Concept Map: Herbal Supplements Instructions: For Each Herbal Supplement, Match the Most Correct Adverse Reaction/Precaution and the Most Correct Teaching Point. Each Answer May Only be Used Once. Herbal Supplement Adverse Reactions & Precautions Teaching Points Gingko Biloba ... ... St. John‘s Wort ... ... Ginseng ... ... Garlic ... ... Adverse Reactions & Precautions 1. Nervousness, Agitation, Insomnia, Diarrhea, Headaches, Heart Palpitation 2. Bitter taste, Mild GI Symptoms, Fever 3. Mild GI upset, Headache, Lightheadedness, Caution with clients with seizure 4. Dry mouth, Constipation, GI symptoms, Skin rash when exposed to sunlight 5. GI Symptoms Echinacea ... ... Saw Palmetto ... ... Kava Kava ... ... 8. Mild GI effects, Can decrease PSA marker to detect cancer Black Cohosh ... ... 9. GI Distress, Lightheadedness, Headache, Rash, Weigh gain Valerian ... ... Feverfew ... ... 6. Dry flaky skin, Jaundice, Liver damage 7. Agitation, Tiredness, Inability to sleep, Headache, Joint discomfort 10. Drowsiness, Lightheadedness, Depression, Risk of physical dependence Teaching Points a) Increase risk for bleeding. Can cause hypoglycemic effects. b) Do not take with MAO inhibitors. Can alter affects with heart medications. Can increase the risk of bleeding when taken with blood clotting drugs. c) May lower the seizure threshold such as antihistamines, antidepressants and antipsychotics. Can interfere with coagulation. d) Chronic use of this can decrease positive effects of medication for TB, cancer, and HIV. e) Decreases the effectiveness of oral contraceptives, warfarin, digoxin, calcium channel blockers, steroids, HIV drugs and cancer drugs. f) Can cause sedation when taken concurrently with CNS depressants. g) May cause increased risk of bleeding in clients taking NSAIDs, heparin, and warfarin. h) Potentiates effects of CNS depressants. i) Possible additive effects with Finasteride. j) Increases the effect of antihypertensive medications. Increases hypoglycemia in client taking insulin or oral medications. Privacy Policy | Terms of Use Concept Map: Herbal Supplements Instructions: For Each Herbal Supplement, Match the Most Correct Adverse Reaction/Precaution and the Most Correct Teaching Point. Each Answer May Only be Used Once. Herbal Supplement Adverse Reactions & Precautions Teaching Points Gingko Biloba 3 c St. John‘s Wort 4 e Ginseng 1 b Garlic 5 a Adverse Reactions & Precautions 1. Nervousness, Agitation, Insomnia, Diarrhea, Headaches, Heart Palpitation 2. Bitter taste, Mild GI Symptoms, Fever 3. Mild GI upset, Headache, Lightheadedness, Caution with clients with seizure 4. Dry mouth, Constipation, GI symptoms, Skin rash when exposed to sunlight 5. GI Symptoms Echinacea 2 d Saw Palmetto 6. Dry flaky skin, Jaundice, Liver damage 8 i 7. Agitation, Tiredness, Inability to sleep, Headache, Joint discomfort Kava Kava 6 f 8. Mild GI effects, Can decrease PSA marker to detect cancer Black Cohosh 9 j 9. GI Distress, Lightheadedness, Headache, Rash, Weigh gain Valerian 10 h Feverfew 7 g 10. Drowsiness, Lightheadedness, Depression, Risk of physical dependence Teaching Points a) Increase risk for bleeding. Can cause hypoglycemic effects. b) Do not take with MAO inhibitors. Can alter affects with heart medications. Can increase the risk of bleeding when taken with blood clotting drugs. c) May lower the seizure threshold such as antihistamines, antidepressants and antipsychotics. Can interfere with coagulation. d) Chronic use of this can decrease positive effects of medication for TB, cancer, and HIV. e) Decreases the effectiveness of oral contraceptives, warfarin, digoxin, calcium channel blockers, steroids, HIV drugs and cancer drugs. f) Can cause sedation when taken concurrently with CNS depressants. g) May cause increased risk of bleeding in clients taking NSAIDs, heparin, and warfarin. h) Potentiates effects of CNS depressants. i) Possible additive effects with Finasteride. j) Increases the effect of antihypertensive medications. Increases hypoglycemia in client taking insulin or oral medications. Privacy Policy | Terms of Use