Chapter 7, Problem 1CS

(1)

Summary Introduction

To determine:

How should the nurse answer J.V.? On the form, J.V. lists the following items:

1. 1. Baby aspirin each day to prevent blood clots. Sleep-Well herbal product with valerian at night if needed. Benadryl as needed for allergies, especially at night
   Stress-Away herbal product with ginseng as needed. Generic ibuprofen, 3 or 4 tablets three times a day for muscle aches from working out. Memory Boost herbal product with ginkgo every morning.

Case summary:

J.V., a 28-year-old graduate student, is at the student health clinic for a physical examination that is required before he goes on a research trip out of the country. As he completes the paperwork, he asks the nurse, "The form is asking about my medications. I don't have any prescribed medicines, but I take several herbal products and over-the-counter medicines. Do you need to know about these?"

(2)

Summary Introduction

To determine:

J.V. tells you that he has been wondering why he bruises so easily and shows you some bruises on his arms and his knees. Examine the products on J.V.'s list, and state whether there are any concerns with interactions or adverse effects. You may need to refer to descriptions of the individual herbal products (see the inside back cover for a complete listing of Safety: Herbal Therapies and Dietary Supplements boxes located throughout the textbook) or to the appropriate drug chapters for more information. What do you think has happened?

Case summary:

J.V., a 28-year-old graduate student, is at the student health clinic for a physical examination that is required before he goes on a research trip out of the country. As he completes the paperwork, he asks the nurse, "The form is asking about my medications. I don't have any prescribed medicines, but I take several herbal products and over-the-counter medicines. Do you need to know about these?"

(3)

Summary Introduction

To determine:

Upon further questioning, J.V. remembers that he has had problems with "acid stomach" for about a year and takes Prilosec-OTC for that as needed. What concerns, if any, are there about this?

Case summary:

J.V., a 28-year-old graduate student, is at the student health clinic for a physical examination that is required before he goes on a research trip out of the country. As he completes the paperwork, he asks the nurse, "The form is asking about my medications. I don't have any prescribed medicines, but I take several herbal products and over-the-counter medicines. Do you need to know about these?"