Contraindications & Precautions Flashcards
7 cards from real CHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Contraindications & Precautions flashcards as text
A patient taking warfarin for atrial fibrillation requests wet hijama. What is the primary concern?
Answer: Anticoagulation impairs hemostasis and increases uncontrolled bleeding risk
Warfarin inhibits clotting factor synthesis, making wet hijama hazardous due to inability to achieve adequate hemostasis after incisions.
Which blood disorder is an absolute contraindication to wet hijama?
Answer: Hemophilia
Hemophilia causes a severe clotting factor deficiency, making any procedure that breaks the skin potentially life-threatening.
A patient with active leukemia requests hijama therapy. The practitioner should:
Answer: Decline treatment and refer the patient to their oncologist
Active malignancy, especially leukemia with thrombocytopenia and immune compromise, is an absolute contraindication requiring physician clearance first.
A patient with a cardiac pacemaker requests hijama on the chest. The practitioner should:
Answer: Avoid the chest region entirely due to risk of device interference and skin integrity over leads
Cupping over a pacemaker site risks disturbing the device, damaging superficial leads, or injuring fragile overlying tissue.
A patient on daily aspirin therapy is requesting wet hijama. The most appropriate practitioner action is:
Answer: Assess bleeding risk and consult with the patient's physician about temporarily pausing aspirin if safe
Aspirin irreversibly inhibits platelet aggregation, increasing bleeding time; clearance from the prescribing physician is required before wet hijama.
Active pulmonary tuberculosis is a contraindication to hijama primarily because:
Answer: It poses a serious infection transmission risk to the practitioner and other patients
Active TB is a highly contagious airborne infection; performing hijama creates exposure risk and open wounds in an immunocompromised patient.
Which diabetic patient should be considered at highest risk for complications from wet hijama?
Answer: A patient with diabetic neuropathy, poor wound healing, and recurrent foot ulcers
Diabetic neuropathy combined with poor wound healing greatly increases the risk of infection and non-healing wounds after wet hijama incisions.