Herbal Supplements w/ nursing interventions

question

Immune system: Echinacea
answer

Immunostimulant, anti-inflammatory, antiviral, antibacterial
question

Echinacea uses
answer

Used to prevent and treat colds, flu, wound healing, UTIs
question

Echinacea side effects
answer

Immune suppression, tingling sensation and/or unpleasant taste on tongue, nausea, vomiting, allergic reactions
question

Echinacea nursing considerations
answer

1. Decreases effectiveness of immunosuppressants 2. Contraindicated in autoimmune diseases 3. Avoid if allergic to ragweed to daisies
question

Immune system: Garlic
answer

Antimicrobial, antilipidemic, antithrombotic, antitumor, anti-inflammatory
question

Garlic uses
answer

1. Used to reduce cholesterol, prevent atherosclerosis, cancer, stroke, and MI 2. Decrease blood pressure, prevent and treat colds and flu
question

Garlic side effects
answer

Flatulence, heartburn, halitosis, irritation of mouth, esophagus, stomach, allergic reaction
question

Garlic contraindications
answer

Contraindicated with peptic ulcer, reflux
question

Garlic nursing considerations
answer

1. May potentiate anticoagulant and anti platelets, antihyperlipidemics, antihypertensives, anti diabetic agents, and herbs with these effects 2. May decrease efficacy of cyclosporine, hormonal contraceptives 3. Avoid if allergic to members of the lily family of plants
question

Immune System: Ginseng
answer

Stimulant and tonic to immune and nervous system
question

Ginseng uses
answer

Used to increase stamina, as aphrodisiac, adjunct chemotherapy and radiation therapy
question

Ginseng side effects
answer

Headache, insomnia, nervousness, palpitations, excitation, diarrhea, vaginal bleeding
question

Ginseng contraindications
answer

May cause headache, tremors, irritability, manic episodes if combined with MAOIS or caffeine
question

Ginseng nursing considerations
answer

1. May falsely elevate digoxin levels; observe for signs usually associated with high digoxin levels 2. May antagonize Coumadin 3. Potentiates antidiabetic agents, steroids, estrogens 4. Caution with cardiovascular disease, hypotension, hypertension, steroid therapy
question

Female Reproductive System: Evening Primrose oil
answer

Anti-inflammatory, sedative, astringent
question

Evening Primrose oil uses
answer

Used for premenstrual and menopausal problems, rheumatoid arthritis, elevated serum cholesterol, HTN, eczema, diabetic neuropathy
question

Evening Primrose oil side effects
answer

Headache, rash, nausea, seizures, inflammation
question

Evening Primrose oil contraindications
answer

Contraindicated for clients with epilepsy, schizophrenia
question

Evening Primrose oil nursing considerations
answer

1. May potentiate anti platelet and anticoagulant meds 2. Increases risk for seizures when taken with phenothiazines, antidepressants
question

Musculoskeletal System: Chondroitin
answer

Collagen synthesis
question

Chondroitin uses
answer

Used for arthritis for cartilage synthesis (with glucosamine)
question

Chondroitin side effects
answer

Dyspepsia, nausea
question

Chondroitin nursing considerations
answer

May potentiate effects of anticoagulants
question

Musculoskeletal System: Glucosamine
answer

Collagen synthesis
question

Glucosamine uses
answer

Used for arthritis for cartilage synthesis (with chondroitin)
question

Glucosamine side effects
answer

Dyspepsia, nausea
question

Glucosamine nursing considerations
answer

May impede insulin secretion or increase resistance
question

Neurological system: Capsicum/Cayenne Pepper
answer

Analgesia, improves blood circulation
question

Capsicum/Cayenne Pepper uses
answer

Used for arthritis, bowel disorders, nerve pain, PAD, chronic laryngitis, personal self-defense spray
question

Capsicum/Cayenne Pepper side effects
answer

GI discomfort, pain in eyes, nose, mouth, and swelling in eyes, skin tissue irritation, cough, bronchospasm
question

