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Saturday, September 1, 2007

Contemporary Medicines

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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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1 comments:

Anonymous said...

Date: Mon, 1 Oct 2007 16:46:25 -0400 From: "Kevin Nadal" < knadal@gmail.com> Subject: Filipinos Denigrated on ABC's Desperate Housewives Dear Kababayan and Allies: I heard through the grapevine about a remark made on an episode of "Desperate Housewives" last night. The scene entailed Teri Hatcher's character (Susan) at a hospital, being told by her gynecologist that she might be hitting menopause. Susan replied, "Can I just check those diplomas because I just want to make sure that they are not from some med school in the Philippines." If you go to abc.com, you watch the full episode and witness the scene at about 18:50 minutes into the episode. This type of derogatory remark is not only unnecessary and hurtful, but is also unfounded, considering the presence of Filipinos and Filipino Americans in the health care industry. Filipinos are the second largest immigrant population in the United States, with many entering the U.S. and passing their U.S. licensing boards as doctors, nurses, and medical technicians. In fact, the Philippines produces more U.S. nurses than any other country in the world. So, to belittle the education, experience, or value of Filipino Americans in health care is disrespectful and plain and simply ignorant. As Filipino Americans, we need to band together to ensure that this type of hateful message is not allowed to continue on our television and radio airwaves. Given the recent amounts of media attention that has been given to Michael Richards (against African Americans), Isaiah Washington (against gays), and Rosie O'Donnell (against Asian/ Chinese Americans), it is ridiculous that this type of hateful speech made it through various screenwriters, the show's producers, the show's actors, and ABC itself. Yet, this isn't the first time that negative remarks have been made about the Philippines or Filipinos in the past. In recent years, we've heard one too many "dogeater" comments by "comedian" Joan Rivers on the red carpet or in her standup act, and I believe that it is about time that we stand up for ourselves, so that this type of hateful speech never happens again. Please join me in expressing your concern, disappointment, and/or disgust to the producers of ABC.com. You can sign the petition at http://www.petitiononline.com/FilABC/ or you can reach them directly abc7@abc.com. And please feel free to forward this widely to other Filipinos/ Filipino Americans/ Asian Americans/ and other allies. Sincerely, Kevin Nadal, Filipino Performance Artist/ Activist knadal@gmail.com


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