QUESTIONS AND ANSWERS SURE A+
✔✔gestational age (GA) - ✔✔most often used
does involve LMP
uses first two weeks of the cycle before conception
Two weeks after conception, she is already four weeks pregnant, and so on.
✔✔What is the recommended daily intake of calcium in women >18 years? - ✔✔1000
mg/day
✔✔What is the recommended daily intake of calcium in women <18 years? - ✔✔1300
mg/day
✔✔What is the recommended daily intake of calcium in women >50 years? - ✔✔1,200
mg/day
✔✔how to maximise absorption of calcium? - ✔✔divide doses up and do not give/take
more than 500-700 at a time.
✔✔Food sources high in calcium? - ✔✔dairy, sardines, spinach, tofu, nuts
✔✔How can calcium be absorbed better? - ✔✔divide up the doses, not takingmore than
500-700 mg at once
✔✔What is the most common form of anemia in the U.S? - ✔✔Iron deficiency anemaia
✔✔What are the two forms of dietary iron? - ✔✔heme and non-heme
✔✔Heme iron is found in what type of products? - ✔✔animal products
✔✔non-heme iron is found in what type of products? - ✔✔plant products
,80% of iron ingested this way
✔✔what is the leading cause of fatal poisoning in children younger than 6? -
✔✔accidental overdosing of iron-containing products
✔✔Which type of heme has a greater amount of absorbency? - ✔✔heme iron
non-heme is tightly bound to other substances
✔✔What products or drugs affect iron absorption? - ✔✔antacids (separate by 4 hours),
dairy, quinolones, tetracycline (inactivates iron)
✔✔Is there any affect on iron absorption if iron is taken with food? - ✔✔2/3 reduction in
absorbancy
✔✔How long does it take to restore ferritin stores in iron-deficiency anemia? - ✔✔3-6
months
✔✔What should a patient do to decrease constipation when taking iron? - ✔✔increase
fluid and fiber
✔✔What foods are rich in iron? - ✔✔red meat, black beans, & green leafy vegetables
✔✔Side effects of iron intake? - ✔✔black stools, constipation, and upset stomach
✔✔AVOID mistakes - ✔✔Allergies?
Vitamins & Herbs?
Old drugs & OTCs and current?
Interactions?
Dependence? Do we need a contract?
Mendel- Family history of benefits or problems with any drug?
✔✔What is the dosage for iron-deficiency anemia? - ✔✔Ferrous sulfate 325 mg PO TID
between meals with OJ for 3-6 months
three three three
325
3x/ day
3 months
✔✔What do studies show are the benefits of Omega-3's, DHA, and EPA? - ✔✔improve
cardiovascular health and decrease triglyceride levels
,✔✔Additional conditions that Omega-3's, DHA, and EPA affects? - ✔✔rheumatoid
arthritis and depression
✔✔Where are DHA and EPA found? - ✔✔In fatty fish and algae
✔✔What is the recommended dosage of DHA and EPA for lowering lipids? - ✔✔1-4 g
daily
✔✔Patients taking what medications should not take Omega-3 fatty acids? -
✔✔medications affecting the clotting cascade
✔✔Food which is formulated to be consumed or administered enterally under medical
supervision and which is intended for the specific dietary management of a disease or
condition for which distinctive nutritional requirements, based on recognized scientific
principles, are established by medial evaluation - ✔✔medicinal foods
✔✔L-methylfolate is a derivative of what? - ✔✔folate B9
✔✔L-methylfolate is marketed as a medical food named... - ✔✔Deplin
✔✔What is Deplin used to treat? - ✔✔Depression
✔✔What neurotransmitters does L-methylfolate modulate? - ✔✔serotonin,
norepinephrine, and dopamine
✔✔What two drugs interfere with the conversion of folate to L-methylfolate? -
✔✔lamotrigine and valproate
✔✔What is the recommendation of Omega fatty acid DHA from the NIH for pregnant
women? - ✔✔300 mg
✔✔safe omega fatty acid amount? - ✔✔3g/day
✔✔what can omega 3 help prevent? - ✔✔CVD
reducing cardio events even with pre existing disease
antithrombotic
anti-inflammatory
hypolipidemic
✔✔How many categories of OTC drugs are there? - ✔✔over 80
, ✔✔Is it safe to use decongestants in children under 5 years? - ✔✔No, and infant dosing
pulled from store shelves
✔✔What are the side effects of St. Johns Wort? - ✔✔Anticholinergic side effects
**cant see, cant pee, cant spit, cant s****!
✔✔Important teaching for female patients taking St. Johns Wort for depression -
✔✔reduces the effects of oral contaceptives
✔✔Important information to tell patients taking St John Wort for depression? -
✔✔reduces the effectiveness of warfarin
✔✔How should patients take melatonin? - ✔✔take at bedtime, no more than 3x per
week. Can be taken before a vacation to prevent jet lag, take 3 days before and 3 days
after return
✔✔What is licorice root used for? - ✔✔gastric irritation and dyspepsia
✔✔What is glucosamine used for? - ✔✔cartilage repair, anti-inflammation, pain relief,
restoration of mobility
✔✔What is chondroitin used for? - ✔✔Decrease pain
✔✔What is wintergreen oil used for? - ✔✔relieves pain from muscle strains, inflamed
muscles, ligaments, and joints
✔✔what is feverfew used for? - ✔✔Treats headache and migraines
✔✔When should mugwort not be used? - ✔✔pts allergic to hazelnuts
✔✔What supplement is used to treat hyperlipidemia? - ✔✔Red Yeast rice
✔✔What supplement is used to treat elevated triglycerides? - ✔✔Fish oils
✔✔What is a bolus? - ✔✔suppository inserted into the rectum
✔✔What is a compress/fomentation? - ✔✔Applied externally, used for pain/swelling or
to stimulate the CNS
✔✔What are liniments - ✔✔herb blends rubbed into the skin to relieve stress or sore
muscles or skin irritation
✔✔What are oils? - ✔✔Used for massage, have warming properties