Nicotine Addiction Flashcards by tcarlso 3

What are the effects of nicotine on the body?

increased arousal

Increased HR, BP, RR,

How well did you know this?

Not at all

Perfectly

What is the effect of nicotine on blood sugar levels?

Hyperglycemia

How well did you know this?

Not at all

Perfectly

True or false: nicotine is the cause of the cardiac disease, not the smoking itself

True

How well did you know this?

Not at all

Perfectly

What are the neurotranmitters that are increased in the brain in reponse to nicotine?

Dopamine/NE
Acetylcholine
5HT, GABA

How well did you know this?

Not at all

Perfectly

How is tobacco addiction a habit?

Learned behavior that is precticed over time

How well did you know this?

Not at all

Perfectly

The smell of dopamine releases what neurotransmitter in addicted individuals?

Dopamine

How well did you know this?

Not at all

Perfectly

What is the definition of a cigarette?

ANy roll of tobacco wrapped in paper or any substance not containing tobacco

How well did you know this?

Not at all

Perfectly

What ingredient in cigarettes provides a mild anethesia?

Menthol

How well did you know this?

Not at all

Perfectly

True or false: there is no such thing as a “light” cigarette

True

How well did you know this?

Not at all

Perfectly

What are tobacco specific nitrosamines found in? Why is this concerning?

chew–highly carcinogenic and end up in lung

How well did you know this?

Not at all

Perfectly

Why is snuff, in some respects, more concerning than cigarettes?

Contains more nicotine per dose

How well did you know this?

Not at all

Perfectly

What is the definition of a cigar?

Any roll of tobacco wrapped in leaf tobacco or any substance containing tobacco

How well did you know this?

Not at all

Perfectly

How much nicotine is contained within one cigar?

100-444 mg

How well did you know this?

Not at all

Perfectly

True or false: the only way to get the nicotine found in a cigar is through smoking it

False–absorbed through mouth/lips

How well did you know this?

Not at all

Perfectly

What are the five A’s of tobacco treatment?

Ask
Advise
Assess
Assist
Arrange

How well did you know this?

Not at all

Perfectly

What is the relevance part of the 5 Rs?

Why it is personal

How well did you know this?

Not at all

Perfectly

What is the risks part of the 5 Rs?

identify consequences

How well did you know this?

Not at all

Perfectly

What is the rewards part of the 5 Rs?

Identify benefits

How well did you know this?

Not at all

Perfectly

What is the roadblocks part of the 5 Rs?

What are the barriers

How well did you know this?

Not at all

Perfectly

What is the repetition part of the 5 Rs?

Re-valuate with each visit

How well did you know this?

Not at all

Perfectly

What is the ask part of the 5 As

Identify users

How well did you know this?

Not at all

Perfectly

What is the advise part of the 5 As?

Strongly urge users to quit

How well did you know this?

Not at all

Perfectly

What is th assess part of the 5 As?

Determing willinness to quit

How well did you know this?

Not at all

Perfectly

What is the assist part of the 5 As?

aid the pt

How well did you know this?

Not at all

Perfectly

What is the arrange part of the 5 As?

Schedule f/u

True or false: there are no TSAs in nicotine treatment options, like the patch

True

How many mg of nicotine are absorbed with the patch?

17 mg

What is the timeframe for treatment for nicotine addication?

6 months

What is a common side effect of the patch? What is the treatment for this?

Vivid dreams--take off during sleeping

True or false: unless the patient is adamant anout it, you never use just nicotine gum

True-- too low of a dose

What is the major problem with nicotine gum?

Slow absorption

Why should pts never chew on a lozange?

Will cause nausea

True or false: you should never inhale a nicotine nasal spray

True

What is the fasstest route of nicotine that is not cigarretes?

Nasal spray (10 minutes)

True or false: the inhaler treatment for nicotine addiction is not inhaled, but puffed, and absorbed through the mouth

True

How does wellbutrin work to treat tobacco addiction?

Replaces the nicotine effects of dopamine

True or false: it is safe to use wellbutrin for patients with CVD, COPD, or if they're on other antidepressants

True

True or false: alcoholics are safe to receive wellbutrin

False

What is the MOA of chantix (varenicline)?

Partial agonist for nicotine receptors---Blocking nicotine from binding

Is it okay to take chantix on a full stomach

Yes, you have to

When should you monitor pts livers when on chantix

Elderly or known liver failure

What are the two major side effects of chantix?

Suicidal thoughts | Szs

What form of tobacco are all of the treatments off label?

Spit tobacco

What are the treatments for spit tobacco addiction?

Gum Patch Lozange

What types of nicotine replacement should not be given to spit tobacco users?

Nasal spray | Oral inhaler

What is the best treatment for spit tobacco users?

Chantix

What is the indication for too much nicotine replacement? Too little?

Too much = nausea | Too little = cravings

Why is caffeine use higher in pts who use nicotine

p450 enzyme upregulated, thus clears caffeine faster

Why is pain tolerance lower in tobacco users?

higher clearance or opiates (endogenous or not)

Spit tobacco contains high levels of what vitamin? Why is this concerning?

K--will increase coagulation time is trying to quit

Which form of tobacco affects coumadin metabolism more: spit or cigarettes?

Spit

How long can it take for coumadin levels to reach optimal levels in patients who are quitting smoking?

2. 5 months

How long does it take after quitting tobacco for stroke risk to return to presmoking levels?

5-15 years

How long does it take after quitting tobacco for throat CA risk to return to presmoking levels?

5-15 years

How long does it take after quitting tobacco for lung CA risk to get to 1/2 presmoking levels?

10 years

How long does it take after quitting tobacco for coronary heart disease risk to return to presmoking levels?

15 years

True or false: hookah is more safe than cigarettes?

very false-much, much worse

What is the problem with the propylene glycol used in e-cigarettes?

When heated, turns into carcinogen

What is the problem with the refill tanks for e-cigarettes?

Very, very concentrated, and look like candy

True or false: there is an association between tobacco use, and SIDS

True

What are the problems with secondhand smoke exposure in children?

Bronchitis Asthma Poor lung development

What is the primary age to start using tobacco?

10-14 yo

True or false: kids who start smoking have a higher risk of depression and suicide

True

What is third hand smoke?

Smoking deposits on materials