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Unit 5 - Cultural/Herbal Pharmacology
Test 1
25
Nursing
Undergraduate 3
02/04/2014

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Cards

Term
Who are poor metabolizers of tricyclic antidepressants and isoniazid and suffers from toxicity?
Definition
European descent
Term
Who may suffer from diminished therapeutic effects from beta blockers, ACE inhibitors, and warfarin sodium?
Definition
African descent
Term
Who has high incidences of lactose intolerance and therefor have low calcium diets? Vasomotor responses to alcohol increased?
Definition
Native Americans/Latin Americans
Term
Who may suffer from diminished therapeutic effects from codeine and rapidly metabolize isoniazid?
Definition
Asians
Term
Who prefers a large amount of personal space, value privacy, and exhibit a low to moderate amount of touching?
Definition
European
Term
Who is comfortable with smaller amounts of personal space and exhibit moderate amounts of touching among group members?
Definition
African
Term
Who is comfortable with a small amount of personal space, and value touching?
Definition
Latin Americans
Term
Do native americans like touching as latin americans do?
Definition
No
Term
Who is conformable with a small amount of personal space and little touching in public
Definition
Asaian
Term
Who prefers direct eye contact, moderate-loud voice, many words to describe symptoms, and uncomfortable in silence?
Definition
European
Term
Do africans use many words to describe symptoms?
Definition
No. Everytrhing else same as european
Term
Who is not likely to make eye contact with perceived authoritative persons, and is kind of okay with silence?
Definition
Latin american/Native american
Term
Who is not likely to make eye contact, low voice, and likes silence?
Definition
Asian people
Term
What marketing regulations are in effect for our herbal products?
Definition
Dietary Supplement Act of 1994. Reclassified herbal remedies as dietary supplements distinct from food or drugs. Cannot make claims without FDA approval.
Term
What are the classes of herbs?
Definition
- Dried herbs
- Extracts
- Fresh herbs
- Oils
- Salves
- Teas
- Tinctures
- Syrups
Term
If a man with CHF is on digoxin, warfarin and potassium: what should he know about st. john's wart that he wants to take for depression?
Definition
- St John's wart will decrease the effect and increase the metabolism of Warfarin and Digoxin. You will need to check labs for levels of these medications in his blood because if you over dose him, could lead to dig toxicity.
Term
A man with a heart condition wants to take large doses of garlic but has a history of blood clots. Problem?
Definition
Garlic decreases platelet aggregation and prevents them from happening. If already on an anticoagulant, may become a negative synergistic effect.
Term
A woman with epilepsy wants to take evening primrose. Problem?
Definition
Evening Primrose decreases seizure threshold so dosage of anticonvulsant may need to be changed.
Term
A man with psychosis and CHF has had problems with energy and wants to take Ginseng. Problem?
Definition
Avoid ginseng with people who are bipolar or have a psychotic disorder. Can interact with antipsychotic drugs.
Term
A man has CHF and hypertension and wants to take hawthorn supplements. Problem?
Definition
Hawthorn supplements increase the effects of ACE inhibitors and beta blockers. Can lead to hypotension or atrial fibrillation.
Term
A man with prostitis wants to take saw palmetto. PRoblem?
Definition
Can effect PSA count. Should discontinue supplement a week or 2 before test.
Term
A man takes phnytoin. Wants an OTC remedy for sleep. Problem?
Definition
Valerian negates the effects of phenytoin. Caution when taking with barbiuate/valium because it will increase sedative effect.
Term
Someone is taking an MAO inhibitor. What should be avoided?
Definition
Avoid Valerian, St. John's Wart, and Ginkgo Biloba.
Term
Which herbs interfere w/ anticoagulants?
Definition
Bilberry
Chamomille
Dong Quai
Feverfew
Garlic
Ginger
Ginseng
Goldenseal
Valerian
Term
A man with cirrhosis wants to take milk thistle. What should he know?
Definition
This will not reverse the cirrhotic liver changes but it may be slowed.
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