Midterm GAILS SPECIFIC

Question 1

What are e-cigarettes and how are they delivered?

Answer 1

E-cigarettes - an electronic device,
includes a battery that turns the
device on, a heating element that
heats the e-liquid and turns it into an
aerosol of tiny particles, a cartridge
or tank that holds the e-liquid, and
a mouthpiece or opening used to
inhale the aerosol.

Question 2

What other names might the public associate with e-cigarettes?

Answer 2

• Electronic nicotine delivery
systems (ENDS) 
• Mods 
• Vape pens 
• Vaporizers 
• Tank systems 
• JUUL is one popular brand of
e-cigarette

Question 3

Which of the delivery devices utilize nicotine?

Answer 3

all of them

Question 4

What are the negative health effects associated with e-cigarettes?

Answer 4

• limbic system
• impairs learning, memory, attention
• can increase asthma
• eye and respiratory irritant
• DNA damage- cytotoxic effect
• Irritant to respiratory tract
• Bronchiolitis obliterans- popcorn lung disease
• airway epithelial damage
• chronic obstructive pulmonary disease
• asthma
• lung cancer and cancer
• liver cancer

Question 5

What are the oral effects of e-cigarettes?

Answer 5

gingival recession
dry mouth, bacteria and caries

Due to:
- nicotine reduces blood flow, which in turn affects your teeth and gums
compromised blood flow results in lower oxygen and nutrients to stay healthy

Nicotine reduces saliva in mouth lack leads to dry mouth plaque buildup, caries

vapors cause cells to release inflammatory proteins which cause stress in cells resulting in damage

Question 6

What is EVALI and what is the key ingredient in e-cigarettes that is associated with this problem?

Answer 6

E: E-cigarette
V: Vaping
A: Assocaited
L: Lung
I: Injury 

due to Vitamin E acetate

Question 7

What is the mechanism of Vitamin E acetate that poses a problem with e-cigarettes?

Answer 7

addative thickening agent in THC containing e cigarettes or vaping

when inhaled it may interfere with normal lung function

Question 8

What are the symptoms of nicotine withdrawal?

Answer 8

Cravings
Irritability
Frustration
Anger
Depression
Insomnia
Difficulty concentration

Question 9

What are signs of nicotine toxicity?

Answer 9

nausea vomitting

Question 10

Weight gain a typical side effect associated with tobacco cessation; what can a patient do to avoid this issue?

Answer 10

Chew gum xylitol or xylitol hard candy
Eat a well balanced diet
Exercise
drink water