Smoking Cessation Flashcards
T/F Smoking is the leading cause of preventable death in the United States?
True
What are some of the physiologic side effects of nicotine intake?
Rise in HR and BP (Narrowed arterial diameter from blood vessel damage)
Premature birth and low birth weights (babies whose mothers smoke during preg)
Harmful to developing brains
T/F Smoking can cause Liver and Colorectal cancers?
True
How would you describe the physiologic dependence of Cigarette smoking?
Mesolimbic-dopaminergic reward system
Locus ceruleus: Vigilance and arousal
What neurotransmitters are released by Nicotine and smoking?
Norepi Beta-endorphins Acetylcholine Serotonin Glutamate Vasopressin
What kind of cancers are associated with increased smoking Hx?
Lung Cancer MC Oral Throat Esophagus Bladder Kidney Pancreas Stomach Colorectal and Liver
What are the Stages of Change put forth by Prochaska and DiClemente?
Precontemplator: Not considering
Contemplator: Considering stopping 3-6mo
Preparation: Considering stopping 1wk to month
Action: Recently stopped smoking w/in past 6 mo.
How can you determine a PT’s degree of nicotine dependency?
Serum Cotinine Level
Fagerstrom Test
What are some pharmacologic therapies recommended for Nicotine replacement/weaning therapy?
Bupropion
Chantix
What drug is an example of a non-nicotine pill which is a nicotine receptor agonist?
What are some common side effects?
Chantix-Varenicline Tartrate
Nausea
HA
Insomnia
Suicidal Ideations
What is the dosing regimen of Chantix?
0.5mg x 3 days
0.5mg BID x 3 days
1mg q6hrs x 1 week
1mg BID (NO SMOKING)
If there is a high nicotine dependency which medication program is indicated?
What if there is only low nicotine dependency? What medication program is recommended?
Bupropion + Nicotine Replacement x 2
Nicotine Replacement
What are the 5 A’s of Smoking Cessation?
Ask Advise Assess Assist Arrange
What are some Advantages of using nicotine gum as a replacement?
Disadvantages?
Advantages:
Neutral pH
Rapid
Adjunct
Disadvantages: Heartburn / Indigestion Sore Jaw Throat / Mouth Irritation Flatulence
What are some Advantages of Nicotine Replacement PATCHES?
Advantages:
Convenient
Best compliance
Disadvantages:
Over the counter
Skin irritation
