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Patient Care III > Tobacco Cessation (FINAL REVIEW) > Flashcards

Tobacco Cessation (FINAL REVIEW) Flashcards

(53 cards)

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1
Q

What cancers are causually linked to smoking? (10)

A
  1. oropharynx
  2. larynx
  3. esophagus
  4. trachea, bronchus, lung
  5. acute myeloid leukemia
  6. stomach
  7. pancreas
  8. kidney & ureter
  9. cervix
  10. bladder
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2
Q

What chronic illnesses are causually linked to smoking? (11)

A
  1. stroke
  2. cataracts, blindness
  3. periodontitis
  4. aortic aneurysm
  5. CHD
  6. pneumonia
  7. vascular diseases
  8. respiratory effects
  9. COPD
  10. hip fractures
  11. reproductive effects
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3
Q

Smokeless tobacco effects on the mouth include: (7)

A
  1. bad breath
  2. irritated and inflamed tissue
  3. oral cancer
  4. increased risk of tooth decay
  5. painful ulcers
  6. teeth staining
  7. periodontal/gum disease
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4
Q

Approximately ____ Americans are diagnosed yearly with oral/pharyngeal cancer

____ of these cases succumb to disease

A

42,000; 8,000

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5
Q

____ % of oral/pharyngeal cancer cases can be attributed to tobacco use and or heavy alcohol consumption

A

75%

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6
Q

75% of oral/pharyngeal cancer cases can be attributed to:

A

tobacco use and/or heavy alcohol consumption

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7
Q

___% of leukoplakias are caused by tobacco use

A

70%

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8
Q

List the cessation options for tobacco cessation:

A
  1. cold turkey
  2. NRTs
  3. Medications
  4. Behavioral therapy
  5. Combination therapy
  6. Hypnotherapy
  7. Acupunture
  8. Yoga, meditation
  9. Herbs
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9
Q

NRTs:

A

Nicotine replacement therapy

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10
Q

Behavioral therapy for tobacco cessation includes:

A

Counselors/coaching and apps

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11
Q

What is combination therapy for tobacco cessation?

A

Multiple uses of NRTs, NRTs and medications

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12
Q

Bupropion SR is also known as:

A

Zyban

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13
Q

Bupropion SR (Zyban) is a:

A

smoking cessation aid (prescription)

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14
Q

Give directions for dosage and usage of zyban:

A

150mg sustained release tablet; begin taking 1 week prior to quitting; double dose after 3 days

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15
Q

What are the advantages of the prescription Zyban?

A
  1. easy to use
  2. can be used with NRT
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16
Q

What are the adverse effects of the prescription zyban?

A
  1. insomnia
  2. dry mouth
  3. nervousness/difficulty concentrating
  4. rash
  5. constipation
  6. seizures
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17
Q

Varenicline is also known as:

A

chantix (prescription)

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18
Q

Give directions on dosage and usage of Varenicline (chantix):

A

0.5mg and 1.0mg tablet

  • Days 1-3: take one 0.5mg tablet in the morning
  • Days 4-7: take 0.5mg tablet BID
  • Weeks 2-12: take 1.0 mg tablet BID
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19
Q

What are the advantages of the prescription Varenicline (chantix)

A

Easy to use and offers a new mechanism of action for patients who have failed with other agents

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20
Q

List the adverse effects of the prescription Varenicline (Chantix):

A
  1. nausea
  2. insomnia
  3. vivid dreams
  4. constipation
  5. vomiting
  6. neuropsychiatric symtpoms
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21
Q

Discuss the neuropsychiatric symptoms that may be associated with the prescription Varenicline (Chantix):

A
  1. behavioral changes
  2. agitation
  3. depression
  4. suicidal ideation or behavior
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22
Q

Nicotine replacement therapy options include:

Study These Flashcards
A
  1. gum
  2. lozanges
  3. transdermal patch
  4. nasal spray
  5. oral inhaler
23
Q

Nicorret and Zonnic are examples of what type of nicotine replacement therapy?

24
Q

What are the two dose options for Nicorette and Zonnic?

