CAM SAQ
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School
Montana State University, Billings *
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Course
4040
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
3
Uploaded by JusticeHawk3972
Complementary and Alternative Medicine Short-Answer Assignment
NRSG 603
For this exercise, please use the
Natural Medicines Database (primary),
Lexicomp, UpToDate, and your
textbook for your primary references - please specify which reference your used (i.e. "Woo Textbook").
If you use any additional references (like a journal article, Epocrates, etc), please include a full citation.
Instructions:
Please download the word document that contains the assignment.
Save the file with you LAST NAME at the beginning of the file. This will allow me to provide
feedback to you.
Example:
Pascoe CAM SAQ.docx
Read each brief scenario and answer the question posed.
Please try to limit you answers to 2-4 sentences each and explain your rational on questions
where clinical judgment is used
.
Save your responses as you go and upload completed work in assignment folder
1)
A 76-year old female patient tells you she is taking a cranberry supplement to prevent urinary tract
infections.
She wants to know how much cranberry you think she should be taking.
What is your
recommendation (please consider safety and efficacy data in your response)?
2)
A 30-year old female patient comes into clinic and reports she is using “an over-the-counter
probiotic” (lactobacillus acidophilus) daily which she believes is helpful for reducing gas pains.
Is
there evidence for long-term use of this probiotic?
Would you recommend she continue this
treatment?
3)
A patient comes into clinic for a visit and tells you they would like to take high dose Vit C (5,000
mg/day) to prevent respiratory infections (cold, flu, COVID, etc).
Would you recommend this
treatment for prophylaxis of respiratory infections?
Why or why not?
4)
A 20-year old male patient comes into clinic and tells you he wants to take fish oil for ADHD.
He is not
currently being treated for ADHD and has not taken medication for this condition previously.
He
wants to know how much fish oil you think he should take.
What is your recommendation (please
consider safety and efficacy data in your response)?
5)
A 60-year old male patient tells you he is taking “a full spectrum CBD supplement” for pain.
He tells
you there is no THC in this product, “it is just CBD.”
He believes the product is quite effective for pain.
Are you confident there is no THC in this product?
What would you advise the patient to do?
6)
A 40-year old male patient has to take warfarin for 6 months after an acute deep vein thrombosis.
He
cannot take a newer anticoagulant (like Eliquis or Xarelto) due to the high cost.
At his visit he tells
you he LOVES cooked spinach which he to eats 2-3 days/week when he is not working.
He works
Mon-Thurs and has no spinach, eats 2-3 cups of cooked spinach (10+ cups of raw spinach) daily on
Fri, Sat, Sun.
Would you recommend he change his diet while taking warfarin?
Why or why not?
7)
A 50-year old male patient with history of sports injury and a very active job (carpenter) comes into
clinic.
He would like to start using cannabis to help treat pain and to improve sleep.
He wants to
smoke the product daily – after work and before bedtime on work days, possibly 2-3 times during the
day and at bedtime on his days off.
He wants to know where to get the “good regulated stuff” and
what you would recommend to limit risk associated with this treatment.
He tells you he plans to use
cannabis with or without your advice, but would like your opinion.
What would you tell him about finding “the good regulated stuff?”
Do you have any specific
recommendations to reduce risk in his case?
8)
A 60-year old patient tells you they would like to add cinnamon (aka cassia cinnamon) to their type 2
diabetes medication regimen.
The patient is currently taking only metformin and her last A1c was
8.0% (not at goal).
She wants to take 500 mg of cinnamon twice daily in addition to metformin.
Are
there any concerning drug interactions?
Any concerns with the dose she plans to take?
9)
A 16-year old female patient with acne tells you she is using oral tea tree oil for acne.
She is taking it
orally because she has acne on her upper torso and back and does not want to apply the “smelly” oil
over a large part of her body.
Do you have concerns regarding his use of tea tree oil?
Please explain.
10) A 40-year old patient comes into clinic and tells
you they have been taking a pre workout
supplement that helps with lift higher amounts of
weight.
Their only concern is a possible side effect
of “racing heart, feeling really hot, and increase
sweating.”
Please see the nutrition label for this
product (at right).
Can you identify TWO
ingredients (one vitamin and one other
ingredient) MOST likely to cause of his reported
side effects?
BONUS:
A 30-year old female patient
tells you she is newly pregnant.
She wants to get in her
recommended amount of folic
acid “naturally” by eating
fortified breads and cereals.
Her favorite cereal is Cheerios
(see nutrition label below).
What is the recommended
amount of folic acid
supplementation for this
patient?
How many servings of
Cheerios cereal would she need
to eat daily to meet her
recommended folic acid
supplement dose?
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