Lifestyle Improvements Flashcards
(30 cards)
What is DARN CAT
Desire to change
Ability to change
Reason to change
Need to change
Commitment to change
Action, intention to act
Taking steps to change
What is OARS
Open ended questions
Affirmations
Reflective listening
Summaries
What is ENDS
Electronic Nicotine Delivery System
why do we care if patients smoke
Cancer
Cardiovascular Disease
COPD
Slows HPV clearing
Decrease sperm count
increases erectile dysfunction
Dental disease
slowed wound healing
suppressed immune system
what is a definitive cause of stroke
secondhand smoke
what are the effects of Menthol
can reduce airway pain and irritation fro cigarette smoke and suppress coughing, giving smokers the illusion of breathing more easily
What are the most commonly used tobaco products among kids
ENDS (electronic nicotine delivery system)
what are the two primary ingredients other than nicotine in ENDS
propylene glycol (antifreeze) and vegetable glycerine
what are NRT
Nicotine replacement therapy
- patch
- lozenge
- gum
- nasal spray
- inhaler
Wellbutrin, Chantix, Nortriptyline
what is the most effective NRT
Patch + gum
What are the pros and cons of NRT
+ control level of nicotine, easy to adjust, easy to use, cheap
- various cautions to use, nicotine toxicity
What are the pros and cons of Nicotine Patches
+ easy, once a day, few side effects, constant levels
- skin irritation, less flexible dosing, slow onset
what are the pros and cons of nicotine lozenges
+ easy, higher delivery than gum
- no food/drink 15 min before or during; nausea; no chewing or swallowing
what are the pros and cons of nicotine Gum
+ flexible dosing, fast delivery
- not with dental issues, no food/drink 15 min before or during, need to use frequently (may be a +)
what are pros and cons of nicotine nasal spray
+ flexible dosing, fast delivery
- nose/eye irritation common (disappears in a week), frequent use in day (may be a +)
what are the pros and cons of nicotine inhaler
+ flexible dosing, mimics hand to mouth, few side effects
- frequent use in day, mouth/throat irritation
what are the pros and cons of Wellbutrin
+ easy, pill, few side effects, may combine with NRT
- contraindicated with some meds or dx
what are the pros and cons of Chantix
+ easy, pill, no drug interactions
- crazy side effects (nightmares, mood change, nausea)
what are the pros and cons of Nortriptyline
+ cheap, pill, combo with NRT
- high side effect profile
what are the cautions/contraindication of NRT
severe HTN, PVD, pregnancy, lactation, under age 18, MI within past month, arrhythmia, angina, active hyperthyroid, active PUD
What is the normal weight BMI
18.5-24.9
what BMI is considered overweight
25-29.9
what BMI is considered obese
30 or greater
what are the normal waist circumference for men and women
men > 40 inches
Women > 35 inches
