Peer Responses:
Length: A minimum of 150 words per post, not including references
Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
Citations need to be within 5 (Five) years
Context: Nursing in the USA
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T7 W8 PD1 R2

Your patient is peri-menopausal and would like to use an herbal product, what do you recommend?
I need more facts to answer this question properly. What specific complaint is the patient having regarding perimenopause? Hot flashes? Night sweats? Mood swings? Vaginal dryness? There are many herbal supplements that suggest treatment of menopausal symptoms. Once I know what the symptoms are, I would recommend an herbal supplement that has standardized herbal preparations. Another important factor while considering an herbal supplement is possible interactions with a patients medications.
For the purpose of this assignment, I will say the patient is having hot flashes. The patient is not on any medications and is generally in good health. My recommendation is Black Cohosh. I would recommend one tablet every day in the morning for no longer than three months. I would educate my patient during this time to watch for signs of liver toxicity.

Which natural product helps to prevent bacteria from adhering to the urinary tract and bladder wall?
Cranberry juice is used to prevent UTIs due to the presence of proanthocyanins which prevent bacteria from adhering to the urinary tract and bladder wall.

Which herbal product is used in OTC cold prevention preparations?
Echinacea is given orally to stimulate immune function and treatment of viral infections. The ingredients cichoric acid, polysaccharides, flavonoids, and essential oils have been thought to antiviral and immunostimulant effects.

Which herbal product can be effective in treating depression and why?
St. Johns Wort can be effective in treating depression due to the compounds hyperforin and hypericin. These compounds act similar to SSRI medications. These compounds decrease reuptake of serotonin, norepinephrine, and dopamine. It is important to note St. Johns Wort should not be taken with other SSRIs as a dangerous condition called serotonin syndrome can occur.

Your patient is taking a megadose of Vitamin A, why is this dangerous? Vitamin A is teratogenic in pregnancy. It can cause malformations to the growing fetus. Vitamin A taken in high amounts can cause hypervitaminosis A, which can affect multiple organs including the liver.
Your patient asks which vaccine will be given at birth, what is your response?
HepB is administered to newborns before they are discharged from the hospital.

Reference

Burchum, J. R., & Rosenthal, L. D. (2019). Lehnes pharmacology for nursing care (10th ed.). Elsevier.

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