By Joellen W. Hawkins RN PhD WHNP-BC FAAN FAANP, Diane M. Roberto-Nichols BS APRN-C, J. Lynn Stanley-Haney MA APRN-C

The eleventh variation of this vintage advisor for evaluation and administration of universal gynecologic stipulations by means of complicated perform nurses is up to date with state-of-the-art issues, new evidence-based guidance, and present sufferer instructing fabrics to reinforce excellence in medical perform. This version includes a thoroughly up to date bankruptcy at the well-woman annual examination, together with matters in regards to the care of older girls, and  Read more...

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Toxicity/adverse effects i. Low incidence of adverse effects with moderate dose a) Avoid during pregnancy and lactation b) Avoid use in women with aspirin sensitivity because it contains salicylates c) Avoid in women with liver problems, including a history of hepatitis ii. Overdose of black cohosh may cause nausea, vomiting, ­dizziness, and nervous system and visual disturbances 9. Ginkgo biloba medicinal preparations are made from extracts of the leaves of the plant. a. Usual daily dosage—consult preparation directions b.

Cross-country skiing vi. Rowing e. Flexibility and resistance/strength training are important components of an exercise program and provide additional ­ health benefits. Activities include i. Light weight lifting ii. Resistance bands iii. Pilates iv. Yoga 4. Pharmacotherapeutic options a. Pharmaceutic intervention may be helpful in patients with a BMI of greater than 30 kg/m2. 9 kg/m2) but who have a comorbidity. i. Orlistat (Xenical), a pancreatic lipase inhibitor a) How it works 1) Blocks absorption of about 30% of ingested dietary fats 2) Not an appetite suppressant 3) Improves comorbid conditions related to obesity, ­especially hyperlipidemia and diabetes b) Dosage 1) 120 mg orally, three times a day, taken just prior to a meal 2) In patients with side effects, medication may be started by taking one 120-mg tablet with the largest ­fat-­containing meal of the day and gradually titrating up to advised dosage as patient adjusts.

Tai chi and qigong Complementary and Alternative Therapies 23 e. Yoga f. Acupuncture This technique can help the body regain homeostasis, thus ­making it better able to adapt to change without increasing stress. g. Ayurvedic and Chinese herbals may also be used. There are several preparations on the market. Although readily available OTC, women should be advised to consult with an ayurvedic or Chinese medicine provider prior to using. h. Homeopathic remedies are based on the premise that the body has the capacity to heal itself.

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Guidelines for nurse practitioners in gynecologic settings by Joellen W. Hawkins RN PhD WHNP-BC FAAN FAANP, Diane M.
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