The client is in the emergency department with hypotension, tachycardia, urticaria, and difficulty breathing. The client reports an allergy to ragweed. The client recently began taking a dietary supplement to help manage a muscle injury

Question

Which of the following dietary supplements are associated with producing the clinical manifestations noted in this client? (Select all that apply.) 1. Black Cohosh
2. Echinacea
3. Feverfew
4. Garlic
5. Chamomile

Answer 1

3, 5
Rationale: Black cohosh would not have been implicated in this type of cross-allergy reaction. Clients who have an allergy to ragweed are more likely to experience allergic reactions to chamomile and feverfew. Echinacea would not have been implicated in this type of cross-allergy reaction. Clients who have an allergy to ragweed are more likely to experience allergic reactions to chamomile and feverfew. Clients who have an allergy to ragweed are more likely to experience allergic reactions to chamomile and feverfew. Chamomile and feverfew are used by some clients to relieve muscle spasms, inflammation, and pain. Garlic would not have been implicated in this type of cross-allergy reaction. Clients who have an allergy to ragweed are more likely to experience allergic reactions to chamomile and feverfew.