Contraindications & Precautions Flashcards

Regarding pregnancy, which statement best reflects contraindications for wet hijama?

Answer: Wet hijama is contraindicated throughout all trimesters, especially over the abdomen, lower back, and acupressure labor points

Wet hijama during pregnancy risks stimulating uterine contractions, damaging the fetus, and infection — making it contraindicated throughout all trimesters in those regions.

When treating elderly patients with hijama, which combination of factors demands the greatest caution?

Answer: Fragile skin, polypharmacy including anticoagulants, and reduced circulatory reserve

Elderly patients often have thin, friable skin, impaired healing, and multiple medications that compound bleeding and infection risks.

What is the general guideline for performing wet hijama on children under 7 years of age?

Answer: It is generally not recommended due to delicate skin, psychological stress, and inability to provide informed consent

Young children cannot provide consent, may be traumatized by the procedure, and have very sensitive skin that is easily damaged.

A patient who gave birth 10 days ago and is breastfeeding requests wet hijama. The practitioner should:

Answer: Avoid the breasts and abdomen, assess overall recovery, and ensure adequate blood volume restoration before proceeding

Early postpartum patients may have reduced blood volume and healing uterine tissue; wet hijama must be deferred until physical recovery is confirmed.

In a patient with severe anemia (hemoglobin < 7 g/dL), wet hijama is contraindicated primarily because:

Answer: Additional blood loss could critically worsen anemia and trigger hemodynamic instability or shock

Removing even small volumes of blood in a severely anemic patient can precipitate cardiovascular compromise or shock.

A patient with end-stage renal disease on hemodialysis requests hijama. The most important initial step is:

Answer: Refer to the patient's nephrologist first due to coagulation abnormalities, uremic platelet dysfunction, and complex medication interactions

ESRD causes uremic platelet dysfunction, elevated bleeding risk, and numerous drug interactions that make wet hijama potentially dangerous without physician clearance.

Which of the following represents a site-specific contraindication during active heavy menstruation?

Answer: Lower abdomen and sacral region, which may stimulate increased uterine bleeding

Cupping over the lower abdomen or sacrum during heavy menstruation can reflexively increase uterine blood flow and worsen hemorrhage.