Capsicum/Cayenne Pepper contraindications
answer

Avoid if allergic to ragweed or to chili pepper
question

Capsicum/Cayenne Pepper nursing considerations
answer

1. May decrease effective of antihypertensives, increases risk of cough with ACE inhibitors 2. May potentiate anti platelet and anticoagulant meds and herbs 3. May cause hypertensive crisis with MAOIs 4. Increases theophylline absorption
question

Neurological system: Feverfew
answer

Analgesic, antipyretic
question

Feverfew uses
answer

Used for migraine prophylaxis, fever, menstrual problems, arthritis
question

Feverfew side effects
answer

Mouth ulcers, heartburn, indigestion, dizziness, tachycardia, allergic reactions
question

Feverfew nursing considerations
answer

1. Potentiates antiplatelet and anticoagulant meds 2. Do not stop abruptly-cause moderate to sever pain with joint and muscle stiffness 3. Caution if allergic to daisy family of plants
question

GI system: Flaxseed
answer

Laxative, anticholesteremic
question

Flaxseed uses
answer

Used for constipation, decrease cholesterol, prevent atherosclerosis, colon disorders
question

Flaxseed side effects
answer

Diarrhea, flatulence, nausea
question

Flaxseed contraindications
answer

Contraindicated if client has strictures or acute GI inflammation
question

Flaxseed nursing considerations
answer

1. May decrease absorption of oral meds- do not take within 2 hrs 2. Immature flax seeds can be very toxic 3. Increase fluids to minimize flatulence
question

GI system: Ginger
answer

Antiemetic, antioxidant, digestive aid, anti-inflammatory
question

Ginger uses
answer

Used for nausea, vomiting, indigestion, gas, lack of appetite
question

Ginger side effects
answer

Minor heartburn, dermatitis
question

Ginger contraindications
answer

Contraindicated with gallstones
question

Ginger nursing considerations
answer

May potentiate anti platelet and anticoagulant meds, anti-diabetic meds, herbs that increase bleeding times
question

GI system: Licorice
answer

Demulcent (soothes), expectorant, anti-inflammatory
question

Licorice uses
answer

Used for coughs, colds, stomach pains, ulcers
question

Licorice side effects
answer

Hypokalemia, headache, edema, lethargy, HTN, HF (with overdose), cardiac arrest
question

Licorice contraindications
answer

Contraindicated in renal or liver disease, heart disease, HTN -Caution with hormonal contraceptives
question

Licorice nursing considerations
answer

1. Decreases effect of spironolactone 2. Avoid use with digoxin, loop diuretics, corticosteroids
question

Genitourinary system: Saw Palmetto
answer

Mild diuretic, urinary antiseptic
question

Saw Palmetto uses
answer

Used for BPH, increasing sexual vigor, cystitis
question

Saw Palmetto side effects
answer

Constipation, diarrhea, nausea, decreased libido, back pain
question

Saw Palmetto nursing considerations
answer

1. May interact with hormonal meds such as HRT and oral contraceptives 2. May cause false negative PSA test result
question

Psychiatric: Chamomile
answer

Sedative/hypnotic, anti-inflammatory, antispasmodic, anti-infective
question

Chamomile uses
answer

Used for stress, anxiety, insomnia, GI disorders
question

Chamomile side effects
answer

Allergic reactions, contact dermatitis, vomiting, depression
question

Chamomile nursing considerations
answer

1. May potentiate sedatives and anticoagulants 2. Avoid if allergic to ragweed, members of daisy family of plants
question

Psychiatric: Kava
answer

Anti-anxiety, sedative/hypnotic, muscle relaxant
question

Kava uses
answer

Used for anxiety, insomnia, seizure disorders
question

Kava side effects
answer

Hepatotoxicity, psychological dependence, mild euphoria, fatigue, sedation, suicidal thoughts, visual problems, scaly skin reaction
question

