Essential Oils and Nursing Considerations – Flashcards

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Lavender
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May be beneficial with high BP.
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Peppermint
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Do not use on children under 30 months of age. Has been shown to slow intestinal transit, which may slow the absorption rate or increase the total absorption of coadministered drugs. Large doses internally may inhibit the drug-metabilizing isoenzyme CYP3A4, leading to increased plasma levels of drugs metabolized by that isoenzyme. Coadministration of 600mg and felodipine (a calcium antagonist drug used to control hypertension) moderately increased the plasma concentration of felodipine, possibly through inhibition of the drug-metabilizing isoenzyme CYP3A4. Use with caution. Doses of menthol over 1 g/Kg b.w. may be deadly.
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Orange
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This essential oil shows photo-toxicity, do not apply before going out in the sun. If ingested in excess quantity, it can result in vomiting and nausea. If you are pregnant, epileptic, have liver damage, have cancer, or have any other medical problem, use essential oils only under the guidance of a qualified aromatherapy practitioner.
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Lemon
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Non-toxic, but can cause skin irritation and sensitizing in some individuals. Since it is a photo-toxic oil, it should not be used (even in low dilution) before sun exposure.
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Ginger
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Do not give to patients with history of gallstones. Watch for bleeding due to antiplatelet properties. Possible interactions with Coumadin, ASA, NSAIDs. Can cause CNS depression & cardiac arrhythmias if used in large quantities. Avoid during chemotherapy or surgery when bleeding is a concern. Less effective when given to a patient who is already nauseated.
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Tea Tree
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Encourage patients to place a small amount of oil on normal skin to check before applying to total area. Monitor for worsening skin conditions. Do not use undiluted oil on babies or toddlers, as little as 5 ml would be toxic for a small child. Do not use during pregnancy. Do not take internally. Warn patients that oil concentrations vary greatly.
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Eucalyptus
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Lowers BP, avoid with children under 2, use radiata instead.
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Chamomile
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Not for pregnancy or lactation. In large amounts may cause vomiting. Allergic response in people allergic to ragweed, chrysanthemum, marigolds, daisies, and similar herbs.
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Rosemary
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Avoid with high BP.
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