Smoking Flashcards

1
Q

most people start smoking before what age?

A

20

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2
Q

when did cigarette smoking peak?

A

in the 1960s

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3
Q

Smoking is becoming concentrated in _________ _______________ groups in the US

A

lower socioeconomic

more likely to smoke w/ less education

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4
Q

how often do most nicotine dependent people try to quit?

A

annually

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5
Q

consequences of smoking

A

postmenopausal osteoporosis and fracture
skin wrinking
eye problems, hearing loss
SIDS in infants

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6
Q

is there a safe level of tobacco use?

A

No

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7
Q

what do children of smokers have a higher risk of?

A

more serious respiratory infections

higher rate of otitis media and asthma

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8
Q

After ____ to ____ years of abstinence, overall mortality rates for smokers approach rates of those who never smoked

A

10-15

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9
Q

____ the excess risk of CV mortality is eliminated in the first year of quitting

A

Half but risk for lung cancer is still present after 10 days

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10
Q

withdrawal symptoms from smoking

A

irritable, restless, angry

depressed, hungry, sleep disturbance, poor concentrating, anxiety

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11
Q

who are withdrawal symptoms more often in?

A

smoke >25 cigarettes per day
smoke w/i 30 minutes of awakening
uncomfortable when they can’t smoke for a few hours

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12
Q

what are the 2 methods w/ strong efficacy for helping to quit smoking?

A

psychosocial (CBT) counseling

pharmacotherapy (medications)

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13
Q

__________ is an antidepressant with dopaminergic and noradrenergic activity

A

Bupropion (trade names_ Zyban (smoking), Wellbutrin, Wellbutrin SR)

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14
Q

is nicotine replacement safe to use in smoker w/ unstable CAD?

A

No, but it is safe in stable CAD

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15
Q

side effects of bupropion?

A

insomnia, agitations, HA, and dry mouth
reduces seizures threshold
c/i w/ bulimia or predisposition to seizures
suicide risk in <25

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16
Q

how long should bupropion be used for nicotine replacement?

A

3 months

17
Q

how long should nicotine gum be used for?

A

2-3 months

with 9-12 pieces per day

18
Q

recommended duration fo use for nictoine patch?

A

8 weeks

there is a 24 hours and 16 hour patch

19
Q

Selectively targets a nicotine receptor in the brain
When patient has quit
Stimulates dopamine release, thereby blunting cravings and decreasing withdrawal symptoms
When patient relapses
Decreases nicotine’s effects in the brain’s “reward center”

A

Varenicline (Chantix)

20
Q

side effects of carenicline

A

nausea in 30%

sleep disturbance, vomiting, constipation

21
Q

Smokers have more ________ sx than nonsmokers

A

depressive

22
Q

should depression e treated prior to a patient attempting to stop smoking?

A

No

23
Q

what are the 5 A’s

A

Ask (whether a patient smokes)
Advise (the importance of stopping smoking)
Assess (interest in stopping smoking)
Assist (the smoker in quitting) set a date within 4 weeks
Arrange (follow up shortly after quit date)