Lecture 21 - Tobacco

Question 1

What are the health affects of tabacco?

Answer 1

Chronic
Lung
Cardiovascular
Malignancy
Pregnancy
50% mortality

Question 2

What are the markings oof addiction?

Answer 2

Use despite knowledge of harmful consequences
Cravings during abstinence
Failure of attempts to stop
Withdrawal symptoms during abstinence

Question 3

How does smoking lead to satiety/satisfaction? Then addiction?

Answer 3

Nicotine binds to nicotinic receptors

Dopamine gets release leading to satiety

Changes in the dopamine repsonse lead to more smoking

Question 4

How does bupropion treat smoking addiction?

Answer 4

Inhibits re-uptake of dopamine

Question 5

What is the point of nicotine replacement therapy?

Answer 5

To provide alternate sources of nicotine to get satiety without consuming tobacco like sprays, gums, tablets and inhalers

Question 6

How do we treat tobacco dependency?

Answer 6

Screen
Advise on role of nicotine
Initiate nicotine replacement therapy
Complete referral to tobacco dependency advisor
Info about vaping
Discuss/offe and prescribe nicotine analogue meds

Question 7

What gas levels are high indicating smoking?

Answer 7

Carbon monoxide (CO)

Question 8

How do you prescribe NRT rapidly?

Answer 8

25mg/16hrs nicotine patch
Then short acting nicotine product

Question 9

What are the advantages of a smoker switching to vaping?

Answer 9

Lower carcinogen exposure
Resp related toxins much lower
Cardiovascular disease toxins significantly lower

Question 10

What are some takeaway points for vaping?

Answer 10

If you smoke switch to vaping
If you don’t smoke don’t vape
Vaping is much less harmful than smoking but not risk free