Contemporary Medicines Slideshow Transcript
Slide 1: CONTEMPORARY MEDS
Slide 2: CO-ENZYME 10 Has antioxidant and membrane q stabilizing properties q Q10 is a free radical scavenger q Protects cell membranes and DNA from oxidative damage q Found in all human cells q Protects tissue from cellular damage
Slide 3: INDICATIONS Allergies q q Asthma q Respiratory disease q Alzheimers’ disease q Schizophrenia q Gives energy to the heart especially in CHF
Slide 4: UNDESIRABLE EFFECTS q Anorexia q Nausea q Diarrhea q Epigastric discomfort
Slide 5: SPECIFIC INFORMATION: q Oral antidiabetic agents may decrease effectiveness of Co-Q10 q Co-Q10 may decrease response to warfarin
Slide 6: INTERVENTIONS q Cardiovascular assessment should be ongoing q Coenzyme Q10 is oil soluble and is best absorbed when taken with oily or fatty foods such as fish
Slide 7: EDUCATION Co-Q10 is perishable and q deteriorates in temperatures above 115’F q A liquid form or oil form is preferable q Vitamin E helps preserve Co- enzyme
Slide 8: FOODS HIGH IN VITAMIN E q Mackerel, salmon, sardines q Peanuts q Spinach q Beef
Slide 9: EVALUATION CLIENT WILL HAVE NO SIGNS OF: q peripheral edema, hepato splenomegaly, JVD, bibasilar crackles q client will have normal sinus rhythm on ECG q increased sense of well-being
Slide 10: BRANDS ADELIR q CO-Q10 q HEARTACIN q INOKITON q NEUQUINONE q TAIDECANONE q UBIQUINONE q UDEKINONE q
Slide 12: ECHINACEA Stimulates phagocytosis q increases mobility of leukocytes q increases respiratory cellular q activity increased immunity q antiseptic, antiviral, anti- q inflammatory has peripheral vasodilator property q
Slide 13: INDICATIONS Sore throat, colds, flu, low immune q status, CA Ointments used for burns, ulceration, q eczema, herpes simplex, psoriasis Reduces recurrence of Candida q Albicans Decreases growth of Trichomonas q Vaginalis
Slide 14: WARNINGS EXTERNALLY: none q q INTERNALLY: TB, MS, HIV, collagen diseases and autoimmune diseases q Alcoholics and with liver disease q Pregnancy, breastfeeding q children
Slide 15: UNDESIRABLE EFFECTS Allergies may occur if client is q allergic to plants in the daisy family.
Slide 16: OTHER SPECIFIC INFORMATION q Donot administer with immunosupressants or hepatotoxic drugs, disulfiram and metronidazole
Slide 17: INTERVENTIONS q Monitor WBC q Vital signs q breath sounds
Slide 18: EDUCATION Instruct the client that herb q should not be used longer than 8 weeks ,10-14 days of therapy is probably sufficient q If illness does not resolve after taking the herb, advise to notify provider.
Slide 19: EVALUATION q WBCs will return to normal range.Temperature will return to normal range, and client will have a decrease in the symptoms for which the herb was administered.
Slide 20: BRANDS CONEFLOWER EXTRACT q q ECHINACEA q ECHINACEA ANGUSTIFOLIA q ECHINACEA FRESH FREEZE- DRIED q ECHINACEA GLYCERITE q ECHINACEA PURPUREA
Slide 22: EVENING PRIMROSE Its oil stems from essential q fatty acids that are crucial as structural elements for cells as precursors of synthesis of prostaglandins q Linoleic acid is not manfactured by the body and must be provided through diet
Slide 23: The body relies on the q metabolic conversion of lenoleic acid (LA) to gamma lenoleic acid (GLA). A deficiency in this process results in diabetes , CA, CVD. q This herb contains the highest amount of GLA .
