Electronic Cigarettes Flashcards

1
Q

What are e-cigarettes a term for?

A
  • Term for a family of non tobacco, non medicinal nicotine delivery systems
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2
Q

What was the first generation of e-cigarettes?

A
  • Cigalikes (looked like cigarettes
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3
Q

What was the second generation of e-cigarettes?

A
  • Tank (refillable)
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4
Q

What was the second generation of e-cigarettes?

A
  • Big tank (customisable) - can change how you use them
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5
Q

What are the components of an e-cigarette? (5)

A

Ecigs have a mouthpiece, battery, cartridge, atomiser or cartomiser (modern combination of an atomiser and cartridge)

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6
Q

How does an e-cig work?

A
  • Current passes through a resistance coil that is in contact with a fluid
  • Heat generates an aerosol, the vapour
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7
Q

What is the newest addition to the e-cig range?

A

Juul systems (this is a pod system)

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8
Q

What are the components of the liquid for an e-cig? (4)

A
  • Propylene glycol
  • Vegetable glycerine
  • Natural/artificial flavourings
  • Nicotine level (mg/ml)
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9
Q

What are the characteristic of propylene glycol?

A
  • Thinner, more flavour, throat hit
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10
Q

What are the characteristics of vegetable glycerine?

A
  • Thicker, big clouds, smooth
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11
Q

What are the possible levels of nicotine in the liquid for an e-cig?

A
  • 0%, 1.5%/0.15%, 3, 6, 12, 18 mg/ml
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12
Q

What nicotine level would be in the liquid for a heavy smoker using an e-cigarette?

A

12-18mg/ml

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13
Q

What nicotine level would be in the liquid for a light smoker using an e-cigarette?

A
  • No higher than 6mg/ml
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14
Q

What is vaping?

A
  • Vaping is the act of inhaling and exhaling the water vapour produced by an electronic device
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15
Q

What form is an e-liquid in when using an e-cigarette?

A
  • It is in its gaseous form
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16
Q

What is the addictive element in an e-cigarette?

A
  • Nicotine
17
Q

What is the max nicotine level in an e-cigarette?

A

Liquid nicotine level, max strength 20mg/ml, and many liquids are below that strength

18
Q

Liquids are now legally sold only in smaller sizes. What is the size?

A
  • 10mls, though can be purchased in multipacks
19
Q

What is the tank size of an e-cigarette limited to?

A
  • Limited to 2mls
20
Q

What is the particular target group for e-cigarettes?

A

Ex-current smokers

21
Q

Under what age are e-cigarettes banned?

A
  • Banned for under 18s
22
Q

Who do we strongly advice against buying e-cigarettes?

A
  • Non-smokers
23
Q

What are reasons that people may use e-cigarettes? (9)

A
  • Aid to quitting
  • Less toxic alternative
  • Cheaper alternative
  • Harm reduction/reduce smoking
  • Alternative to cigs when cigs are banned
  • Hand to mouth habit maintained
  • Psychological aspect of addiction maintained
  • Recreation and socialisation
  • Vaping community
24
Q

What are the pros for the public health aspects of e-cigs? (2)

A
  • Public health costs of smoking are vast

- Consideration must be given to harm reduction argument, because tobacco so lethal

25
Q

What are the cons for the public health aspects of e-cigs? (4)

A
  • Renormalisation of smoking?
  • Gateway or pathway?
  • Evidence base?
  • Involvement of big tobacco
26
Q

How much less harmful are e-cigarettes than cigarettes?

A
  • E-cigarettes are 95% less harmful than tobacco. So its not saying that they’re harm free it is saying that they’re much less harmful
27
Q

What are possible oral side effects of e-cigarettes? (6)

A
  • Largely unknown. Surprisingly little attention considering the relationship between e-cigarette aerosols will contact oral mucosa when they are at their hottest
  • Mouth and throat dryness
  • Oral cancer?
  • Periodontal disease?
  • Benign mucosal lesions?
  • Lichenoid eruptions associated with use of an e-cigarette
28
Q

When talking to patients we would give advice to smokers who want to quit. What would this include? (2)

A
  • Ask, advise, refer

- Ask advise assist

29
Q

When talking to patients we would give advice to patients who are co-users. What would this include? (2)

A
  • Encouragement that they are reducing their exposure to tobacco by using e-cigs
  • While it is likely they are safer, evidence base is still developing, particularly with regard to oral health
30
Q

When talking to patients we would give advice to e-cig users (ex smokers). What would this include? (2)

A
  • Strong encouragement that they have quit tobacco

- Evidence base still developing, with regards to e-cigs

31
Q

Are there any circumstances in which it is safer to smoke than to use e-cigarettes?

A
  • NO
32
Q

Don’t do drugs!

A

Do life! It’s a natural HIGH! https://www.youtube.com/watch?v=9UAOhMvOtQY