Case Study A rapid response event was initiated by the bedside nurse after the patient had symptoms of sudden pain in his left foot. Prior to calling the condition, the nurse assessed the patient’s pulse in the affected foot, and…
Case Study A rapid response was initiated by the bedside registered nurse for uncontrollable spasms in the hands and feet. Upon the arrival of the rapid response team, the patient was a 72-year-old gentleman with a known history of coronary…
Uses Treatment of: Insomnia (valerian is present in virtually all herbal sleep aids) Anxiety Depression Htn GI hyperactivity Headaches Muscle spasms Benzodiazepine withdrawal Perioperative Risks Potential for valerian withdrawal exists if usage is stopped suddenly after chronic high-dose administration. This…
Uses More than 3% of presurgical pts report using St. John’s wort. Taken mainly for depression, although pts may take it for a variety of reasons including anxiety, viral and bacterial infections, menstrual cramps, HIV, cancer, chest congestion, hemorrhoids, skin…
Uses BPH Urinary tract inflammation (prostatitis) Underactive bladder Male- and female-pattern baldness Aphrodisiac Breast augmentation Perioperative Risks No established interactions with anesthetic agents Worry About Saw palmetto has been implicated in hepatitis, cholecystitis, bleeding diatheses, conduction defects, and erectile dysfunction.…
Uses As an antiaging, antidisease therapeutic agent. May protect against the hepatotoxic effect of certain drugs (e.g., alcohol, acetaminophen, phenobarbital, and steroids). Depression, mild to moderate and adolescent. Anxiety, PMS. Heart disease. Liver disease, cirrhosis, intrahepatic cholestasis, disorders of porphyrin,…
Uses Chinese traditional medicine for therapy of pts with cardiovascular diseases Hypercholesterolemia Prevention of coronary events, stroke, and TIA Treatment of dyslipidemia in statin-intolerant pts Prostate and colon cancer Possible diabetes treatment Perioperative Risks Obtain adequate Hx to determine indication…
Uses Naturally occurring in human diet. Used as supplements, especially in margarines, to reduce cholesterol levels. May also possess anti-inflammatory, antipyretic, antineoplastic, and immune-modulating properties. Some recent evidence questions the beneficial effect of phytosterols and the potential for increased CV…
Risk Approx 64% of pts have taken or are taking a nutraceutical agent. Incidence in USA: More than 50% take dietary supplements; a study of over 1000 outpatients found that approx 33% were using herbals at the time of surgery…
Uses Regulates sleep-wake cycles. Prescribed for jet lag, shift work, depression. Use as antineoplastic, antidelirium, and anticonvulsant is under investigation. Questionable benefit in treating breast cancer and migraines. Categorized as a nutraceutical (unregulated). Risks Not controlled by FDA; therefore quality…