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
How long after a full meal should a patient ideally wait before receiving wet hijama?
Answer: 2–3 hours to allow digestion and avoid nausea or vasovagal responses
A full stomach diverts blood to the digestive system and increases the risk of nausea, dizziness, and vasovagal syncope during hijama.
A patient loses consciousness during a hijama session (vasovagal syncope). The correct immediate response is:
Answer: Remove all cups immediately, lay the patient flat with legs elevated, and monitor vital signs
Vasovagal syncope requires stopping all stimulation, restoring cerebral perfusion by elevating the legs, and assessing whether emergency services are needed.
Which of the following patient presentations on the day of hijama is a contraindication to proceeding?
Answer: The patient has an active fever of 38.5°C (101.3°F)
Active fever indicates systemic infection or inflammation; performing hijama increases stress on an already compromised immune system and risks bacteremia.
Post-wet-hijama, patients must be instructed to avoid which activity for at least 24–48 hours?
Answer: Swimming or using public pools, hot tubs, or shared baths due to open wound infection risk
Wet hijama creates open micro-wounds that remain susceptible to waterborne pathogens until fully sealed.
A patient donated blood 3 days ago and feels well. They request wet hijama. The practitioner should:
Answer: Postpone wet hijama for at least 2–4 weeks to allow full restoration of blood volume and hemoglobin
Full recovery of blood volume after donation takes 24–48 hours, but hemoglobin regeneration requires 4–8 weeks; wet hijama adds further blood loss prematurely.
Extreme dehydration before hijama is a precaution because:
Answer: Reduced circulating blood volume amplifies the hemodynamic impact of blood removal during wet hijama
An already depleted blood volume means even moderate wet cupping blood loss can trigger dizziness, hypotension, or syncope.
After wet hijama, a practitioner notices continued excessive bleeding from cupping sites that does not slow after several minutes. The most appropriate immediate action is:
Answer: Apply firm, sustained pressure with sterile gauze and evaluate whether emergency medical care is needed
Persistent uncontrolled bleeding may indicate an underlying coagulation disorder and requires direct pressure and possible emergency referral.