Kava contraindications
answer

Contraindicated in Parkinson’s, history of stroke, endogenous depression
question

Kava nursing considerations
answer

May potentiate sedative effects of other sedating meds (bentos, barbiturates), anticonvulsants, and herbs (chamomile, valerian)
question

Psychiatric: Melatonin
answer

Hormone from pineal gland
question

Melatonin uses
answer

Used for insomnia, jet lag
question

Melatonin side effects
answer

headache, confusion, sedation, tachycardia
question

Melatonin nursing considerations
answer

1. Potentiates CNS depressants 2. May decrease effectiveness of immunosuppressants, Procardia
question

Psychiatric: St. John’s wort
answer

Antidepressant, sedative effects, antiviral, antimicrobial
question

St. John’s wort uses
answer

Used for mild to moderate depression, sleep disorders, skin and wound healing
question

St. John’s wort side effects
answer

Photosensitivity, fatigue, allergic reactions, dry mouth, dizziness, restlessness, nausea
question

St. John’s wort contraindications
answer

Contraindicated for major depression, transplant recipients, clients taking SSRIs (increases risk of serotonin syndrome), MAOIs (increase risk of hypertensive crisis), hormonal contraceptives
question

St. John’s wort nursing considerations
answer

1. Usually decreases effectiveness of digoxin, antineoplastics, antiviral, AIDS drugs, anti-rejection drugs, theophylline, Coumadin, hormonal contraceptives 2. May potentiate drugs and herbs with sedative effects 3. Should avoid tyramine in diet, OTC meds
question

Psychiatric: Valerian
answer

Sedative/hypnotic, antispasmodic
question

Valerian uses
answer

Used for insomnia, restlessness, anxiety
question

Valerian side effects
answer

Headache, blurred vision, nausea, excitability
question

Valerian contraindications
answer

Contraindicated in liver disease, may be hepatotoxic
question

Valerian nursing considerations
answer

May potentiate other CNS depressant meds, antihistamines, and sedating herbs
question

Cardiovascular system: Gingko
answer

Enhances cerebral and peripheral blood circulation; anti depressive
question

Gingko uses
answer

Used for dementia, short term memory loss, vertigo, PADs, depression, sexual dysfunction (including from SSRIS)
question

Gingko side effects
answer

Headache, GI upset, contact dermatitis, dizziness
question

Gingko nursing considerations
answer

1. May potentiate anti platelet and anticoagulant meds, ASA, NSAIDS and herbs, which increase bleeding time 2. May potentiate MAOIs 3. May decrease effectiveness of anticonvulsants
question

Cardiovascular system: Hawthorn
answer

Antianginal, antiarrhythmic, vasodilator, antihypertensive, antilipidemic
question

Hawthorn uses
answer

Used for mild to moderate heart failure, hypertension, cholesterol reduction
question

Hawthorn side effects
answer

Nausea, fatigue, sweating
question

Hawthorn nursing considerations
answer

1. May potentiate or interfere with wide range of CV meds used for CHF, angina, arrhythmias, HTN, vasodilation 2. Potentiates digoxin 3. Potentiates CNS depressants 4. Avoid if allergic to members of the rose family of plants
question

Respiratory system: Eucalyptus
answer

Decongestant, anti-inflammtory, antimicrobial, antifungal
question

Eucalyptus uses
answer

Used for coughs, bronchitis, nasal congestion, sore muscles, wounds
question

Eucalyptus side effects
answer

Nausea, vomiting, epigastric burning, dizziness, muscle weakness, seizures
question

Eucalyptus contraindications
answer

Contraindicated with liver disease, inflammation of intestinal tract
question

Eucalyptus nursing considerations
answer

1. Potentiates antidiabetic meds and possibly other herbs that cause hypoglycemia 2. May increase metabolism of any drugs metabolized in liver

Get instant access to
all materials

Become a Member