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Name /bks_53161_deglins_md_disk/greentea 02/14/2014 02:17PM 1 Plate # 0-Composite pg 1 # 1 cose control); Cardiac conditions (may induce arrhythmias in sensitive individuals); Bleeding disorders. green tea (green tee) Adverse Reactions/Side Effects CV: arrhythmia, tachycardia. CNS: agitation, dizziness, excitement, insomnia, tremors. GI: nausea, vomiting, diarrhea, hepatotoxicity, abdominal pain. F and E: hypokalemia. Endo: hyperglycemia. Hemat: prolonged bleeding time. Interactions Natural Product-Drug: Green tea maypeffects of adenosine.qrisk of bleeding Other Name(s): Camellia sinensis Classification Therapeutic: central nervous system stimulants Bladder, esophageal, ovarian and pancreatic cancer risk reduction, mental alertness, hypotension, cervical dysplasia associated with human papillomavirus infection, hyperlipidemia, weight loss, protection of the skin from sun damage, genital warts, dental caries, Parkinson’s disease. with anticoagulants or antiplatelet agents.qeffects of CNS stimulants. May impair glucose control from antidiabetic agents. abrupt withdrawal canqlithium levels. Maypdipyridamole — induced vasodilation. verapamil canqcaffeine concentrations by 25%. additive effects with methylxanthines. Natural-Natural Products:qrisk of adverse cardiovascular effects with bitter orange.qrisk of hepatotoxicity with hepatotoxic herbs or supplements.qrisk of seizures, hypertension or stroke with ephedra and creatine. Action Route/Commonly Used Doses Common Uses Caffeine in green tea stimulates the CNS and cardiovascular system through adenosine receptor blockade and phosphodiesterase inhibition. Therapeutic Effects: Improved cognitive performance and mental alertness. Pharmacokinetics Absorption: Unknown. Distribution: Unknown. Metabolism and Excretion: Unknown. Half-life: Unknown. PO (Adults): Range: 1– 10 cups/day. One cup provides approximately 60 mg of caffeine. NURSING IMPLICATIONS Assessment ● Monitor BP and heart rate periodically during therapy. ● Lab Test Considerations: Monitor serum glucose, homocysteine and uric acid levels periodically during therapy. ● Monitor liver and kidney function periodically during therapy. Potential Nursing Diagnoses TIME/ACTION PROFILE Impaired memory (Indications) ROUTE ONSET PEAK DURATION PO Unknown Unknown Unknown Contraindications/Precautions Contraindicated in: Allergy/hypersensitivity; Pregnancy and lactation (doses ⬎200 m g/day due to caffeine content). Implementation ● May be taken as tea or as an extract in capsules. Patient/Family Teaching ● Advise women who may be pregnant or who are breast feeding to limit green tea due to the caffeine content. Use Cautiously in: Patients with caffeine sensitivity. Long term use of doses ⬎250 Evaluation m g/day may produce tolerance, psychological dependence, tachyarrhythmias, and sleep disturbances; Iron deficiency anemia (may worsen); Diabetes (may impair glu- Why was this drug prescribed for your patient? ⫽ Canadian drug name. ⫽ Genetic Implication. ● Improvement in memory. CAPITALS indicate life-threatening, underlines indicate most frequent. Strikethrough ⫽ Discontinued. PDF Page #1