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5 Written questions

5 Matching questions

  1. Ginkgo (Ginkgo biloba) Side Effects
  2. St John's Wort (Hypericum perforatum) Side Effects
  3. Herds Important to Dental Surgery: Sedatives
  4. Black Cohosh
  5. Kava (Piper methysticum)
  1. a topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)
  2. b May increase risk of bleeding - use caution with anticoagulants or NSAIDS, discontinue 2 weeks before surgery, risk of serotonin syndrome
  3. c anxiety, improve sleep
    (Don't mix with things that will cause CNS depression)
  4. d menopause symptoms, rheumatoid arthritis, induce labor
  5. e Discontinue before anesthesia:
    Clove oil
    Ginger
    Chamomile
    Kava
    Passion Flower
    Valerian Root

5 Multiple choice questions

  1. headache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess

    Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids
  2. Clove oil
    Licorice root extract
    Evening primrose oil
    Aloe
    Coenzyme Q10
  3. GI upset, headache
  4. osteoarthritis, often in combo with chrondroitin
  5. sleep, reduces nervousness, stress, anxiety

5 True/False questions

  1. St John's Wort (Hypericum perforatum)topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)

          

  2. Garlic (Allium sativum)Odor, nausea, mouth/esophageal ulceration


    Increases risk of bleeding - discontinue use 2-3 weeks before surgery, caution with anticoagulants or antithrombotics (Aspirin or NSAIDS)

          

  3. St. John's Wort Drug InteractionsUses: depression
    One of the most frequently used herbal supplements

          

  4. Aloe (Aloe vera or Aloe barbadenis) Side EffectsAloe LATEX or "drug aloe" comes from the glands in the leaf surface and has strong laxative properties, leading to side effects including severe abdominal cramping and fluid loss and is not recommended.

          

  5. Ginger (Zingiber officinale) Side EffectsNausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy

          

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