Slide 24: INDICATIONS q Rheumatoid arthritis q PMS q Menopause q diabetic neuropathy
Slide 25: WARNINGS q Pregnancy q Breast CA q Schizophrenia q Clients taking epileptogenic meds such as penothiazines
Slide 26: UNDESIRABLE EFFECTS q Abdominal discomfort q nausea q headache q rash q immunosuppression may occur after use of GLA > 1year
Slide 27: OTHER SPECIFIC INFORMATION q Penothiazines may increase risk of seizures
Slide 28: EDUCATION q Instructwomen with breast CA or clients with seizure disorder not to use this herb
Slide 29: EVALUATION q The clients symptoms will improve based on therapeutic reason for taking the herb
Slide 30: BRANDS q EFAMOL q EPOGRAM q EVENING PRIMROSE OIL q PRIMROSE POWER q MEGA PRIMROSE OIL
Slide 32: FEVERFEW q Inhibits synthesis of prostaglandins and leukotrienes q Inhibits secretion of serotonin from platelet granules
Slide 33: INDICATIONS q Migraine headaches q Arthritis q Fever q Menstrual disorders
Slide 34: UNDESIRABLE EFFECTS Occasional mouth ulceration q q GI disturbances q Dry ,sore tongue q Swollen lips q Abdominal pain q Vomiting q Diarrhea, flatulence
Slide 35: POST FEVERFEW SYNDROME q Withdrawal syndrome characterized by moderate to severe pain and joint and muscle stiffness
Slide 36: OTHER SPECIFIC INFORMATION qUse caution with anti-coagulants, may increase bleeding
Slide 37: INTERVENTIONS q Recommend avoiding chewing the leaves since they can cause mouth ulcers
Slide 38: EDUCATION Discuss proper oral hygiene due q to the risk of mouth ulcerations. q Discuss the importance of reporting undesirable effects to provider q Even feverfew is given for pain, the user can still operate heavy machinery
Slide 39: q Treatment for at least a few months is recommended . q Instruct the client not to withdraw the herb abruptly.
Slide 40: EVALUATION q Clients temperature will return to normal range and pain subside.
Slide 41: BRANDS q FEVERFEW q FEVERFEW GLYC q FEVERFEW POWER
Slide 43: GARLIC Inhibits platelet agreggation q q Decreases lipids q Has anti-tumor effects q Lowers total serum cholesterol, TG, and LDL q Increases HDL q Anti-microbial
Slide 44: INDICATIONS q Lowers high blood pressure and serum lipid levels q Aids in treatment of arteriosclerosis q Aids in treatment of yeast infection, wounds, colds and flu
Slide 45: WARNINGS q Hypersensitivity q Pepticulcer or reflux disease q Pregnant women due to oxytocic effects
Slide 46: UNDESIRABLE EFFECTS The entire body can smell of q garlic q Diaphoresis q Hypothyroidism q irritation of the mouth, esophagus or stomach q Nausea and vomiting
Slide 47: q Chronic use may lead to decreased hemoglobin production and lysis of RBCs
Slide 48: OTHER SPECIFIC INFORMATION qIncreases the risk of bleeding
Slide 49: INTERVENTIONS q MonitorCBC if client taking high-dose or long term
Slide 50: EDUCATION q Odorless garlic supplements are available q Instruct client watch for signs of bleeding (bleeding gums, petechiae) if taking with hemostatic agents
Slide 51: EVALUATION q The client will have a decrease in BP, lipid levels, or clinical symptoms for which the garlic was administered
Slide 52: BRANDS GARLIC POWER q q GARLIQUE q KWAI q ODORLESS GARLIC TABLETS q ONE A DAY GARLIC q SAPEC
Slide 54: GINKO BILOBA Produces arterial and venous q vasoasoactive changes that increase the tissue perfusion and cerebral blood flow q stimulates prostaglandin biosynthesis q acts as anti-oxidant
Slide 55: INDICATIONS q Memory loss q Early stages of Alzheimers’ disease q Poor circulation to extremeties q Intermittent claudication
Slide 56: WARNINGS Hypersensitivity q q Pregnancy q Children q Hemophilia or bleeding disorders q Clients taking anti-coagulants and anti-platelet meds
Slide 57: UNDESIRABLE EFFECTS Mild GI upset in less than 1% of q patients q Long term use has been linked with rare occurrence of spontaneous subdural hematoma, intracerebral or intraoccular hemorrhage
Slide 58: OTHER SPECIFIC INFORMATION q Cigarette smoking or use of platelet agreggation inhibitors increases the risk of subarachnoid hemorrhage may interact with carebemazepine, phenobarbital and phenytoin.