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A

2mg for less than 25 cigs per day
4mg for 25 cigs per day or more

25
What are the directions for Nicorette and Zonnic (2mg or 4mg option same directions)
Week 1-6: 1 piece every 1-2 hours Week 7-9: 1 piece every 2-4 hours Week 10-12: 1 piece every 4-8 hours
26
What is the maximum amount of Nicorette or Zonnic per day?
24 pieces
27
What is an important direction to tell patients when discussing Nicorette or Zonnic?
no food or beverage 15 minutes before or during use
28
The advantages of Nicorette and Zonnic include: The disadvantages of Nicorette and Zonnic include:
Advantages- 1. may delay weight gain 2. may satisfy oral cravings Disadvantages- 1. mouth/jaw soreness 2. hiccups 3. dyspepsia
29
Zonnic may be:
gum or lozange
30
Commit and Zonnic are examples of what type of NRT:
Lozenge
31
What are the dosage options for Commit and Zonnic?
2mg for patients who smoke after 30 minutes of waking 4mg for patients who smoke within 30 minutes of waking
32
Give directions for the NRTs Commit and Zonnic (same directions for both dosages)
Week 1-6: 1 lozenge every 1-2 hours Weeks 7-9: 1 lozenge every 2-4 hours Weeks 10-12: 1 lozenge every 4-8 hours
33
What is the maximum amount of Commit and Zonnic?
20 lozenges per day
34
What is an important direction to tell patients that utilize commit or zonnic lozenges for NRTs?
- no food or beverage 15 minutes before or during use - do not chew or swallow lozenge
35
List the advantages and disadvantages of use of Commit or Zonnic Lozenges for NRTs:
Advantages: - may delay weight gain - may satisfy oral cravings Disadvantages - nausea - hiccups - cough - heartburn - insomnia - headache
36
NicoDerm CQ is an example of what type of NRT?
Transdermal patch
37
What are the dosage options for the NRT NicoDerm CQ?
7mg 14 mg 21Mg (all 24-hour release)
38
For a patient smoking less than or equal to 10 cigs per day, what are the transdermal patch directions?
- 14mg per day for 6 weeks - 7mg per day for 2 weeks
39
For a patient smoking more than 10 cigs per day, what are the transdermal patch directions?
- 21mg per day for 6 weeks - 14mg per day for 2 weeks - 7mg per day for 2 weeks
40
List the advantages & disadvantages to the NRT transdermal patches (NicoDerm CQ):
Advantages: 1. provides consistent nicotine for 24 hrs 2. Easy to use Disadvantages: 1. Local skin reaction 2. Headache 3. Insomnia 4. Vivid dreams
41
What are the top three most common NRTs?
- gum - lozenge - transdermal patch
42
Nicotrol NS is an example of what type of NRT?
Nasal spray
43
What is the dosage for Nicotrol NS?
0.5 mg metered spray per 50 mcL
44
Describe the doses for Nicotrol NS:
1-2 doses per hour 8-40 doses per day maximum of 5 doses per hour
45
For Nicotrol NS, one dose=
2 sprays (1 per nostril)
46
List the advantages and disadvantages of Nicotrol NS:
Advantages: 1. Patients can titrate therapy to help withdrawal Disadvantages: 1. Nasal/ throat irritation 2. Rhinitis 3. Tearing 4. Sneezing 5. Headache 6. Cough
47
Nicotrol is an example of what type of NRT?
Oral inhaler
48
Describe the dosage of Nicotrol Oral inhaler:
10 mg cartridge- delivers 4mg of inhaled nicotine vapor
49
How many cartridges per day can one use of Nicotorl Oral inhaler?
6-16 cartridges per day
50
When beginning use of Nicotrol oral inhaler, begin with:
1 cartridge every 1-2 hours
51
The best effects with Nicotrol oral inhaler occur with:
continuous puffing for 20 min
52
List the advantages and disadvantages of Nicotrol oral inhaler as an NRT:
Advantages: 1. Patients can titrate amount to manage withdrawal 2. Mimics hand-to-mouth ritual Disadvantages: 1. mouth/throat irritation 2. cough 3. headache 4. rhinitis 5. dyspepsia
53

Patient Care III (16 decks)

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