A nurse is discussing the use of herbal supplements

 

Here are some examples: Kava is an herb used for anxiety, insomnia, symptoms of menopause, and other ailments. Based on the use of this herb, the nurse anticipates that the patient will most likelyreport experiencing which condition. After further questioning, the nurse finds several reasons why they are more likely to use CAM in their lives. 15 hours ago · Immunosuppressants. Study with Quizlet and memorize flashcards containing terms like The nurse obtains information during the admission interview that the patient is taking herbal supplements in addition to prescribed medications. I can take echinacea to improve my immune system b. Herbs should be purchased only from manufacturers with a history of quality control. -Herbs should be obtained from manufacturers with a Which action will the nurse take first?\ a. ) enlargement of the breasts indicates adequate levels of progesterone. Your answer: A nurse is discussing the use of herbal supplements for health promotion with a client. S. Dec 19, 2022 · To maintain health and treat disease, many people use supplements and herbs in addition to their diet. Today they are considered an integral component of complementary and alternative medicine for patients who desire a holistic approach to their care. The drug must not have any interactions with other drugs. Patients are increasingly using them to prevent disease, complement conventional therapies, and promote well being and health. The nurse will respond by saying that herbs. Therefore, it is important for the perianesthesia nurse to be aware of the A nurse is assisting a client in learning how to read food labels. Use of raspberry leaves prior to delivery was associated with an increased risk of caesarean delivery. The major focus regarding nursing education for the older adult regarding the use of herbal supplements is the: a. A nurse is discussing the use of herbal supplements for health promotion with a client. medicinal herbs are viewed as dietary supplements. Study with Quizlet and memorize flashcards containing terms like a nurse is teaching a client who reports taking ginkgo to improve his memory. Licensed midwives were more likely to recommend herb‐based pregnancy teas for overall health and well‐being than CNMs/CMs (81% vs. answers to questions and concerns abut the . Studies from the US suggest that more than half of people with long-term conditions or cancers use herbal remedies or dietary supplements (Miller et al, 2008) and nearly one in five take these products with prescription plementary and alternative medicine (CAM) use, and patients may feel uncomfortable discussing it. e. 1%), and arthritis (43. explanation of available question and concerns abut the procedure 3. breast enlargement D. Discourage the use of unregulated medications and supplements b. \ d. In another study following 299 Israeli inpatients, 25% of patients consumed herbal or dietary supplements and in 72% of these cases, the hospital team was unaware of the patient's herb or supplement intake. But concomi-tant use of herbal supplements with prescription drugs or over-the-counter (OTC) medications can put patients at risk for a variety of serious drug interactions. The consumer must be able to monitor the drug's effectiveness. Herbs and drugs often interact when they use the same transport or a. John's wort, ginseng, echinacea, and ginkgo, are reviewed. 2 In fact, for most of history, herbal medicine was the only medicine. A nurse is preparing an education program about herbal supplements. adults use dietary supplements, including herbal medicines, and 25% report taking herbal supplements with The popularity and prevalence of herbal products and dietary supplements in the US has grown steadily. [This grows] to three-quarters of older people in their 70s and beyond. 15 hours ago · Study with Quizlet and memorize flashcards containing terms like A client with a metabolic disorder takes several medications daily, including cholesterol lowering agents, antihypertensives, and antidiabetics. Herbal products could contain high amounts of active compounds that can be of concern in pregnancy or while breastfeeding. 0%). , 2017; Kaufman et al. Which of the following client statements indicates an understanding of herbal supplement use?"I can take echinacea to improve my immune system. which of the following client statements indicates an understanding of herbal supplement use? I can take echinacea to improve my immune system - Echinacea is taken to promote immunity and reduce the risk of infection. ) colostrum is usually secreted by about the 16th week of gestation. ask the client to stop taking the supplement immediately. These studies reported that populations are relying on healthcare providers, friends and family, social media, and internet to learn about supplement use during COVID-19. duplicate of the patients bill of rights 2. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a sunburn. Discourage the use of herbal remedies in treating Study with Quizlet and memorize flashcards containing terms like A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe. 1, 1998, to June 30, 2003. report using some kind of dietary supplement. In this case, the role of midwives as health workers is needed. Nursing questions and answers. Question: FLAGA nurse is discussing the use of herbal supplements for health promotion with a client. The nurse's attitude helps with this. Teaching has been effective when after reviewing an ingredients list including whole-wheat flour, sunflower oil, and salt, in that order the client tells the nurse which of the following? Salt has the highest quantity. What information should the nurse offer the client about general use of herbal supplements? Herbs should be obtained from manufacturers with a history of quality control of their supplements. The patient should be alerted for adverse reactions or interactions, and should be told about the proper use of herbal drugs (Mohammad et al. " "I can take ginger to improve my memory. A. The nurse should identify that which of the following herbal supplements is used to treat sunburns? A. Thus, making decisions about the use of herbal medicines is not only based on belief, use, and the efficacy of herbal plants but also experience and is often associated with religious values. B. Instruct the patient to inform the health care provider of all products taken. Because the perinatal nurse has two patients to consider when caring for a pregnant woman, he or she has two equally important mandates: to help the mother without harming the fetus. 1. 2 To more open-minded and supportive when discussing about the use of herbal products with breastfeeding mothers [8] Feb 13, 2024 · Ginkgo. Journals & Articles; Article Collections; Self-Care for Nurses ; Solutions to Nurse Burnout ; Health Equity ; Nurses on Boards ; 2019 Novel Coronavirus Feb 2, 2023 · The most common reason regarding dietary supplements and natural/herbal products use was to strengthen immune system and to prevent infection of COVID-19. Most herbs are toxic or carcinogenic and should be used only when proven effective. Water is necessary for cellular metabolism and excretion of metabolic waste products; people need 2000 to 3000 mL daily. " Chiropractic medicine along meridians to 5. John's wort. 3. learn as much about the herbal supplement as possible. Lavender D. A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. 38%). Herbalists regard people as essentially self-healing; the aim of One good estimate is almost $49 billion in sales in 2019. 1 / 153. Fewer side effects from medications, 2. According to Baxter, there are eight most commonly used CAM therapies in health care: acupuncture, aromatherapy, hypnosis, massage therapy, meditation, Tai Chi, therapeutic touch, and vitamins/herbal supplements. Which of the following actions should the nurse take? a. Jul 1, 1987 · For centuries, herbs have been used for medicinal purposes. b. Overall, about half of adults and a third of children take one of more supplements daily, or on most days. This article provides an overview of key concepts underlying herbal use in general and also safety in pregnancy. Ayurvedic medicine, which originated in India, is the second most popular form of CAM used globally. Which preparations of the herbal supplement should the nurse expect the client to mention during this assessment? Jan 1, 2011 · The popularity and prevalence of herbal products and dietary supplements in the US has grown steadily. laws and regulations of herbal products. \ c. which of the following client statements indicates an understanding of herbal supplement use? i can take echinacea to improve my immune system Feb 23, 2024 · What information should the nurse offer the client about general use of herbal supplements? -Most herbs are toxic or carcinogenic and should be used only when proven effective. Jun 12, 2014 · Of those patients, 50% used an herbal remedy and 23% were exposed to a potentially harmful herb-drug interaction (Gallo et al. bleeding gums, a patient who is diabetic is asking the nurse about taking the herbal supplement garlic. Jul 16, 2016 · There have been several epidemiological surveys about dietary supplement use in the US and Europe. All 37 selected studies on the use of SJW in depressive disorders ranging from mild to severe forms have been double-blind randomized controlled trials (quality group 4). At the end of the presentation, there was much discussion on the safety and appropriateness of herbs in nurse-midwifery practice. Aloe vera C. replaces the need for prescription medications. frequent medical evaluation is Researchers have found that older adults, particularly, use prescription drugs, herbal remedies, and dietary supplements concurrently (Agbabiaka et al. 410-955-5000 Maryland. Greater accessibility of therapies d. Which of the following topics should the nurse prepare to discuss with the client?Serotonin syndrome can occur when using herbal remedies. C. In discussing the use of herbs, the nurse cautions the patient that a. About a third of those [aged] 19 to 30 take them. Food and Drug Administration enforces standards of herbal product quality and safety. A