinacea be avoided in RA? when should you add ginger and turmeric |
it worsens autoimmune diseases mild RA |
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what are the two types of IBD? what is the difference between the two? is there a difference in bloody diarrhea? |
ulcerative colitis and crohns disease ulcerative colitis if cofined to rectum and colon while crohns is any part of GI tract ulcerative colitis is always bloody and crohns can or be bloody but doesnt have to be |
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what are some pharmacological therapy's for IBD? what type of IBD responds better to changes in diet? what kind of carbs should you eat and why? |
loperamide, dicyclomine, 5 ASA, steroids, tnf inhibitors crohns monosaccharides, easily absorbed |
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what types of foods make IBD worse? what can a high protein diet put you at risk for? what nutritional changes can help maintain remission of UC? |
cereal, legumes, potatoes, SUCROSE developing UC increased fiber and omega 3s, decrease animal proteins and vegetable oils |
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what is folic acid given with? when would you give vitamin b12? do vitamins A, C, E work? what vitamin from above can increase risk of bleeding? |
MTX and 5 ASA's if megaloblastic/macrocytic anemia is occurring no effect at all vitamin E |
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does vitamin D work? do omegas work better in UC or CD? what does high dose of omega 3s put you at risk for? |
helps reduce risk of relapse UC bleeding |
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does glutamine work for UC or CD? main side effect of NAC? does melatonin work? |
no benefits and should be avoided in UC unpleasant odor worsen IBD |
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what are the three probiotics used in IBD? what bacteria is in VSL-3? what is it used for? how is it stored? |
VSL-3, lactobacillus GG, Saccharomyces boulardii bifidobacterium, lactobacillus, strptococcus UC refiregerated |
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does lactobacillus work? does saccharomyces boulardii work? what drugs does saccharomyces boulardii decrease bioavailability of? what is an adverese effect in immunocompromised patients? |
nope yes in both types of IBD, use this one metronidazole, milke thistle, vitamin e, and c fungemia |
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what botanicals are used in IBD? does curcumin work? adverse effects of curcumin? |
curcumin/tumeric, boswellia serrata, aloe vera yes in both types of IBD lowers glucose, worsens GERD, constipation |
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does boswellia serrata work in IBD? when is the best time to use it? |
shown to be as effective as sulfasalazine in reducing symptoms of UC if patient is resistant to using drugs, or if allergic to sulfalazine |
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does aloe vera work? what type of aloe should be avoided? |
yes, helps reduced symptoms of UC aloe latex |