Slide 59: INTERVENTIONS q Administration for at least 2 weeks recommended q Children and adults taking medicinal doses should be seen by a qualified health care provider
Slide 60: EDUCATION Stay within recommended dosage q and duration. Advise not to take aspirin or NSAIDs or alcohol; report unusual bleeding or bruising. Keep out of reach from children due q to potential risk of seizures with ingestion Avoid contact with the fruit pulp or q seed coats due to risk of dermatitis
Slide 61: EVALUATION q Substantial regression of major symptoms of chronic cerebral insufficiency including vertigo, senility, fatigue, lack of vigilance, and poor circulation to the limbs
Slide 62: BRANDS BIOGINKO 24/6 q q BIOGINKO 27/7 q GINCOSAN q GINEXIN REMIND q GINKAI q GINKOBA q GINKO PHYTOSOME
Slide 64: GINSENG Supports and enhances adrenal q function , allowing for more consistent energy and better reaction to stress. q Reduces cholesterol and TG, decreases platelet adhesiveness and coagulation Increases fibrinolysis q
Slide 65: q Antiarrythmic effects have also been determined with ginseng similar to Verapamil and amiordarone
Slide 66: INDICATIONS Improves stamina, q concentration and stress- resistance; adjunct in radiation and chemotherapy. q Lowers blood glucose and cholesterol levels q Has anti-hypertensive effects
Slide 67: WARNINGS Cardiovascular disease q q Hyper/hypotension q Diabetes q Steroid therapy q Pregnancy q Breastfeeding
Slide 68: UNDESIRABLE EFFECTS q High doses can cause jitters, headache, hypertension, vaginal bleeding, skin eruptions and pruritus.
Slide 69: OTHER SPECIFIC INFORMATION Anti-diabetic agents should be q used cautiously due to ginsengs’ hypogycemic effect. q MAO inhibitors given with ginseng may result in tremors, headache and mania. q Herb may interfere with digoxin effects
Slide 70: INTERVENTIONS Monitor for “Ginseng Abuse q Syndrome” (nervousness, insomnia, morning diarrhea) q This will occur if tea or coffee are taken with the herb. q Monitor the diabetic client for signs and symptoms of hypoglycemia.
Slide 71: EDUCATION Take 1 hour before eating. q q Vitamin C can interfere with absorption. q Avoid caffeine q Take early in the day to reduce over stimulation. q Generally up to 3 months is recommended
Slide 72: EVALUATION q Client will experience an increase in energy and an improvement of symptoms for which ginseng was administered.
Slide 73: BRANDS BIOSTAR q q CIMEXON q GINCOSAN q GINSANA q GINSATONIC q NEO GINSANA
Slide 75: KAVA - KAVA The limbic system is inhibited q by kavapyrones an effect associated with suppression of emotional excitability and mood enhancement. Noted for promoting relaxation without loss of mental sharpness
Slide 76: INDICATIONS Anxiety disorders q q Stress q Insomnia q Muscle spasms q Backache q Neckache q Pain from TMJ
Slide 77: WARNINGS Pregnant,breastfeeding q q Children< 12 q Use cautiously in clients with renal disease, neutropenia or thrombocytopenia. q Do not use if diagnosed with Parkinson’s disease
Slide 78: UNDESIRABLE EFFECTS Mild GI disturbance q q Alterations in motor reflexes and judgement. q Visual disturbances q Dry discolored flaking skin q Reddened eyes ( may be from cholesterol metabolism)
Slide 79: Dopamine antagonism q q Decreases patellar reflexes q Pulmonary hypertension,shortness of breath q decreased bilirubin levels,plasma proteins and urea
Slide 80: Long term use : decreased q platelet and lymphocyte count
Slide 81: OTHER SPECIFIC INFORMATION When taken with kava , these q interaction can occur: q ALPRAZOLAM may cause coma q BENZODIAZEPINES,ALCOHOL and CNS DEPRESSANTS increases sedative effects q LEVODOPA increases Parkinsonian’s symptoms
Slide 82: EDUCATION Warn against using medicines q referred to in other specific information. q Do not take for more than 3 months without provider advice due to significant undesirable effects. q Instruct client to take with food.
