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52 Cards in this Set

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

Arrhythmias, CVA, HF, HTN, MI, nephrolithiasis, psychosis, seizures
garlic
interfere with hypoglycemic therapy, increase bleeding times with anticoagulant/antiplt therapy,
ginsing
increase MAOI, antihypertensives, hypoglycemics, increase CNS stimlant oftea/coffee, interfere with axn of steriods
ginger root
interfere with cardiac, antidiabetic, anticoagulant therapy
st johns wort
serotonin syndrome when used with serotonic drugs, produced increased drug effects with anidepressants
chamomile
increased risk for bleeding with anticoagulants
copper
involved in making RBC, immune functions, improves insulin action
iron
needed to make RBC, deficiency results in anemia
zinc
promoted wound healing and functions in antibody production