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    CONTEMPORARY

    MEDS

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    CO-ENZYME 10

    Has antioxidant and membrane

    stabilizing properties

    Q10 is a free radical scavenger

    Protects cell membranes and

    DNA from oxidative damage

    Found in all human cells

    Protects tissue from cellular

    damage

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    INDICATIONS

    Allergies

    Asthma Respiratory disease

    Alzheimers disease

    Schizophrenia Gives energy to the heart

    especially in CHF

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    UNDESIRABLE EFFECTS

    Anorexia

    NauseaDiarrhea

    Epigastric discomfort

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    SPECIFIC

    INFORMATION:

    Oral antidiabetic agents

    may decreaseeffectiveness of Co-Q10

    Co-Q10 may decrease

    response to warfarin

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    INTERVENTIONS

    Cardiovascular assessment

    should be ongoing Coenzyme Q10 is oil soluble

    and is best absorbed when

    taken with oily or fatty foodssuch as fish

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    EDUCATION

    Co-Q10 is perishable and

    deteriorates in temperatures

    above 115F

    A liquid form or oil form is

    preferable

    Vitamin E helps preserve Co-

    enzyme

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    FOODS HIGH IN

    VITAMIN E

    Mackerel, salmon,

    sardinesPeanuts

    SpinachBeef

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    EVALUATION

    CLIENT WILL HAVE NO SIGNS OF:

    peripheral edema, hepatosplenomegaly, JVD, bibasilar

    crackles

    client will have normal sinus

    rhythm on ECG

    increased sense of well-being

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    BRANDS

    ADELIR

    CO-Q10

    HEARTACIN

    INOKITON

    NEUQUINONE

    TAIDECANONE

    UBIQUINONE

    UDEKINONE

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    ECHINACEA

    Stimulates phagocytosis

    increases mobility of leukocytes

    increases respiratory cellular

    activity

    increased immunity

    antiseptic, antiviral, anti-inflammatory

    has peripheral vasodilator property

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    INDICATIONS

    Sore throat, colds, flu, low immune

    status, CA

    Ointments used for burns, ulceration,eczema, herpes simplex, psoriasis

    Reduces recurrence of Candida

    Albicans Decreases growth of Trichomonas

    Vaginalis

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    WARNINGS

    EXTERNALLY: none

    INTERNALLY: TB, MS, HIV,

    collagen diseases and

    autoimmune diseases

    Alcoholics and with liver

    disease

    Pregnancy, breastfeeding

    children

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    UNDESIRABLE EFFECTS

    Allergies may occur if client is

    allergic to plants in the daisy

    family.

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    OTHER SPECIFIC

    INFORMATION

    Do not administer with

    immunosupressants orhepatotoxic drugs,

    disulfiram and

    metronidazole

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    INTERVENTIONS

    Monitor WBC

    Vital signs

    breath sounds

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    EDUCATION

    Instruct the client that herb

    should not be used longer than

    8 weeks ,10-14 days of therapy

    is probably sufficient

    If illness does not resolve after

    taking the herb, advise to notify

    provider.

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    EVALUATION

    WBCs will return to normal

    range.Temperature willreturn to normal range, and

    client will have a decrease

    in the symptoms for whichthe herb was administered.

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    BRANDS

    CONEFLOWER EXTRACT

    ECHINACEA

    ECHINACEA ANGUSTIFOLIA

    ECHINACEA FRESH FREEZE-

    DRIED ECHINACEA GLYCERITE

    ECHINACEA PURPUREA

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    EVENING PRIMROSE

    Its oil stems from essential

    fatty acids that are crucial as

    structural elements for cells as

    precursors of synthesis of

    prostaglandins

    Linoleic acid is not manfacturedby the body and must be

    provided through diet

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    The body relies on the

    metabolic conversion of

    lenoleic acid (LA) to gammalenoleic acid (GLA). A

    deficiency in this process

    results in diabetes , CA, CVD. This herb contains the highest

    amount of GLA .

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    INDICATIONS

    Rheumatoid arthritis

    PMSMenopause

    diabetic neuropathy

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    WARNINGS

    Pregnancy

    Breast CA Schizophrenia

    Clients taking epileptogenic

    meds such as penothiazines

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    UNDESIRABLE EFFECTS

    Abdominal discomfort

    nausea headache

    rash

    immunosuppression may

    occur after use of GLA >

    1year

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    OTHER SPECIFIC

    INFORMATION

    Penothiazines may

    increase risk ofseizures

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    EDUCATION

    Instruct women with

    breast CA or clientswith seizure disorder

    not to use this herb

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    EVALUATION

    The clients symptoms

    will improve based ontherapeutic reason for

    taking the herb

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    BRANDS

    EFAMOL

    EPOGRAM EVENING PRIMROSE OIL

    PRIMROSE POWER

    MEGA PRIMROSE OIL

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    FEVERFEW

    Inhibits synthesis of

    prostaglandins and

    leukotrienes

    Inhibits secretion of

    serotonin from plateletgranules

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    INDICATIONS

    Migraine headaches

    ArthritisFever

    Menstrual disorders

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    UNDESIRABLE EFFECTS

    Occasional mouth ulceration

    GI disturbances

    Dry ,sore tongue

    Swollen lips

    Abdominal pain Vomiting

    Diarrhea, flatulence

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    POST FEVERFEW

    SYNDROME

    Withdrawal syndrome

    characterized bymoderate to severe pain

    and joint and muscle

    stiffness

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    OTHER SPECIFIC

    INFORMATION

    Use caution with

    anti-coagulants,may increase

    bleeding

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    INTERVENTIONS

    Recommend avoiding

    chewing the leavessince they can cause

    mouth ulcers

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    EDUCATION

    Discuss proper oral hygiene due

    to the risk of mouth ulcerations.

    Discuss the importance of

    reporting undesirable effects to

    provider

    Even feverfew is given for pain,

    the user can still operate heavy

    machinery

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    Treatment for at least a

    few months isrecommended .

    Instruct the client not to

    withdraw the herbabruptly.

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    EVALUATION

    Clients temperature

    will return to normalrange and pain

    subside.

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    BRANDS

    FEVERFEW

    FEVERFEW GLYCFEVERFEW POWER

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    GARLIC

    Inhibits platelet agreggation

    Decreases lipids

    Has anti-tumor effects

    Lowers total serum cholesterol,

    TG, and LDL

    Increases HDL

    Anti-microbial

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    INDICATIONS

    Lowers high blood pressure

    and serum lipid levels

    Aids in treatment of

    arteriosclerosis

    Aids in treatment of yeastinfection, wounds, colds and

    flu

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    WARNINGS

    Hypersensitivity

    Peptic ulcer or refluxdisease

    Pregnant women due to

    oxytocic effects

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    UNDESIRABLE EFFECTS

    The entire body can smell of

    garlic

    Diaphoresis

    Hypothyroidism

    irritation of the mouth,

    esophagus or stomach

    Nausea and vomiting

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    Chronic use may lead

    to decreasedhemoglobin production

    and lysis of RBCs

    OTHER SPECIFIC

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    OTHER SPECIFIC

    INFORMATION

    Increases the risk of

    bleeding

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    INTERVENTIONS

    Monitor CBC if client

    taking high-dose or longterm

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    EDUCATION

    Odorless garlic supplements

    are available

    Instruct client watch for

    signs of bleeding (bleeding

    gums, petechiae) if takingwith hemostatic agents

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    EVALUATION

    The client will have a

    decrease in BP, lipidlevels, or clinical

    symptoms for which the

    garlic was administered

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