tobacco cessation Flashcards
(30 cards)
how to calc pack yr
cigs pack/day + yrs of smoked
when should a pt get ct scan of lungs
if 30 pack yr or 55-74 in good health
what are the two main treatment options
behavioral counseling
medications
what are the med options
NRT
bupropion
varenicline
what are the LA NRT
patch
-can use w varen and buprop
what are the SA NRT
lozenge
gum
what are gum and lozenges most effective for
dec cravings
what 3 combined factors inc CV risk
cig smoking
women >35
estrogen OC
the patch is based on what
of cigs/day
the gum and lozenge is based on what
on time of 1st cig
what is the biggest side effect of NRT
insomnia
what is a SE specific to the patch
vivid dreams
what NRT has the highest adherence rate
patch
-can use indefinitely
the patch should be removed before what
MRI
what kind of foods should not be eaten 15 min before or during NRT
acidic
what is the patch dosing for >10 cigs
21 mg 6 weeks
14 mg 2 weeks
7 mg 2 weeks
what is the patch dosing for <10 cigs
14 mg 6 weeks
7 mg 2 weeks
what is the gum/lozenge dosing for <30 mins
4 mg q1-2- 6 weeks
4 mg q 2-4- 3 weeks
4 mg q 4-8- 3 weeks
what is the gum/lozenge dosing >30
2 mg q1-2- 6 weeks
2mg q 2-4- 3 weeks
2 mg q 4-8- 3 weeks
what is the dosing for buprop
150 mg QAM for 3 days then 150 BID
MAX: 300 mg/day
when should bupropion/varenicline be started
1 week before quit date
what is the varen dosing
1-3: 0.5 mg daily
4-7: 0.5mg BID
8+ 1 mg BID
how long get buprop be used
up to 6 mo
how long can varen be used
12 weeks, can do another 12 weeks
