Abuse Nicotine (Damaj) Flashcards

(51 cards)

1
Q

What do all smokers have in common?

A

They are addicted to the nicotine in cigarettes

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2
Q

How long does it take for the effects of nicotine to reach the brain when a smoker takes a puff of a cigarette?

A

10-19 seconds

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3
Q

Do increased number of cigarettes per day and duration of smoking increase or decrease the risk of lung cancer?

A

Increase (duh!)

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4
Q

What are the two phases that cigarette smoke can be broken into?

A
  1. Gaseous phase

2. Particulate phase

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5
Q

What problems are associated with the gaseous phase?

A
  1. Shortness of breath

2. Neonatal problems

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6
Q

Why causes the shortness of breath in smokers during the gaseous phase?

A

The carbon monoxide (CO) in the smoke combines more strongly with hemoglobin than oxygen does, therefore limiting the oxygen carrying capacity of the blood.

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7
Q

What causes neonatal problems in the gaseous phase?

A

Poor oxygen delivery to the fetus (secondary to the poor oxygen carrying capacity of the blood)

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8
Q

What are the two main components of the particulate phase?

A
  1. Nicotine

2. Tar

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9
Q

How does nicotine increase the risk of CHD?

A

It decreases HDL, the “good” cholesterol and increased platelet aggregation

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10
Q

How does tar increase the risk of cancer?

A

Tar contains carcinogenic compounds that lead to cancer. These get stuck int he mouth, throat, esophagus and lungs and increase risk for cancers.

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11
Q

The average cigarette contains how much nicotine?

A

10-15mg

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12
Q

How many chemicals are in tobacco, including the carcinogens?

A

4000

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13
Q

How do different factors that alter nicotine delivery affect the delivery of tar?

A

They all affect the delivery of tar to the same extent

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14
Q

What percentage of cigarettes are menthols and what group prefers them?

A

25%, preferred by African Americans

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15
Q

What are some “reduced exposure” products?

A
  1. Lozenges
  2. “Snus”
  3. E-cigarettes
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16
Q

Which produces more nicotine, CO, and tar: water pipe or cigarette?

A

Waterpipe (by a lot more)

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17
Q

85% of adult smokers began smoking before they were how old?

A

19 years old

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18
Q

How many subunits are in the acetylcholine receptor?

A

Five subunits

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19
Q

How does the conformation of the acetylcholine receptor change when Ach binds to it?

A

Normally the pore only allows positively charged ions to pass through the channel but when wound the channel undergoes a conformational change and the gate opens.

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20
Q

Is nicotine strongly euphorigenic?

A

No

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21
Q

Is nicotine a strong reinforcer?

22
Q

When nicotine injections are paired with specific cues, what effect does this have on reinforcement?

A

It is greatly enhanced.

23
Q

What role do cravings have in relapse?

A

They are very strong and play a major role in relapse.

24
Q

How many smokers try to quite each year?

25
How many smokers have success in quitting for up to a year?
1 out of every 10
26
How quickly do most quitter relapse?
Within days
27
How many one-year quitters relapse?
1 in 3
28
What percentage of smokers achieve freedom from tobacco each year?
2-3%
29
What is the titration hypothesis of smoking?
Smokers adjust their smoking behavior to obtain a stable dose of nicotine
30
What is the term for when the number of cigarettes increases with time and then stabilizes?
Tolerance
31
Does tolerance develop to peripheral AND central effete of nicotine?
Yes
32
A smoker with a 1.5 pack per day habit will get about how many puffs a year?
100,000
33
How soon after cessation do withdrawal signs begin?
Withing 24 hours
34
When do withdrawal signs peak?
Within a day or two of cessation.
35
What are some signs of nicotine withdrawal?
1. Headache 2. Inability fo concentrate 3. Irritability 4. Sleep disturbances 5. Hunger 6. Signs may persist for weeks or months
36
How is nicotine absorbed when inhaled?
90-98% is absorbed from the respiratory tract
37
What are some examples of oral absorption routes for nicotine?
1. Snuff 2. Chewing tobacco 3. Nicotine gum
38
What does pH have to do with buccal absorption?
It is dependent upon the pH
39
Is oral absorption a first or second pass hepatic effect?
First pass
40
What is an example of transdermal nicotine absorption?
Nicotine patch
41
How quickly does nicotine reach the brain after inhalation?
8 seconds
42
What is the plasma half-life of nicotine?
Around 2 hours
43
Does nicotine cross the placenta?
Yes and it is found in breast milk
44
True or false: nicotine produces much higher nicotine levels than nicotine replacement therapy?
True
45
Which nicotine delivery system(s) is / are seen as most rewarding?
Cigarette and IV administration
46
What nicotine delivery system is not well-liked and has very little possibility of addiction?
Nicotine Replacement Therapy (NRT)
47
Does NRT produce fast or gradual onset of nicotine effects?
Gradual
48
Where is 80-90% of nicotine metabolized?
Liver, lung and kidney
49
What are two major metabolites of nicotine?
Cotinine and Nicotine-N-oxide
50
What metabolite it useful for assessment of recent smoking?
Cotinine (as well as expired CO)
51
What are three types of treatment for nicotine dependence?
1. Nicotine replacement therapy (gum, patch, spray) 2. Varenicline (Chantix) 3. Antidepressants (Buproprion (Zyban))