smoking cessation

Question 1

5 A’s Model

Answer 1

Ask (about tobacco use)
Advise (to quit)
Assess (willingness to quit)
Assist (with quitting, within 2 weeks set quit date)
Arrange (for follow up)

Question 2

Major CYP Inducer Acronym

Answer 2

PS PORCS

Phenytoin
Smoking
Phenobarbital
Oxcarbazapine
Rifampin
Carbamazapine
St. John's wort

Question 3

Major drugs that smoking induces metabolism of

Answer 3

warfarin, contraceptives containing estrogen, caffiene, theophyline

Question 4

vaccination in smokers

Answer 4

influenza and Pneumovax 23 (just like asthma and COPD)

Question 5

Who should not get NRT

Answer 5

pregnant people, adolescents, and light smokers

Question 6

Nicoderm

Answer 6

Nicotine Patch

Question 7

Nicorette

Answer 7

Nicotine gum or lozenge

Question 8

Nicorette mini

Answer 8

Lozenge

Question 9

Zyban

Answer 9

Buproprion SR

Question 10

Chantix

Answer 10

Varencycline

Question 11

cutoff for higher dose of nicotine patch

Answer 11

10 cigs go up to 21mg

Question 12

cutoff for higher dose of gum or lozenge

Answer 12

1st sicurette within 30 min of waking 4 mg otherwise 2

Question 13

patch instructions

Answer 13

must remove before NRI, may cause vivid dreams, avoid in immediate post MI, arrhythmias, angina, and pregnancy ,never cut, avoid hairy area

Question 14

buproprion MOA

Answer 14

blocks neuronal uptake of dopamine and norepinephrine

Question 15

varencicline moa

Answer 15

partial nicotinic receptor agonist

Question 16

when to start oral meds and instructions for use

Answer 16

1 week before quit date, do not need to be tapered

Question 17

wellbutrin

Answer 17

buproprion

Question 18

buproprion dosing

Answer 18

300 mg per day max dose, SR 150qam for thee days then increase to twice daily

Question 19

contraindication for buproiprion

Answer 19

seizures, anorexia, mao, linezolid, methyleneblue

Question 20

major side effects of bupripion

Answer 20

dry mouth, insomnia, tremors, weight loss

Question 21

Chantix warnings

Answer 21

neuropsychiatric events, seizures

Question 22

chantix side effects

Answer 22

nausea, insomnia, abnormal dreams, headache

Question 23

chantix administration

Answer 23

with a full glass of water