CSA Smoking cessation Flashcards
Main components of tobacco ?
- Nicotine (addictive component)
- Tar (cancer causing element)
- Carbon monoxide (affects ability of hemoglobin to carry oxygen)
What withdrawal symptoms ?
- Craving
- Difficulty sleeping
- Irritability
- Increasing cough
- Drop in nicotine levels irritability light headedness+ mouth ulcers
- Medication (nicotine) includes zyban + champix
Why do smoke people ?
- Addiction
* Habit
What is impact on health ?
• Stroke/defective vision/cancers/CHD/cancer of the pancreas/affects fertility
What is Carbon Monoxide ?
- Sticks to red blood cells with 200 times affinity of normal oxygen
- Smoker has 10% carbon monoxide in their blood stream low O2 levels
The 3 A’s
• Ask
- record smoking status (is the patient smoker/ex smoker?)
• Advise
- Stopping smoking is best thing to do for their health
• Act
o On patients response refer them to their local NHS stop smoking service
How to do the 3As
- Ask about tobacco use at every opportunity
- Explain how tobacco use affects health (according to level of intervention
- Make messages easy to understand
- Let people know how effective stop smoking services are
- Let person know you believe they can quit
- Speak to people in their language
- Nudge people towards change
- Signpost to stop smoking services
What is smokeless tobacco ?
o Tobacco products consumed w/o burning
- finer tobacco is inhaled and absorbed in nasal passage can cause cancer + nicotine addiction
o Water pipe inhaled > lung cancers/ low birth weight/ triggering asthma attacks/ pipe sharing= infectious diseases
What are treatments for smoking
- Patch
- Inhalator
- Nasal spray
- Mouth spray
- Gum
- Lozenge/mini lozange
- Microtab
- Varenicline (medicine)
- Zyban (medicine)
What are stages of change ?
• Contemplation preparation action maintenance relapse contemplation