1. 2.
Albuterol Ciprofloxacin
Generic name of drug
Major indications for Antiasthma,
use (ALL CAPS) Bronchodilator
Beta2-adrenergic agonist.
When Beta2-adrenergic
receptors are activated on
Mechanism of action*
airway smooth muscles
creates a cascade effect to
relax muscles.
Limit caffeine/xanthine
Dietary implications, if
any
Increase appetite,
anorexia
Nutritional effects, if
any
Inhalant- peculiar taste,
Oral/GI effects, if any
sore/dry throat
Not with lactation.
Special conditions, if
Caution with HTN or CV
any
disorders
3.
ethambutol Myambutol
Antibiotic,
Flouroquinolone
Antibiotic against Gram
+ and Gram bacteria of TB bacilli cell wall
Inhibits DNA gyrase and
topoisomerase IV
Insure adequate fluid
intake/hydration. Take
drug at least 2 hr before
or 6 hr after milk, yogurt,
Ca fortified foods,
antiacids Mg, Ca, Fe, An
suppl.
Divalent or trivalent
cations, milk, yogurt
enteral product or Ca
fortified food decreases
drug abs and
bioavailability
Bad taste, N/V,
abdominal pain, diarrhea
Not with lactation. Do
not use susp with TG-
clogs tube. May crush tab
4.
Thyroid levothyroxine
Tuberculosis Treatment Thyroid Hormone
Destructs the formation A synthetic form of
thyroxine.
Inhibits arabinosyl
transferase enzyme
N/A Take Fe, Ca or Mg suppl
separately from drug by
more than 4 hrs.
decreased abs also
reported with soy, soy
milk, soy infant formula,
walnuts, cottonseed meal
and high fiber foods.
Caution with
grapefruit/related citrus
anorexia Appetite changes,
decreases weight
Abdominal pain, N/V, GI Rare-nausea, diarrhea
distress
Caution with lactation. Caution with lactation-
Caution with decreased adjust dose. Caution with
renal function. Not with diabetics on meds-

Category C
Pregnancy category
1. 2.
Tremor, nervousness,
palpitations, tachycardia,
headache, dizziness
Other, if any
Decreases: K, chol, LDL,
HgB, HCT, WBC
Increases: Glucose, HDL,
Blood/serum, urinary
AST
alterations, if any
N/A
Monitoring
N/A
Nutritionally interactive
excipients, if any
for TF, but separate from optic neuritis. increases glucose.
enteral product by more Caution with CVD, HTN
than 2 hrs or geriatric.
Category C Category B Category A
3. 4.
Headache, dizziness, Optic neuritis, decrease Rare-headache, tremor,
restlessness, drowsiness visual acuity, blurred nervousness, insomnia,
rash, photosensitivity. vision, headache, increase BP, increased
dizziness, confusion, pulse, palpitations.
joint pain, transient Overdose in
hepatic impairment, postmenopausal women-
dermatitis, anaphylaxis. increased bone
resorption, decreased
bone density.
Increase: AST, ALT, Increased uric acid. Increased: T4, T3,
BUN, CPK, TG, creatine, glucose
Alk phos, LDH, GGT, Decreased: TSH,
bil, chol, TG, glucose, K cholesterol, LDL
Decrease: glucose, K
Urinary: false positive
opiate tests
Renal and hepatic func, Uric acid, Thyroid function, TSH
CBC with diff ophthalmologic exams
N/A N/A N/A
 Peppermint Oil Thunder God Oil Tea Tree Oil Lavender

Name of herbal

-flavor food -Used for conditions -medicinal uses of -antiseptic

-tea involving inflammation aboriginal people of -mental health purposes
-remedy for nausea, or overactivity of Australia
indigestion, cold immune system -Today: acne, athletes
Historical use(s)
symptoms, headaches, -excessive menstrual foot, nail fungus
muscle and nerve pain, periods
stomach problems, -autoimmune diseases
bowel problems
-improve symptoms of -fight inflammation, -kill bacteria/ bacterial -decreases anxiety
IBS suppress the immune infections -help with hair loss
-combined with system, anti-cancer -athletes foot, dandruff, from condition called
What the science says
caraway oil, can help effects acne alopecia areata
relieve indigestion -benefits for rheumatoid
arthritis symptoms
-allergic reactions and -can be poisonous and -skin irritant -skin irritation
heart cause death -swallowing tea tree oil -oral intake=poisonous
-if taken with other -diarrhea, ingestions, can cause drowsiness, -lavender teas can cause
meds, can increase nausea, upper disorientation, rash, headaches, appetite
heartburn respiratory tract ataxia. changes, constipation
Side effects/cautions infections -drowsiness
-hair loss, headache,
menstrual changes, skin
rash
-decreased bone mineral
density in women.
Kiana Shurts

Walker BF, French SD, Grant W, Green S. Combined chiropractic interventions for low-back
pain. Cochrane Database of Systematic Review. 2010; (4): CD005427.