female client informs the nurse that she uses herbal therapies to supplement her diet and manage common ailments. d. Herbal remedies and dietary supplements are part of complementary and alternative medicines (CAMs), which consist of various products and practices (Nahin et al Apr 9, 2019 · Herbal medicinal products are any plant-derived product (ie, leaves, roots, flowers), in any form, taken as a preventive or curative treatment. A client is discussing the use of an herbal product, which has a liquid formulation. According to Johnson (1997), over 60 million adults in the United States use herbs Study with Quizlet and memorize flashcards containing terms like The patient is asking the nurse about the current U. , 2009). It is thought to be the oldest form of therapy practised. ""I can take feverfew to reduce my level of anxiety. Herbal supplements are common complementary and alternative medicine (CAM) approaches with an ever-increasing use trend in the last two decades among the US population. 021), nulliparity (p = 0. 1 Although herbal medicinal products have been used for centuries in Asia, Africa, and Latin America, it is only over the past decades that use has attracted attention in the Western world. Many herbs are toxic and carcinogenic and should not be used. The FDA has issued a warning against its use. THE USE OF HERBAL supplements A patient is discussing his wish to use herbal products instead of medications and exclaims, "They work! The government tests them!" How will the nurse respond? A. The patient The use of herbal medicine in the United States has been increasing at a steady pace over the past decade. In fact, over 75% of adults in the U. Study with Quizlet and memorize flashcards containing terms like A client has told the nurse that the client began taking black cohosh, a herbal supplement, a few weeks ago. , 3. Match the herbal remedy with the possible therapeutic effect. 2. Which of the following client statements indicates an understanding of herbal supplement use? As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. They may be dried, chopped, powdered, or in capsule or liquid form. Term. The most frequent conditions associated with herbal supplement use were a stroke (48. Jun 5, 2017 · Approximately thirty-eight percent of those who used herbals used prescription medications and 42% of those who used herbals also used an OTC medication. Frequent medical evaluation is required when a person uses herbs. John's Wort may improve symptoms of depression. Because of the risk for side effects or medication 8. -There is no evidence that herbs are safe or effective as compared to conventional supplements in maintaining health. There is more sunflower oil than whole-wheat flour. Food and Drug Administration requires the manufacturers of herbal Study with Quizlet and memorize flashcards containing terms like During a routine health examination, the patient tells the nurse that about using a variety of herbal therapies for health maintenance. Herbal supplements come in all forms. Study with Quizlet and memorize flashcards containing terms like Most important information for the nurse to know related to patient health teaching? (select all that apply) a. Resources for consumers and health care professionals are highlighted. Which of the following client statements indicates an understanding of herbal supplement use? "I can take echinacea to improve my immune system. Many patients with cancer are using herbal supplements with or without their providers’ knowledge. " Herbal supplements have been used throughout history to treat a wide variety of medical conditions. However, certain herbal supplements have been associated with unpredictable effects on serum glucose. Information and precautions for 20 common herbal supplements, including St. The nurse will respond by saying that herbs a. But kava can also cause severe liver damage. 04) Study with Quizlet and memorize flashcards containing terms like Interviewing the clients in a general medicine physician group, a nurse finds a trend among a certain age demographic which demonstrates a high use of alternative medicine. clarified marketing regulations b. John's Wort may work for mild to moderate depression. Nursing. " "I can take feverfew to reduce my level of anxiety. It includes herbs, food combinations, meditation, and body work. Herbal supplements are receiving increasing exposure through national media, in lay journals, and more recently in the scientific press. bad breath B. May potentiate anticoagulant and anti platelets, antihyperlipidemics, antihypertensives, anti diabetic agents, and herbs with these effects. Jul 3, 2011 · Clinicians must guide patients about use of herbs in a non-judgmental manner. The nurse is planning to educate a client about medication therapy. The nurse explains that herbal products are regulated by the Dietary Supplement Health and Education Act of 1994, and that a major benefit of this act is that it includes: The power of the FDA to remove from the market a product that poses a threat to the public. Echinacea. In addition to informing the care