Chapter 43: Tobacco Cessation Flashcards
(45 cards)
Pack year smoking history
Cigarette packs/day x number of years
THE “5 A’S” MODEL FOR TREATING TOBACCO USE AND DEPENDENCE
Ask about tobacco use
Advise to quit
Assess readiness to quit
Assist in quit attempt
Arrange follow up
What are withdrawal symptoms associated with smoking cessation?
Anxiety, irritability, depression, insomnia, poor concentration, restlessness, increased appetite, and cravings
Which combination of strategies is more effective for smoking cessation?
Combination of counseling and medication
List the five nicotine replacement therapies (NRTs).
- Patch
- Gum
- Lozenge
- Inhaler
- Nasal spray
What are the two non-nicotine drugs used in smoking cessation?
- Bupropion
- Varenicline
Combining a nicotine patch with what type of NRT is effective?
Short-acting NRT (e.g., gum) or varenicline
Which patient populations are mentioned as preferring behavioral counseling over drug treatment?
- Pregnant women
- Adolescents
- Smokeless tobacco users (e.g., chewing tobacco)
- ‘Light’ smokers (e.g., < 1 cigarette a day)
Fill in the blank: ______ is preferred for smoking cessation in pregnant women.
[Behavioral counseling]
What enzymes are primarily induced by non-nicotine chemicals in tobacco smoke?
CYP450 1A2
List some medications that can cause side effects due to supratherapeutic levels after quitting smoking.
- Caffeine
- Theophylline
- Fluvoxamine
- Olanzapine
- Clozapine
- R-isomer of warfarin
These medications may have altered metabolism in individuals who have recently quit smoking.
Who should not take estrogen-containing oral contraceptives?
Women ≥ 35 years of age who smoke
The risk of cardiovascular events increases with smoking and estrogen use.
What vaccinations should smokers aged 19 - 64 years receive?
- Pneumococcal vaccine
- Annual influenza vaccine
- All age-appropriate vaccines
What is the brand name of the nicotine patch?
NicoDerm CQ
What is the initial dosing for nicotine replacement therapy based on?
The number of cigarettes smoked per day
What should be avoided in the immediate post-MI period when using nicotine products?
NRT (Nicotine Replacement Therapy)
What are common side effects of nicotine replacement therapy?
Insomnia, headache, dizziness, nervousness, dyspepsia
What should be done before using nicotine gum or lozenge?
Avoid acidic beverages/foods 15 minutes before or during use
True or False: The FDA prohibits the sale of nicotine products to individuals under 21 years of age.
True
What specific warnings are associated with the use of the nicotine inhaler or nasal spray?
Avoid in asthma, COPD, and other chronic respiratory diseases
What is a common side effect of the nicotine patch?
Vivid dreams
What is the duration of treatment for nicotine patch dosing?
The nicotine patch dosing schedule lasts for 8-10 weeks.
What is the dosing schedule for the nicotine patch if > 10 number of cigs per day?
21 mg/day for 6 weeks, then 14 mg/day for 2 weeks, then 7 mg/day for 2 weeks
For nicotine gum/lozenge dosing, what is the starting dose if the first cigarette is smoked within 30 minutes of waking?
4 mg q1- 2h for 6 weeks
