DC Before Surg
How long should St. John's Wort be discontinued before surgery?
5 days
What is the indication for taking Ginseng?
Promote health, immune & endocrine function
What is the indication for taking Valerian?
Sedation, Sleep aid
Garlic anesthetic implications
Antiplatelet activity
Saw Palmetto anesthetic implications
Bleeding
What are the four supplements that need to be discontinued 24 hours before surgery?
Kava Kava, Ginseng, Ephedra, & Echinacea
What are the indications for taking Ginger?
GI discomfort (nausea, motion sickness), withdrawal symptoms, rheumatoid & OA
What is the indication for taking Saw Palmetto?
BPH
Echinacea anesthetic implications
Allergic reactions & immunosuppression
Gingko Biloba anesthetic implications
Inhibition of platelet-activating factor
What are the four supplements that require no discontinuation before surgery?
Chamomile, Saw Palmetto, Valerian, & Ginger
What are the indications for taking Chamomile?
Antiseptic, anti-inflammatory, & antioxidant
What are the indications for Echinacea?
Improve immunologic activity & prevention/treatment of infections (URI)
Ephedra anesthetic implications
Hypertension, Tachycardia, Vasoconstriction
Ginger's anesthetic implication has antiplatelet characteristics that may adversely interact with which 2 drugs?
Diclofenac & Ibuprofen
How long should Gingko Bilboba be discontinued be discontinued before surgery?
36 hours
What is the indication for taking Kava Kava?
Anxiolytic & sedative
What are the indications for taking Garlic?
Reduce blood pressure, thrombus formation, & lipid and cholesterol levels
St. John's Wort anesthetic implications
Direct and indirect sympathomimetic drugs may elicit unpredictable clinical response
Valerian anesthetic implications
Potentiation of effects of centrally acting anesthetic agents
How long should Garlic be discontinued before surgery?
At least 7 days
What is the indication for Gingko Bilboba?
Cognitive disorders, improve dementia by enhancing memory
What are the indications for taking Ephedra?
Weight loss, increase energy, & respiratory conditions like asthma
Ginseng anesthetic implications
Profound hypoglycemia preop
Kava Kava anesthetic implications
Enhancing the affinity of GABA mediated neurotransmission