E4: STOP SMOKING Flashcards
Who develops a nicotine/anything addiction faster: girls or boys?
girls!
Girls who experience early ______ and move frequently are more likely to smoke, use marijuana and drink alcohol
puberty
____% of girls who drink coffee also smoke
23%
What are the 5 consequences to smoking?
LOL-HP 1.Lung Cancer 2.Oral Cancer 3.Lower Estrogen Levels 4.heart disease 5.Perio disease
Perio disease and smoking: what is the major cytokine at play here?
IL-6
599 additives are approved by the US Government in the manufacturing of cigarettes, but When BURNED, cigarette smoke contains over _____ chemicals
4000
Benzene - used in manufacturing gasoline; known cause of
acute myeloid ______
leukemia
Nicotine – addictive drug; Typical cigarette = __ or __ mg of nicotine….Cigar = ___ to ____ mg; some as high as ____ mg
Typical cigarette = 8 or 9 mg of nicotine….100 to 200…400 mg HOLY SHIT!
Smoking cigarettes that have a lower yield of ______ does not substantially reduce the risk for lung cancer
tar
Carcinogens in tobacco smoke damage ______ that control cell growth
genes
What is the MAJOR cause of ESOPHAGEAL cancer??
SMOKING yo!
POWERFUL: Reductions in the number of people who smoke cigarettes, pipes, cigars, and other tobacco products or use smokeless tobacco could prevent most of the estimated 30,200 new cases and 7,800 deaths from ______ and ________ cancers annually
oral cavity and pharynx cancers
After 1 year, how many quit smoking? 13% of ______ nicotine group!
highest!
Chochrine (well respected) review of e-cigs: using an EC containing nicotine _______ the chances of stopping smoking long-term
INCREASED
Chochrine (well respected) review of e-cigs: Using an EC with nicotine also helped more smokers reduce the amount they smoked by ______ compared to using an EC without nicotine.
AT LEAST HALF
___% of women who smoke want to quit…average number of quit attempts: 8-11
70%
________ = program to assist dental professionals with helping patients to quit smokig
Ask, Advise, Refer
Drugs used in cessation therapy: ________ Potent vasoconstrictor, know contraindications before prescribing, Most products are available OTC patients must completely _____ smoking prior to therapy
Nicotine…STOP
Make sure Pt does not have active Active _____ before recommending chewing gum nicotine.
TMD
All products are designed to decrease _______ for nicotine
CRAVINGS
________ (Zyban)…dopamine reuptake inhibitor, (antidepressant = Wellbutrin), treatment for __-___ weeks…risk for ______: avoid alcohol (lowers its risk)…risk of treatment emergent _________ with concurrent patch use (Always take BP before giving epinephrine)
buPROPion..7-12 weeks…seizures!… hypertension
What is the newest smoking cessation drug on the market? How does it work?
VARE-NIC-LINE…Occupies nicotine receptor sites in the brain
Oral side effects of the NEW smoking cessation drug: (2)
xerostomia, TASTE alteration
General Side effects of NEW smoking cessation drug: (2)
suicidal thoughts, adverse cardiac events
