smoking cessation

Question 1

five A’s

Answer 1

Ask
Advise
Assess
Assit
Arrange

Question 2

Ask

Answer 2

<6m congratulate
>6m Ask if you can help
Or record how many per day

Question 3

Advise

Answer 3

Tell them about the risks of smoking
Strong/Clear/Personal

Question 4

Assess

Answer 4

How much do you want to quit?
How likely do you think this will work?

Question 5

Assist

Answer 5

≤10, behavioural is fine 30 day goal
≥10 offer pharm options

Question 6

Arrange

Answer 6

Follow up, change therapy or fine tune

Question 7

5 R’s

Answer 7

Rewards of quitting
risks of continuing
reflective listening
roadblocks
repeat as necessary

Question 8

Nicotine withdrawal

Answer 8

Depressed
irritability
anxiety
insomnia
difficulty concentrating
fatigue
headaches
increased appetite and weight gain
24h-72h peak

Question 9

Precontemplation

Answer 9

not ready to quit, can bring up health concerns

Question 10

contemplation

Answer 10

thinking about quitting, go over pros and cons

Question 11

preparation

Answer 11

Doing research on quitting, help and answer questions, get rid of smoking tools

Question 12

action

Answer 12

help and encourage, check in

Question 13

maintenance

Answer 13

highlight achievement and point out improvements in life quality

Question 14

Relapse

Answer 14

use as learning experience and highlight that this is part of the process

Question 15

Patch

Answer 15

/
max 84mg
—–
limit exercise and move location
——-
-irritation
-insomnia
-nausea
-dyspepsia

Question 16

Gum

Answer 16

/
Max 40mg a day
——–
-use 1:1 with cigs and timing
-use chew and park
——-
-hiccups
-orodental problems

Question 17

Thrive

Answer 17

<20/day 1mg max 25
>20/day 2mg max 15

Question 18

Nicolette lozenge

Answer 18

> 30min 2mg max 15
<30min 4mg max 7-10

Question 19

NRTinhaler

Answer 19

/
6 canisters PRN F6-12 weeks reducing along the way, max 12 canisters
——-
-make sure you are holding breath in mouth not lungs
———
-irritation, headache, nausea, cough, rhinitis

Question 20

Spray

Answer 20

Max 2/use
4 per hour
64/day
——-
-no acidic things before
——
-taste alteration, headaches, nausea, oral pain, dry mouth and burning lips

Question 21

Varenicline

Answer 21

/
can cause depression and suicidal ideation
—–
-insomnia
-vivid dreams
-teratogenic

Question 22

Bupropion

Answer 22

/
main choice in Pregnancy
—–
-insomnia
-dry mouth
-dizziness
-difficulty concentrating
Increased risk of seizures

Question 23

Nortiptyline

Answer 23

/
2nd line anticholinergic
—-
-dry mouth
-blurred vision
-constripation
-urine retention

Question 24

Clonidine

Answer 24

/
2nd line alpha receptor agonist
—–
-sedation
-dizziness
-hypotension
-anxiety