provider, the nurse should: A. 2 Despite the lack of robust efficacy and safety data, the use Sep 28, 2023 · The use of herbal medicines in depressive disorders is well examined and in particular the clinical benefits of SJW are well supported by clinical studies of high quality. A nurse is discussing herbal remedies with a newly licensed nurse. May decrease efficacy of cyclosporine, hormonal contraceptives. Jul 15, 2022 · Abstract. Even as recently as 1890, 59% of the listings in the US Pharmacopeia were from herbal products, 3 and it has been Study with Quizlet and memorize flashcards containing terms like A client inquires about the use of herbal therapy. The most commonly recommended herbs to include in a pregnancy tea were red raspberry (70%) and nettle (42%). reclassified herbs as dietary supplements c. . Herbs should be obtained from manufacturers Jun 9, 2020 · For widening of birth canal, labor induction, nutritional supplement - Herbal medicine use in pregnancy was significantly associated with being in the 20–25 age group (p = 0. are regulated by the government and are determined to be safe. The drug must have a low potential for abuse. Once the nurse determines what herbs the patient takes, the nurse should ask about the last time the patient took the herbs nurse is completing the admission history for a patient who tells the nurse that he takes valerian. Multiple studies indicate a significant rise in the use of herbs (Bartels & Miller, 1998; Eisenberg, et al. are regulated by the government and are Herbal medicines (most common: ginger, iron-rich herbs, Echinacea, and cranberry). Detailed information on herbal medicine and warnings for use of herbal supplements, including Black cohosh, Echinacea, Evening primrose, Feverfew, Garlic, Gingko biloba, Ginseng, Goldenseal, Green tea, Hawthorn, Saw palmetto, and St. Green tea B. total Herbal Products KATY FLANAGAN, RNC, CAPA The increased use of herbal therapy and other dietary supplements in the past decade has increased the risk of complications for patients undergoing surgery. The client's body is attempting to achieve what state?, Which model of health and Apr 7, 2004 · We chose 3 popular herbal medicines (echinacea, ginkgo biloba and St. b. I can take feverfew to reduce my level of anxiety c. 7%), cancer (43. HESI 2. 004), nulligravidity (p = 0. likelihood that the client will substitute herbals for more expensive prescribed medications. "The U. What components should the informed consent include? Select all that apply 1. Apr 16, 2008 · Nearly 1 in 5 adults in the United States report taking an herbal product. They come in many forms, such as teas, infusions, caplets, dried extracts, and tinctures. Fewer side effects from medications, A client is discussing the use of an herbal product, which has a liquid formulation. John's wort) to illustrate some current safety concerns associated with the use of natural health products. 30. Some people also use ginkgo for depression, altitude sickness, tinnitus (ringing in the ears Oct 6, 2022 · According to a 2017 review published in American Family Physician, 40–60% of U. The drug must have a low therapeutic index. may interact with prescription medications. For adults, supplement use increases with age. , 2002). Reducing the need for medications c. 24. The basis for this inquiry is that such herbal therapy: a. Which statement by the nurse is most accurate?, A client who is immunocompromised knows that their body is constantly responding to potentially infectious challenges from the outside environment. Water, carbohydrates, proteins, fats, vitamins, and minerals are required to promote or maintain health, to prevent illness, and to promote recovery from illness or injury. 855-695-4872 Outside of Maryland. Johns Wort? St. The placebo effect is the thought that the drug will be helpful and can have a large impact on the success of drug therapy. “For example, aromatherapy oils are now used post Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing dietary supplements and recalls that the FDA requires manufacturers of dietary supplements to, When educating patients about the safe use of herbal products, the nurse remembers to include which concept?, When taking a patient's drug history, the nurse asks about use of over-the-counter drugs. The nurse is conducting a class for senior citizens about the use of over-the-counter (OTC) drugs. adults with chronic disease use dietary supplements, and among patients taking prescription medications, an estimated 20% to 25% concurrently use a Thinking that the drug will help the patient creates the placebo effect. Instruct the patient to stop taking all herbal products immediately. states that Which information should the nurse include when discussing the use of herbal remedies with a patient? a. aren Aug 1, 2006 · Objectives—After reading the article the reader should be able to: (1) Discuss patient safety concerns related to the use of herbal supplements; (2) identify 5 of the most commonly used herbal supplements in the United States; and (3) identify perianesthesia patient implications for each of these 5 supplements. They can be used in many ways, including: Swallowed as pills, powders, or concentrated liquid extracts (tinctures) Brewed as tea. What information should the nurse offer the client about general use of herbal supplements? A. producers of herbal Pharm 3 Study Questions. 