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DS & Vitamins

Dietary Supplements and Vitamins

QuestionAnswer
DS: What does the FDA do? postmarketing surveilance, but must prove a supp is harmful before they can remove from the market
DS: What does the CFSAN do? makes claims on products, labeling, inserts, promo materials
DS: What does the FTC do? advertising
DS: What does misbranding mean? claims to treat, cure or prevent disease
DS: What does the Dietary supplement and nonprescription drug consumer protection act do? (2006) requires manufacturers packers or distributors to submit reports of serious adverse effects based on specific info from the public
DS: What are two dangerous herbs for hepatotoxicity? borage and kava kava
DS: what is one dangerous drug for cerdiotoxicity bitter orange
DS: What are some natural meds to be cautious of with anticoagulants/antiplatelets feverfew, fish oil over 3g/day, ginko biloba, ginseng, vitamin E, hold peri procedures and drug interactions with warfarin, aspirin & clopidrogel
DS: What are some natural meds to be cautious of with ragweed allergy? echinacea and feverfew
DS: What are some drug interactions with st johns wort HIV drugs, immunosuppressants, warfarin, OCs, anticonvulsants, SSRIs, TCAs, sibutramine, triptans, antidepressants
DS: Black cohosh - what is it used for? menopause and hot flashes
DS: Black cohosh - how long can it be used? 6mo
DS: Black cohosh - what are some precautions? unsafe in pregnancy, lactation, history or risk of hormone sensitive cancer
DS: Black cohosh - what are some drug interactions hepatoxic products
DS: Black cohosh - contraindications? NONE
DS: Fish Oil - what is it used for? lower triglycerides, lower MI, lower mortality
DS: Fish Oil - dose cautions? dont take more than 3g a day
DS: Fish Oil - what are the precautions? may thin blood and reduce immune response
DS: Fish Oil - what are some contraindications? NONE
DS: Fish Oil - are there any drug interactions? NONE
DS: Ginko Biloba - what is it used for? memory improvement, and intermittent claudication (pain from too little circulation while exercising)
DS: Ginko Biloba - whats the onset and how long is it safe? 12 week onset, safe for a year
DS: Ginko Biloba - what are some precautions? none
DS: Ginko Biloba - what are some contraindications? diabetes, epilepsy and hemophelia
DS: Ginko Biloba - what are some drug interactions? anticoagulants and antiplatelets
DS: Glucosamine/chindroitin - what is it used for? OA treatment NOT PREVENTION
DS: Glucosamine/chindroitin - onset and how long is it safe to use? 6week onset and safe for 3 years
DS: Glucosamine/chindroitin - what are some precautions? shellfish allergy, prostate cancer, asthma exacerbation
DS: Glucosamine/chindroitin - what are some contraindications? none
DS: Glucosamine/chindroitin - what are some drug interactions? none
DS: Psyllium - what is it used for? lowers cholesterol
DS: Psyllium - how long is it safe? safe for long term use, take with lots of water!
DS: Psyllium - what are some precautions, contraindications or drug interactions? none
DS: st john's wort - what is it used for? mild depression
DS: st john's wort - how long is it safe to use? up to a year
DS: st john's wort - precautions? wear sunscreen
DS: st john's wort - contraindications? none
DS: st john's wort - drug interactions? HIV drugs, immunosuppressants, warfarin, anticonvulsants, SSRIs
DS: cranberry - what is it used for? prevent UTI not treat
DS: cranberry - precautions? diabetics, watch sugar content
DS: cranberry - contraindications? none
DS: cranberry - drug interactions? potential bleeding with warfarin
DS: Echinacea - what is it for? stimulate immune system to prevent colds
DS: Echinacea - how long can it be used? max of 8 months
DS: Echinacea - precautions or DIs? none
DS: Echinacea - contraindications? ragweed allergy, allergic rhinitis, HIV, autoimmune disorders, TB
DS: Ginger - what is it used for? nausea and vomiting
DS: Ginger - dose max? 4g
DS: Ginger - precautions? excessive amount may increase risk of bleeding
DS: Ginger - contraindications? none
DS: Ginger - drug interactions cautious of anticoagulants and antiplatelets
DS: Ginsing - what is it for? adaptogen(decreased sensitivity to stress)
DS: Ginsing - precautions? diabetes, cardiac conditions, birth defects, tetratogenic
DS: Ginsing - contraindications? none
DS: Ginsing - drug interactions? decrease warfarin effect, independently increase bleeding
DS: Melatonin - what is it used for? insomnia, sleep disorders and jet lag
