Cochin

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ginger (Zingiber Officinale)

(jin-jer) ,

Calicut

(trade name),

cochin

(trade name),

gengibre

(trade name),

ginger root

(trade name),

imber

(trade name),

ingwerwurzel

(trade name),

ingwer

(trade name),

Jamaica ginger

(trade name),

jenjibre

(trade name),

kankyo

(trade name),

jiang

(trade name),

zingiber

(trade name)

Classification

Therapeutic: antiemetics
Prevention and treatment of nausea and vomiting associated with motion sickness, loss of appetite, pregnancy, surgery, and chemotherapyPrevention of postoperative nausea and vomitingMay be used for dyspepsia, flatulence, relief of joint pain in rheumatoid arthritis, cramping, and diarrheaMigraine headacheTonic (toning/strengthening agent) in gout, gas, respiratory infections, anti-inflammatory, stimulant (tones the gut, increases saliva and gastric juices, acts as anticoagulant, decreases blood cholesterol)

Action

Antiemetic effect due to increasing GI motility and transport; may act on serotonin receptors.
Shown to be hypoglycemic, hypotensive or hypertensive, and positive inotropic agent.
Inhibits prostaglandins and platelets, lowers cholesterol, and improves appetite and digestion.

Therapeutic effects

↓ nausea and vomiting due to motion sickness, surgery, and chemotherapy.
↓ joint pain and improvement of joint motion in rheumatoid arthritis.
Antioxidant.

Pharmacokinetics

Absorption: Unknown.
Distribution: Unknown.
Metabolism and Excretion: Unknown.
Half-life: Unknown.

Time/action profile

ROUTEONSETPEAKDURATION
POunknownunknownunknown

Contraindications/Precautions

Contraindicated in: Lactation (if using large amounts); Gallstones.
Use Cautiously in: Pregnancy (preliminary evidence that ginger might affect fetal sex hormones); Patients with ↑ risk of bleeding; Diabetes; Anticoagulant therapy; Cardiovascular disease.

Adverse Reactions/Side Effects

Gastrointestinal

  • minor heartburn

Dermatologic

  • dermatitis (when used topically)

Interactions

May ↑ risk of bleeding when used with anticoagulants, antiplatelet agents, and thrombolytics.May have additive effects with antidiabetic agents (causing hypoglycemia) and calcium channel blockers (causing hypotension).May theoretically ↑ risk of bleeding when used with other herbs that have anticoagulant or antiplatelet activities.
Oral (Adults) Motion sickness—1000 mg dried ginger root taken 30 min–4 hr before travel or 250 mg qid. Postoperative nausea prevention—1000 mg ginger taken 1 hr before induction or anesthesia. Chemotherapy–induced nausea—2-4 g/day. Up to 2 g freshly powdered drug has been used as an antiemetic (not to exceed 4 g/day). Migraine headache-500 mg at onset then 500 mg every 4 hrs up to 1.5–2 g/day for 3–4 daysOsteoarthritis—170 mg tid or 255 mg bid of ginger extract. Whole root rhizome—0.25–1 g for other illnesses. Tea—pour 150 mL boiling water over 0.5–1 g of ginger and strain after 5 min. Tinture—0.25-3 mL.

Availability

Alone or in combination with other herbal medicinals: OTC
Dried powdered root: OTC
Syrup: OTC
Tincture: OTC
Tablets: OTC
Capsules (≥550 mg): OTC
Spice: OTC
Tea: OTC

Nursing implications

Nursing assessment

  • Assess patient for nausea, vomiting, abdominal distention, and pain prior to and after administration of the herb when used as an antiemetic agent.
  • Assess pain location, duration, intensity, and associated symptoms (photophobia, phonophobia, nausea, vomiting) during migraine attack.
  • Assess pain, swelling, and range of motion in affected joints prior to and after administration when used in the treatment of arthritis.
  • Assess patient for epigastric pain prior to and after administration when used as a gastroprotective agent.
  • Monitor BP and heart rate in patients with cardiovascular disease including hypertension.
  • Lab Test Considerations: Monitor blood glucose and coagulation panels periodically during therapy.

Potential Nursing Diagnoses

Acute pain (Indications)
Deficient knowledge, related to medication regimen (Patient/Family Teaching)

Implementation

  • Administer ginger prior to situations where nausea or vomiting is anticipated (e.g., motion sickness).
  • Dosage form and strengths vary with each disease state. Ensure that proper formulation and dose are administered for the indicated use.

Patient/Family Teaching

  • Instruct patients receiving anticoagulants not to take this herb without the advice of health care professional (increased risk of bleeding).
  • Tell patient to stop the herb immediately if palpitations occur and notify health care professional.
  • Advise patient to observe for easy bruising or other signs of bleeding. If they occur, stop the herb immediately and notifyt health care professional.
  • Warn patients with a history of gallbladder disease to use this herb only under the supervision of health care professional.
  • Instruct patient to consult health care professional before taking any Rx, OTC, or other herbal products concurrently with ginger.
  • Herb is meant to be used as a tonic, not for long-term use.

Evaluation/Desired Outcomes

  • Prevention of nausea and vomiting.
  • Relief of epigastric pain.
  • Improved joint mobility and relief of pain.
  • Relief of migraine headache.

Cochin

heavy Asiatic breed of poultry; black, white or buff; yellow beak and legs, heavy leg feathers. Weighs up to 13 lb. Called also Cochin-China.
References in periodicals archive ?
4] Department of Public Health, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, India
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