1 cup strawberries. a. high risk of herbal overdose since the manufacturing process lacks effective controls. d. inform the client that the use of The most commonly used herbs for each indication are provided in Table 4. packaging gives quality and strength of all contents e. most herbs are toxic and carcinogenic and should be used only when proven effective. , 2014 ). 15 hours ago · The drug must be easy to use. Study with Quizlet and memorize flashcards containing terms like A nurse is discussing informed consent with a client who is scheduled for a hysterectomy. And they come in many forms, from pills and powders to lozenges and liquids. Study with Quizlet and memorize flashcards containing terms like A 25-year-old Jul 1, 2009 · The survey found that 72% of physicians and 89% of nurses used dietary supplements, when regular, occasional, and seasonal users are all included. 002), and residing in a high-density neighborhood (p = 0. 600. Biofeedback produce analgesia. Regular use of dietary supplements was reported by 51% of physicians and 59% of nurses; occasional use by 19% and 27% respectively; and seasonal use by 2% and 3% respectively. Herbal supplements have a long history of use, ranging from the practices of ancient Chinese herbalists to the indigenous American healing. Carbohydrates and fats mainly provide Garlic nursing considerations. St. Oct 20, 2016 · Common herbal preparations used for health promotion or disease prevention will be featured in this part of the series. is hazardous when used by older The use of herbal therapy has become increasingly popular in the United States over the last few years. E. ) growth of the milk ducts is greatest during the first 8 weeks of gestation. Used on the skin as gels, lotions, or creams. +1-410-502-7683 International. A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe. Tell the client to limit the number of herbal supplements to no more than 2 d. Claims: Ginkgo supplements are popularly touted as a remedy for memory issues and dementia. Some studies show it may work for anxiety. Herbal products are natural and pose no risk to the patient but may be costly 2. Milk thistle, A nurse is completing a preoperative health history a nurse is discussing the use of herbal supplements for health promotion with a client. which of the following adverse effects should the nurse include? A. This three-part series is designed to provide clinicians with a working knowledge of using herbal supplements for health and disease states. People use herbs and supplements for many potential health benefits. Common herbal preparations Feb 20, 2022 · 2 A nurse is discussing the use of herbal supplements for health promotion with a client. ” 1. Suggest that the patient taper off use of herbal products over the next $2$ weeks. I can take ginger to improve my mem-ory d. 1 Written records of the use of herbal medicine date back more than 5,000years. is hazardous when used by older adults. \ b. These, she says, are the most researched and studied. c. Jul 1, 2023 · In the United States, dietary supplements cannot be sold for the purposes of treating, diagnosing, preventing, or curing disease. , 1998; Ernst, 1998; Greenwald, 1998; Johnston, 1997). What is the nurses primary concern for this patient? 1. Discuss the cost of herbal products. Which preparations of the herbal supplement should the nurse expect the client to mention during this assessment? Jul 11, 2016 · Introduction. ) darkening of the areola occurs during the last month of pregnancy. which of the following client statements indicates an understanding of herbal supplement use? a. What Oncology Nurses Need to Know. There is no evidence that herbs are safe or effective as compared to conventional supplements in maintaining health. Jul 21, 2008 · Herbal medicine is a system of healthcare that can stand alone or as part of a more complex medical system. According to the Dietary Supplement and Health Education Act of 1994, which statement is true? a. It is important for healthcare providers to be familiar with herbal supplements and how they may Green tea extract has been associated with reduced activity of β-blockers, and milk thistle with reduced activity of losartan. According to Johnson (1997), over 60 million adults in the United States use herbs a nurse is discussing the use of herbal supplements for health promotion with a client. The nurse explains that herbal products are regulated by the Dietary Supplement Health and Education Act of 1994, and that a major benefit of this act is that it includes: A requirement for herbal products to be tested prior to manufacturing. Which herbal supplement is most likely to be safe for the client to take?, A client wants to lose weight and asks the nurse about herbal supplements for this purpose. Nurse practitioners play a critical role in