1
Q
Dietary Supplement Health & Education Act of 1994 (DSHEA)
A
- Primary regulatory act for dietary supplements
- Exempts dietary supplements from FDA standards (however, supplements cannot claim to treat disease)
- Dietary supplements: diet enhancers, herbs, vitamins, minerals, metabolites
2
Q
Consumer Protection Act of 2006
A
Regulates serious adverse effects reporting (after the fact)
3
Q
Good Manufacturing Processes (2007)
A
- Must be labeled as a supplement
- Must be devoid of adulterants
- Label must say what is inside (including active & inactive ingredients)
4
Q
What is not regulated for dietary supplements?
A
- Adverse effects
- Standardization of dosages
- Safety
5
Q
Nursing Considerations w/ CAM:
A
- ID patient’s goal of therapy
- Avoid being judgmental
- Educate patient to strengths & weaknesses
- Avoid false hopes of a cure
- Keep current w/ info on CAM
- Encourage patients to seek info from reputable sources
- Obtain a thorough health hx
- ID patient’s use of CAM on records
6
Q
RDA
A
Recommended Dietary Allowance –> established by National Academy of Science’s Food & Nutrition Board
- Intake level that meets most people’s needs
- Well-balanced diet provides adequate vitamins & minerals
- Certain drugs can affect vitamin metabolism
- Some people need larger amounts of some vitamins: infants, pregnant women, older adults, vegetarians
7
Q
Vitamins
A
Nutrient substances required for health of body processes
- Water-soluble –> stored briefly, then excreted
- Fat-soluble –> stored in liver & fatty tissues
8
Q
Fat-soluble vitamins
A
ADEK
- Found in fatty foods & oils
- Stored in lipid tissue
- Excessive intake can be harmful
9
Q
Water-soluble vitamins
A
- Found in fresh fruits and vegetables
- Not stored in body
- Signs of deficiency appear quickly
- Excess intake is usually not harmful –> rapidly excreted