DS: Melatonin - precautions? preg, kids, epilepsy
DS: Melatonin - contraindications? none
DS: Melatonin - drug interactions? pericardia, fluvoxamine, warfarin, ASA
DS: SAMe - what is it used for? OA and depression
DS: SAMe - how long is it safe to use? 2 years
DS: SAMe - precautions? could worsen parkinsons
DS: SAMe - contrainications? none
DS: SAMe - drug interactions antidepressants(theoretical)
DS: saw palmetto - what is it used for? BPH - benign prostatic hyperplasia
DS: saw palmetto - how long is it safe to use? 48 weeks
DS: saw palmetto - precautions, contraindications, drug interactions? none
DS: valerian - what is it used for? insomnia
DS: valerian - onset? 4weeks
DS: valerian - precautions? none
DS: valerian - contraindications pregnancy
DS: valerian - drug interactions additive sedation with hypnotics
Vitamins: what is the daily dose for Vitamin B12 2.4 mcg/day
Vitamins: What is the daily dose for folate? 400 mcg/day or 1mg a day if youre pregnant
Vitamins: What is the daily dose for calcium? 1000 mg/day or 1200 mg/day for women over 50, patients with osteoperosis need between 1200 and 1500mg/day
Vitamins: What is the daily dose for iron? 8mg/day for men and 18mg/day for women
Vitamins: What is the daily dose for vitamin D? 600 IU a day
Vitamins: what is the function of iron? plays a role in oxygen transport, found mainly in hemoglobin or RBC and the rest is stored in the mucosa, liver, spleen and bone marrow
Vitamins: What dietary source does iron come from? Heme iron comes from meat and is well absorbed. Nonheme iron comes from enriched grains and dark green veggies, they're poorly absorbed
Vitamins: how does one get an iron deficiency? what are the signs and symptoms? major source of iron loss is blood loss (hemorrhage or menstruation). Signs and symptoms are pallor, easily fatigued, spoon shaped nails, sore tonge, angualr stomatitis, dyspnea on exertion, coldness/numbness of extremities
Vitamins: What are some safety considerations with iron? All iron products tend to irritate the GI mucosa and may cause nausea or abdominal pain. Iron should be initiated on an empty stomach. If stomach upset, take with a meal but it decreases absorption up to 50%
Vitamins: what are some side effects of iron supplementation? constipation, blackened stools
Vitamins: when do you refer for a patient taking an iron supplement? history of GI disease
Vitamins: when might iron be toxic to an individual? if they're an alcoholic, may poison children so they're required to be in a childproof package
Vitamins: What can be taken with iron to increase absorption? ascorbic acid, 200mg ascorbic acid for every 30mg iron. encourage fruit juice or juice high in vitamin C
Vitamins: what can you take in combination with calcium to enhance bone health? vitamin D and osteoperosis medications
Vitamins: What is the chemical name for vitamin H? Biotin
Vitamins: What is the chemical name for vitamin B1 thiamine
Vitamins: What is the chemical name for vitamin B2 Riboflavin
Vitamins: What is the chemical name for vitamin B3? Niacin
Vitamins: What is the chemical name for vitamin B6 Pyridoxine
Vitamins: What is the chemical name for vitamin B12 cyanocobalamin
If a patient has choline deficiency, what are their symptoms? not very well understood yet
If a patient has a Calcium deficiency, what are their symptoms? rickets in children, osteoperosis in adults, tetany, convulsions, mental and growth retardations, bone deformities
If a patient has a vitamin H deficiency, what are their symptoms? N/V, lassitude, muscle pain, anorexia, anemia, grayish color of skin, glossitis
If a patient has a vitamin B2 deficiency, what are their symptoms? blurred vision, watery eyes, sore eyes, cornea vascularization, stomatitis, seborrheic, dermatitis, magenta tongue
If a patient has a vitamin B6 deficiency, what are their symptoms? pellegra like dermititis, oral lesions, peripheral neuropathy, scaliness around nose, mouth, and eyes, convulsions, peripheral neuritis, anema
If a patient has a pantothenic acid deficiency, what are their symptoms? somnolence, fatigue, abdominal pain, parasthesia of hands, hyperflaxia, muscular weakness of legs
If a patient has a niacin deficiency, what are their symptoms? dermatitis, diarfhea, dementia, neuropathy, glossitis, somatitis, thicker or hyperpigmented skin on face and pressure points
If a patient has a folic acid deficiency, what are their symptoms? sore mouth, diarrhea, irritability, forgetfulness, anemia
