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Alternate therapies

  1. The integrative model is a consumer-led movement fostered from development of a new model of health care. What are the 3 things (characteristics) that it focuses on?
    • 1. Personal responsibility for health
    • 2. Joining mind, body, and spirit
    • 3. use of natural, less invasive modalities.
  2. What is CAT?
    Complementary and Alternative Therapies: group of diverse medical and health care systems, practices, and products.
  3. List mind-body interventions
    • Breathing
    • Meditation
    • Prayer
    • Imatry
    • Hypnotherapy
    • Journaling
    • Music and Dance
    • Yoga
    • Acupuncture
  4. List the use and teaching of each:
    Aloe
    Cranberry
    Echinacea
    • Aloe: for constipation
    •  - Short-term use only
    •  - May cause electrolyte imbalances
    •  - May lower BG
    • Cranberry: Prevents UTI
    •  - excess can lead to GI upset or diarrhea
    • Echinacea: may reduce incidence and duration of upper resp. tract infections
    •  - short term use and use with caution with immune function complicated patients
    •  - Use cautiously with asthma patients d/t allergic rxn
  5. List use and teaching for each:
    Evening primrose
    Feverfew
    Garlic
    • Evening primrose: Eczema, skin irritation
    •  - contraindicated with seizure disorders
    • Feverfew: migraine HA prevention
    •  - may increase risk for bleeding
    •  - Long-term users may experience withdrawal sx
    • Garlic: may decrease cholesterol and LDLs (inconsistent)
    •  - May increase risk of bleeding
    •  - may lower BG
  6. List use and teaching of each:
    Ginger
    Ginkgo biloba
    Ginseng
    • Ginger: n/v for pregnancy
    •  - increase bleeding
    •  - lower BG
    •  - using during pregnancy should not exceed 1G/day
    • Ginkgo biloba: s/s of claudication
    •  - generally well tolerated for up to  6 months
    •  - may increase risk of stroke
    •  - increase bleeding
    •  - affects BG
    • Ginseng: mental performance, enhance immune system, lower BG
    •  - affects BP
    •  - risk for lbleeding
    •  - avoid use w/ hormone sensitive conditions (breast ca)
  7. List use and teaching for each:
    Hawthorn
    Kava
    Zinc
    • Hawthorn: Mild to moderate HF
    •  - may add to the effects of cardiac glycosides, antihypertensives, and cholesterol lowering agents
    • Kava: anxiety
    •  - liver dmg, so avoid use with meds that also affect liver
    •  - drowsiness
    •  - use cautiously when used with meds that also affect kidney metabolism
    • Zinc: Upper respiratory tract infections
    •  - usually safe
    •  - not to be taken with dairy, caffeine (reduces absorption of Zinc)
  8. List use and teaching for St. John's Wort
    • St. John's Wort: short-term tx of depression
    •  - well tolerated for 1-3 months
    •  - May lead to serious interactions with other herbs, drugs, and supplements
    •  - interferes with metabolism of drugs that use cytochrome P450 enzyme system
    •  - antidepressant side effect increase
    •  - ask MD before self-medicating with this
  9. Which of the following can increase the risk of bleeding (select all that apply)








    • A. Kava
    • b. Ginko
    • c. Evening primrose
    • d. zinc
    • e. garlic
    • f. ginger
    • g. St. John's Wort
    • H. Feverfew
  10. List use and teaching of each:
    Chondroitin Sulfate
    Coenzyme Q10
    Fish oil/omega 3 fatty acids
    • Chondroitin sulfate: osteoarthritis
    •  - well tolerated for up to 3 years
    •  - Avoid with prostate ca
    •  - use cautiously with bleeding disorders or when taking anticoagulants
    • Coenzyme Q10: HTN
    •  - may decrease BG
    • Fish oil/omega 3: Hypertriglyceridemia, HTN 
    •  - May increase bleeding
    •  - increase BG
  11. List use and teaching of each:
    Glucosamine
    Melatonin
    Probiotics
    • Glucosamine: osteoarthritis
    •  - caution with DM and when taking insulin
    •  - risk of bleeding
    • Melatonin: jet lag, decrease sleep latency
    •  - risk of bleeding, use cautious w/ anticoagulants
    •  - decrease BP
    •  - use cautious w/ DM
    •  - avoid with antiseizure meds or CNS depressants
    • Probiotics: acute diarrhea r/t abx therapy, upper resp. tract infections
    •  - cautious w/ immune compromised or GI disorder
  12. List use and teaching of each:
    Red yeast rice
    Soy
    • Red yeast rice: high cholesterol and high triglycerides
    •  - may contain monacolin K (active ingredient of cholesterol lowering drug, Lovastatin)
    • Soy: high cholesterol
    •  - cautious with hormone-sensitive Ca
    •  - May interact with meds that are for DM, diarrhea, HTN, high cholesterol, obesity, or cardiac disorders
    •  - advise to consult with MD before taking
Author
edeleon
ID
342347
Card Set
Alternate therapies
Description
ADN-D EXAM 2
Updated

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