CAM

Question 1

Complementary Health

Answer 1

nonmainstream used together with conventional medicine

Question 2

Alternative Health

Answer 2

nonmainstream used in place of conventional medicine

Question 3

Dietary Supplements

Answer 3

Dietary Supplement Health and Education Act of 1994
- restrictions on labeling
- risk lies with consumer, not the FDA

Question 4

Coenzyme Q-10

Answer 4

antioxidant for cell energy production

similar to VK12, may antagonize effects of warfarin

Question 5

Cranberry Juice

Answer 5

prevent UTIs and decrease urine odor

increase risk for GI upset and kidney stones

Question 6

Garlic

Answer 6

Reduce triglycerides and DLDL, raise HDL, reduce BP, increase arterial elasticity, decrease formation of atherosclerotic plaque

antiplatelet effects - risk for bleeding
reduce levels of cyclosporine (immunosuppressant) and saquinavir (treat HIV)

Question 7

Ginger Root

Answer 7

treat vertigo, suppress NV
antiinflammatory and analgesic for arthritis and chronic inflammatory

bleeding risk
lower blood sugar

Question 8

Ginkgo biloba

Answer 8

improve memory, halt dementia, decrease intermittnet claudication

suppress coagulation
promote seizures

Question 9

Peppermint

Answer 9

decrease nausea
management of IBS

lower sphincter pressure leading to GERD

Question 10

Probiotics

Answer 10

lactobacilli, bafidobacteria, Saccharomyces

help w diarrhea, eczema, ulcerative colitis, candidiasis, bacterial vaginosis, allergies

no sooner than 2 hours after antibacterial or fungal drugs

Question 11

St Johns Wort

Answer 11

mild to moderate depression
manage local infection
relieve pain and inflammation

allergies
CNS effects - insomnia, restlessness, anxiety, irratibility,
GI discomfort
Fatigure
dry mouth
headache

phototoxicity - sunscreen, sunglasses

Question 12

St Johns Wort Drug Interactions

Answer 12

Induction of Cytochrome P450 enzymes
- accelerates metabolism
- decreases anticoagulants and oral contraceptives

Induction of P-glycoprotein
- accelerate drug elimination
- decrease effects of digoxin, calcium channel blockers, steroids, anti-cancer

Intensification of serotonin effects
- fatal serotonin syndrome
- not combine with amphetamine, cocaine, antidepressants

Question 13

Acupuncture

Answer 13

restore balance
treat pain
hep with insomnia, opiate addiction, anxiety

Question 14

Massage

Answer 14

back pain, HA, sports injuries
- pain relief, improved circulation, ehanced flexibility, reduced anxiety

Question 15

CAM NC

Answer 15

Medication Reconciliation
- assess for vitamins and supplements
- ensure safety with other medications

Suggest adjunctive therapies