If a patient has a vitamin B12 deficiency, what are their symptoms? anemia, glossitis, paresthesia, peripheral neuropathy, confusion, agitation, hallucinations, psychosis
If a patient has a vitamin C deficiency, what are their symptoms? fatigue, capillary hemorrhage, petechiae, slwollen or bleeding gums, bone changes, impaired wound healing, scurvy, weakening of collagenous structures
If a patient has a vitamin K deficiency, what are their symptoms? unusual bleeding, prolonged bleeding time, increased risk of fracture
If a patient has a vitamin E deficiency, what are their symptoms? peripheral neuropathy, intermittent claudication, muscle weakness, hemolytic anemia
If a patient has a vitamin D deficiency, what are their symptoms? abnormal calcium levels, rickets, osteoperosis, softened bone
If a patient has a vitamin A deficiency, what are their symptoms? night blindness, loss of appetite, impaired taste, smell and equalibrium, drying of the skin
A patient should not take Choline if they are allergic to any of these foods egg yolk, cereal, fish and meats
A patient should not take vitamin H if they are allergic to any of these foods liver, egg yolk, mushrooms, peanuts, milk, bananas, yeast, most veggies
A patient should not take pantothenic acid if they are allergic to any of these foods some is present in all foods so lol you die
A patient should not take B1 if they are allergic to any of these foods legumes, whole grain cereal or bread, pork or beef
A patient should not take b2if they are allergic to any of these foods meat, poultry, fish, dairy, leafy veggies, bread and eggs
A patient should not take b3/niacin if they are allergic to any of these foods lean meats, liver, poultry, eggs, peanuts, milk
A patient should not take b6 if they are allergic to any of these foods it comes from many sources so idk tbh
A patient should not take b12 if they are allergic to any of these foods animal protein
A patient should not take folic acid if they are allergic to any of these foods all natural foods like wheat, eggs, dry beans, fish and lentils
A patient should not take vitamin C if they are allergic to any of these foods fresh food cause its a vitamin in fruit
A patient should not take vit K if they are allergic to any of these foods green leafy veggies
A patient should not take vitamin E if they are allergic to any of these foods vegetable oils, nuts, green leafy veggies
A patient should not take the D if they are allergic to any of these foods Milk, fish, cheese (lol the D tho)
A patient should not take viamin A if they are allergic to any of these foods dark green veggies, red orange yellow veggies and fruit
A patient should not take calcium if they are allergic to any of these foods milk and juice
Whats the function of choline? biosynthesis of AcH, metabolism of lipids, treat fatty liver, abnormal fat metabolism
Whats the function of vitamin H (biotin)? required for various matabolic functions like carb, fat and amino acid metabolism
Whats the function of pantothenic acid? precursor of CoA from the b complex fam
Whats the function of B1? cofactors for enzymes that catalyze biochemical actions, makes AcetylCoA
Whats the function of b2 (riboflavin)? oxidation and reduction reactions, cellular growth and maintinance of vision mucous membranes, skin nails and hair
Whats the function of Niacin (b3)? can lower triglycerides and low density lipoprotein
Whats the function of B6 (pyridoxine)? heme production, treatment of carpel tunnel, PMS, depression and migraine
Whats the function of B12? bone marrow cell, CNS amd GI tract
Whats the function of folic acid? essential for growth and DNA synthesis
Whats the function of vitamin C? makes collagen, osteoids amd dentin, helps with iron absorption
Whats the function of vit K? promotes synthesis of clotting factors in the liver, bone mineralization
Whats the function of vit E? antioxidant, protects cellular membranes from damage
Whats the function of vit D? proper bone formation, mineral homeostasis, regulates calcium absorption in the body
Whats the function of vit A? essential for normal growth, reproduction, skeletal and tooth development, conjunctiva of eye and cornea
Whats the function of calcium? regulates muscle contraction and relaxation, component of bones and teeth, may decrease symptoms of PMS
list the fat soluble vitamins A, D, E, K
list the water soluble vitamins C, B2, B1, B6, B12, B3, pantothenic acid, biotin, folic acid and calcium
Created by: carlypentland