LMBR CH 9 Flashcards
smoking cessation
which of the following are true:
- smoking is associated with 87%lung cancer
- 32% of deaths in COPD
- 80% deaths in CHD
Tobacco use is associated with
- 87% lung cancer
- 80% of deaths from COPD
- 32% CHD deaths
what are the health benefits of cessation?
- immediate benefit is 50% reduction in Mi risk compared to a current smoker
- at 2 to 5 years the risk of CVA is equal to non smoker
- after 10years cessation risk of lung cancer is reduced by 50%
Immediate cessation = 50% in MI risk reduction
After 2-5 yrs risk of CVA is comparable with non smoker
In 10yearrs lung cancer risk is reduced by 50%
Hiw many smokers will resume in 2 weeks going cold turkey?
50% of those going cold turkey will resume in 2 weeks
how many going cold turkey will have restarted in 1 month
a. 60%
b. 90%
c. 75%
ans 75% eill have restarted in one monyh
In Drs using evidence based interventions how many will be tobacco free at 3 months?
a. 30%
b. 40-50%
c. 65%
ans 40 to 50 % will have successfully stopped at 3 months with physicuan supported evidence based intervention
Which evidence based approach is most succesful in cessation
a. counselling
b. medication
and
Both are successful alone but more effective combined.
four contacts of support are particulary successful
What are the treatment option fir smoking cessation?
- NRT
2.Varenicline(nicotine receptor partial agonist)
3 Bupropion(inhibits reuptake norepinephrine and dopamine
With NRT patch how many are tobacco free at 8weeks?
- 25%
- 45%
- 60%
ans
2. 45%
What is the succes rate of valenicline at 12 weeks?
a. 30%
b. 51%
c. 65%
Ans
b.51%(21% with placebo)
How many are still off tobacco with varenicline at 6 months?
a. more than 50%
b. less than 50%
ans
35%
Which is more succesful in smoking cessation at 12 weeks
varenicline or bupropion?
ans
varenicline is the single effective medication in cessation ss monitherapy.