In this review, scientists wanted to know if combined chiropractic therapies will result in

better outcomes for those who have lower-back pain. In order to find an answer, researchers

gathered studies to do a meta-analysis. The researchers wanted to find randomized trial studies,

which compared combined chiropractic intervention with no intervention or treatment for lower-

back pain. It is important to have all the studies test the same question because then the meta-

analysis would become useless. Twelve different studies were chosen and overall, a total of

2887 people were analyzed. However, of these twelve studies, none of them focused on

combined chiropractic interventions compared to no treatment. Studies were found for acute and

subacute lower-back pain with chiropractic treatments compared to other types of treatment.

Researchers reported that short-term improvement in maneuvering was greater with chiropractic

treatment than with other treatments; also noting that these studies had a high risk of bias. No

other comparable difference was made between medium and long-tern disabilities of the back.

Although some of these studies show good prognosis for those with acute lower-back pain, there

is information to prove that chiropractic care has a clinically meaningful advantage over other

treatments, when it comes to lower-back pain.

 In the world today, chiropractic care is becoming more and more common. Chiropractic

care is a system of diagnosis and treatment based on the concept that the nervous system

coordinates all of the bodys functions, and that disease results from a lack of normal nerve

function (1). This section will discuss the requirements needed to become a chiropractor and

the common interventions used by chiropractors.

In order to become a chiropractor, thorough and high-quality education and training is

involved. First, chiropractors are required to go to four years of undergraduate school for pre-

medical education; classes, such as, biology, anatomy, chemistry, and physiology should be

taken. As an undergraduate, pre-chiropractic students apply to a well-accredited chiropractic

college and study for another four-five years. In the chiropractic school, students spend much of

their time doing hands-on training. This program is very intensive, in fact, in some areas, such

as anatomy, physiology, rehabilitation, nutrition and public health, they receive more intensive

education than their MD counterparts (2). This is very important because chiropractors work

with the nervous system of the patient and they need to be completely comfortable with the body

and how it functions, along with how to adjust the body without harming the patient. For the

safety of the future patients, chiropractic students are required to have at least 4,200 hours of

classroom, laboratory, and clinical internship- which will allow them to graduate with a

Doctorate in Chiropracty (2). Of these four-five years in the chiropractic program, at least one

year is devoted to clinical-based training, in which the student deals with actual patient care.

How the chiropractor works with the patient is monitored by the administrative agencies

in each separate state. Chiropractors are to provide care for musculoskeletal conditions using

manipulation as a primary intervention in each of the 50 States (3). However, the use of other
types of care from a Chiropractor, such as acupuncture, is legal in only some States. No

chiropractor has the legal right to administer and prescribe drugs or perform surgery on patients

(3). Each State has their own legalities for Chiropractors to follow, which makes Chiropractic

medicine slightly different, depending on where you live.

In order to legally become a Chiropractor, licensure requirements need to be met. In most

of the US States, it is required to pass on each section of a four-par test, which is administered by

the National Board of Chiropractic Examiners (4). Along with passing the exam, depending on

which Stated the Chiropractor is in, the final steps of licensure might be somewhat different.

Steps that usually need to be taken would be passing a state-level exam, getting a criminal

background check, and submitting personal references (4). Because science and health is ever

changing and growing, Chiropractors are also required to continue their education each year and

report it back to the board.

The extents of what Chiropractors can do to manipulate the body to heal itself are very

diverse and extensive. However, most of the nervous manipulation is done on the spine and neck.

Because the spine and neck bear most of the nervous system, Chiropractors need to be highly

qualified in order to keep from damaging the patients nervous system. Interventions/techniques

involve adjustments and manipulation. An adjustment can involve a high velocity, short lever

arm thrust applied to a vertebra or an accompanying audible release of gas (5). Manipulation

involves high-velocity low amplitude thrust; usually results in a pop. The other form of

manipulation is a low-force spinal mobilization. This technique is used for those patients who

need a more gentle approach (6).

Chiropractic medicine, as one of the types of complimentary care, involves very qualified

and licensed professionals and involves State laws for safe administration. Approaches, such as
adjustments and manipulation of body parts, such as the spine, are used to help relieve the

patients pain. Overall, skilled knowledge, experience, and conduct are key when becoming a

Chiropractor for a safe and satisfying experience.

 References

1. MedicineNet. Definition of Chiropractic.

http://www.medicinenet.com/script/main/art.asp?articlekey=2706. Accessed November
3, 2016.
2. American Chiropractic Association. Chiropractic Qualifications.
https://www.acatoday.org/Patients/Why-Choose-Chiropractic/Chiropractic-
Qualifications. Accessed November 3, 2016.
3. Sandefur R, Coulter ID, Barrett S. Chirobase. Chiropractic in the United States: Training,
Practice, and Research. http://www.chirobase.org/05RB/AHCPR/05.html. Accessed
November 3, 2016.
4. National Board of Chiropractic Examiners. Certification and Licensure.
http://www.nbce.org/about/certification_licensure/. Accessed November 3, 2016.
5. Yeomans SG. Spine-health. Chiropractic Adjustment. http://www.spine-
health.com/treatment/chiropractic/chiropractic-adjustment. Accessed November 3, 2016.
6. Yeomans SG. Spine-health. Understanding Spinal Manipulation. http://www.spine-
health.com/treatment/chiropractic/understanding-spinal-manipulation. Accessed
November 3, 2016.