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ICM Week 2 > Complimentary Alternative Medicine > Flashcards

Flashcards in Complimentary Alternative Medicine Deck (21):
1

There are regulating aspects of governing availability, standardization & use of herbal supplements?

True or False

False
-no regulations in place for quality control of herbal products
-do not have to demonstrate accurate labeling, purity of contents, or use of good manufacturing practices

2

Which of the CAM therapies are performed by non-licensed personnel?

Homeopathy

3

Chiropractors
-what is the basis of their practice?

emphasize, diagnosis, treatment, and prevention of musculoskeletal disorders especially the spine

4

Natropathy
-what is the basis of their practice?

they believe the body has a natural power to heal itself.

-use hydrotherapy, massage, exercise therapy, life counseling, herbal medicines

5

Homeopathy
-what is the basis of their practice?

"like cures like"
"potentization" - step-wise dilutions in the preparations of their medications

***meta analyses failed to demonstrate homeopathic preparation are effective treatments for any disease.

6

Acupuncture
-what is the basis of their practice?

needles used to maintain the bodies harmonious balance


*most likely to be recommended by conventional medical professionals.

7

Complications of needle use?

-disease transmission
-needle fragment left in body
-pneumothorax
-pneuomoperitoneum (air/gas in abdominal cavity)
-organ puncture
-cardiac tampnade (fluid accumulation in pericardial sac)
-osteomyelitis (inflamm of bone d/t infection)

8

Populations who should avoid herbal supplements:

-pregnant/nursing women
-infants/children
-elderly
-surgical patients

9

Echinacea
-use
-adverse effects
-interaction with bleeding?

Use
-treat and prevent URI

Adverse effects
-dyspepsia (heartburn)
-diarrhea
-unpleasant taste

No effect on bleeding

10

Garlic
-use
-adverse effects
-interaction with bleeding?

Use
-lower cholesterol
-thins blood
-anti-atherosclerotic effects


Adverse Effects
-bad breathe and body odor (enters blood stream)
- GI SE & allergic rxns


Interaction w/ bleeding- YES, inhibit platelet aggregation

11

Gingko
-use
-adverse effects
-interaction with bleeding?

Use
-improves cognitive function in pt w/ alzheimers
-depression
-vertigo
-PVD
-macular degeneration

Adverse Effects
-GI upset
-HA

Interaction w/ bleeding: yes, inhibits binding of platelet activating factor

12

What herbs cause an increased risk of bleeding?

Garlic, Ginsing, Gingko, Ginger, Saw Palmeto, Red Yeast Rice, black cohoash

13

Ginseng
-use
-adverse effects
-interaction with bleeding?

Use
-improves health of those recovering from illness
-increase stamina and well being
-erectile dysfunction
-menopause

Adverse Effects
-HA
-GI distress
-insomnia
-palpitations
-menstrual irregularities

Interaction w/ bleeding: yes, alters hemostasis.

14

St. Johns Wart
-use
-adverse effects
-interaction with bleeding?

Use
-depression

Adverse Effects:
-GI symptoms
-dizziness
-confusion
-sedation
-photosensitivity
-dry mouth
-urinary frequency
-anorgasmia
-edma

NO interaction w/ bleeding

*Reduces the effectiveness of over the counter contraceptives

15

Saw Palmeto
-use
-adverse effects
-interaction with bleeding?

Use
-benign prostatic hypertrophy

Adverse effects
-HA
-nausea
-dizziness
-HTN
-erectile dysfunction

Interaction w/ bleeding: YES, if combined w/ antiplatelet/anticoagulants

16

Black Cohoash
-use
-adverse effects
-interaction with bleeding?

Uses
-anti-inflamm effects d/t small amounts of salicylic acid**
-menstrual symptoms, hot flashes
-muscle spasm
-arthritis
-PMS

Adverse effects
-N/V
-HA
-hypotension
-weight gain
-CI in pts w/ hx of estrogen dependent tumors

*acts like estrogen
-CI in pregnant, lactating, endometrial cancer, and estrogen dependent tumors

Interactions w/ bleeding: YES, increased blood thinning effects if taken w/ salycylates

17

Fish oil/Omega 3 fatty acids
-use
-adverse effects
-interaction with bleeding?

Use
-lower triglycerides
-may lower dementia
-essential in brain development
-reduce risk of sudden cardiac death in coronary heart disease

Adverse Effects
- GI effects (nausea)
-fishy taste

Interaction w/ bleeding? NO

18

Red Yeast Rice
-use
-adverse effects
-interaction with bleeding?

Use
-promote blood circulation
-lowers LDL & Cholesterol

Adverse Effects
-HA
-Dizziness
-Gas, Heartburn
-Stomach ache
-bloating
-muscle aches (potential rhabdomyalsis)

Interaction w/ bleeding: Yes, may thin the blood.

19

Niacin
-use
-adverse effects
-interaction with bleeding?

Use
-metab of carbs, fatty acids, protein
-lower LDL and cholesterol

Adverse Effects
-flushing
-N/T
-itching (pruiritis)
-constipation
-hives
-myopathy
-elevate uric acid levels causing gout
-liver toxicity

Interaction / bleeding? NO

20

Hawthorne Berry
-use
-adverse effects
-interaction with bleeding?

Uses
-treat CHF
-improve cardiac function and exercise tolerance

Adverse Effects
-Nausea
-sedation
-arrhythmias
-hypotension


Interaction w/ bleeding?? NO

21

What is a STATIN

class of cholesterol lowering drugs that inhibit the enzyme HGM-CoA reductase which plays central role in the production of cholesterol

*statins lower cholesterol