Slide 83: EVALUATION Client will experience a q decrease in anxiety and improvement in peaceful sleep.
Slide 84: BRANDS AIGIN q q ANTARES q ARDEYDYSTIN q CEFKAVA q KAVASEDON q KAVASPORAL q KAVATINO
Slide 85: LAITAN q q MOSARO q NERVONOCTON N q POTTER’S ANTIGIAN TABLETS q VIOCAVA
Slide 87: SAW PALMETTO BERRY: SERENOA REPENS Lipidosterolic extract of S. q repens (LSER) appears to have an inhibitory effect on the binding of dihydrotestosterone (DHT) to androgen receptors in the prostate. LESR has anti inflammatory effect
Slide 88: INDICATIONS BPH, may function as mild q diuretic
Slide 89: WARNINGS Pregnancy, breastfeeding and q women of child-bearing age. q Use cautiously in clients with medical problems other than BPH due to lack of data
Slide 90: UNDESIRABLE EFFECTS Large amounts may cause q diarrhea. q In rare case , stomach problems and headaches may occur. q May create false negative prostate antigen results
Slide 91: OTHER SPECIFIC INFORMATION Increase side effects of q estrogen or birth control pills q May decrease iron absorption
Slide 92: INTERVENTIONS Obtain a baseline PSA before q starting the herb since it can cause a false negative PSA.
Slide 93: EDUCATION Instruct the client to take the herb q with AM and PM meal to decrease GI effects. Client should use herb for BPH only q after a diagnosis has been and with the management of the provider of health care. Advise client to report any q undesirable effect
Slide 94: EVALUATION Client will experience a q decrease in the symptoms for which the herb was taken.
Slide 95: BRANDS q PREMIXON q PROPALMEX q STROGEN
Slide 97: ST. JOHN’S WORT The exact mechanism has not q been determined. q Inhibits the stress-induced increase in corticotropin- releasing hormone and cortisol. q Increases the nocturnal melatonin levels q Anti-viral
Slide 98: INDICATIONS q Mild to moderate depression ,insomnia, anxiety and PMS symptoms. q Wound healing q Insect bites
Slide 99: WARNINGS q Clients taking prescription and anti-depressants q Pregnant or breastfeeding clients q Children
Slide 100: UNDESIRABLE EFFECTS Photosensitivity in people with q fair skin q Dizziness q Constipation q Dry mouth q GI distress q Restlessness
Slide 101: OTHER SPECIFIC INFORMATION Alcohol, narcotics, OTC cold q and flu medications, sympathomimetics, tyramine containing foods may increase MAO inhibition activity. q Paroxetine may increase sedative-hypnotic effects with the herb.
Slide 102: Serotonin syndrome may occur q when used with SSRI’s or tricyclic anti-depressants. q Do not use with drugs that cause photosensitivity ( sulfonamides,tetracyclines,ant ipsychotics,etc. )
Slide 103: INTERVENTIONS q Theclients depression should be evaluated by a health care provider.
Slide 104: EDUCATION Use over a period of several q weeks or months to obtain the desired effects. q Should not be used at the same time with prescribed anti depressants. q Avoid foods high in tyramine q Teach to stay out of the sun
Slide 105: EVALUATION q Client’s communication and behavior will indicate an improvement of depression.
Slide 106: BRANDS HYPERCALM q q HYPERICUM q KIRA q MOOD SUPPORT q ST.JOHN’S WORT q NUTRI ZAC q TENSION TAMER
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