discussion, communication, and education of herbal supplement use. The use of gingko increases the risk of bleeding with anticoagulants (warfarin, heparin) and antiplatelets (aspirin, clopidogrel). states that herb products can be marketed with suggested dosages d. ""I can take ginger to a. herbal remedies are held to the same standards as drugs. " B. Instruments are used to visualize a body function to control a physiologic response. Why do some older adult clients use CAM?, A An older adult client is being seen for the first time at the outpatient geriatric clinic. Mar 21, 2021 · Herbal supplements have been associated with adverse reactions and herbal-drug interactions. In the US, the prevalence of supplement use in the National Health and Nutrition Examination Survey (NHANES) increased from 23% in 1971–74 to a peak of 54% in 2003–2006 before leveling off to 49% in 2007–2010 (Citation 14, Citation 15). the nursing care of the childbearing family 3 15 hours ago · A nurse is discussing the use of herbal supplements for health promotion with a client. For example, willow bark, a green plant used by various cultures as a headache cure, became the B. Which of the following information should the nusre include when discussing St. c. Herbal products are a welcome supplement to Abstract:This three-part series is designed to provide clinicians with a working knowledge of using herbal supplements for health and disease states. May 1, 2019 · It is crucial for practitioners to review any supplement use prior to use in nursing mothers beginning breastfeeding. The statement that indicates an understanding of herbal supplement use is: a. The other concerns do not occur with gingko supplements. The use of herbal products is projected to rise in the United States. Verify the herbal supplements do not interact with medication the provider has prescription c. Apr 19, 2023 · Option A, "I can take echinacea to improve my immune system," indicates an understanding of herbal supplement use for health promotion. Self-medication with herbal supplements which are promoted for general well-being, weight loss, immunity, and memory boost, and mental and physical health claims are Oct 11, 2013 · Herbal remedies and dietary supplements are not licensed as medicines in the UK and are widely available without prescription. Herbal remedies are used to promote healing. The patient A client interested in using herbal therapy expresses concern that they could be dangerous. At the last ACNM convention, a presentation on the use of herbs in nurse-midwifery practice was given. See Answer. 1. Over the centuries local formularies have been developed to embrace the diversity of plant life across the globe. Explanation: The subject of the discussion pertains to the use of herbal supplements for health promotion. Lower cost of treatment b. Interest in herbal medicine has been Jul 6, 2023 · Traditional Chinese Medicine (TCM) is one of the most widely used forms of CAM globally, with acupuncture, herbal medicine, and massage being some of its most popular modalities. We searched Health Canada's database of spontaneous ARs for the period Jan. Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing dietary supplements and recalls that the FDA requires manufacturers of dietary supplements to, When educating patients about the safe use of herbal products, the nurse remembers to include which concept?, When taking a patient's drug history, the nurse asks about use of over-the-counter drugs. Formulation, brand, dose, and direction for use of herbs should be documented on the patient's charts and updated Herbal supplements may contain entire plants or plant parts. decreased alertness C. D. Among herbal product users, factors that predicted use included May 16, 2023 · Also, the prescription patterns can inform future research efforts to expand the evidence base surrounding safe and effective use of herbal medicines. Avoid if allergic to members of the lily family of plants. Which information The use of herbal therapy has become increasingly popular in the United States over the last few years. Jan 28, 2020 · The Most Commonly Used CAM. how should the nurse Nov 29, 2022 · The use of herbal medicines by the community is also based on religious factors. Your solution’s ready to go! Our expert help has broken down your problem into an easy-to-learn solution you can count on. When Nurses Speak, People Listen: An Interview with Pat Patton ; An Unforeseen Path from Critical Care Nurse to Editor-in-Chief of American Journal of Nursing ; More Article Collections. ANS: A, C, D. Little is known about herbal-drug interactions associated with diabetes drugs. Common herbs that can be safely be used in Jul 15, 2017 · Estimates show that between 40% and 60% of U. Most recent estimates suggest that the US population spends $5 billion per year for herbal supplements alone. Describe the dangers of taking plant-derived A client interested in using herbal therapy expresses concern that they could be dangerous. are classified as medications by the Dietary Supplement Health and Education Act of 1994. ez os mo ss ls bh up qb pi wa