Tobacco Use Flashcards Preview

FAMILY MEDICINE > Tobacco Use > Flashcards

Flashcards in Tobacco Use Deck (13):
1

5 As for discussing smoking cessation

Ask - about current tobacco use and habits
Advise - to quit; let patient know risks to self, others, child (if pregnant); talking about how it can help current cough/COPD symptoms
Assess - willingness to quit; thoughts about quitting; if patient is ready
Assist - counseling, pharmacologic treatment; motivational interviewing
Arrange - for follow up and support

2

Strategy to enhance motivation

5 R's

Relevance - to the patient of smoking cessation
Risks of ongoing tobacco use
Rewards of quitting
Roadblocks to quitting
Repetition; bring it up at each visit

3

symptoms of nicotine withdrawal

mood changes (irritability, anxiety, frustration), difficulty concentrating, increased hunger, restlessness

4

Two broad modalities of smoking cessation pharmacologic treatment

nicotine replacement or nonnicotine

5

Two FDA approved non-nicotine meds

buproprion and varenicline (Pregnancy Cat C)

must weight risks and benefits

6

Contraindications to buproprion

patients who used MAO in last two weeks, hx of seizure disorder, or eating disorder

be careful in patients with coronary heart disease

7

Cardiac side effects of buproprion

QRS widening and fatal arrythmias in high doses

8

Varenicline side effects

cardiac - possible increased cardiac events, neuropsychiatric symptoms

9

Options for nicotine treatment

gum, cartridge, inhaler, lozenge, patch,

10

Which nicotine treatment has highest dose of nicotine and subsequently highest dependency potential

inhaler

11

Which nicotine treatment is recommended for people who smoke first cig within 30 minutes of waking

lozenge

12

Pregnancy category for nicotine patch, spray, gum, inhaler

Cat D

must weigh risks and benefits

13

Strongest risk factor for smoking initation among children and adolescents

parental smoking