Respiratory: Tobacco Cessation Flashcards

Question

Max gum per day?

Answer 1

Chew slowly Stop chewing at 1st sign of peppery taste/tingle Park between cheek/gum Chew again when peppery taste/tingle fades

Answer 2

Don't chew or swallow move around mouth

Answer 3

9 pieces per day to improve changes of quitting

Answer 4

won't have same rapid satisfaction that smoking provides avoid acidic beverages before/after 15min

Answer 5

jaw muscle ache | may stick to dental work

Answer 6

based on cigarettes per day ``` <10 = Step 2 (14mg X 6 wk), Step 3 (7mg X 2 wk) >10 = Step 1 (21mg X 6 wk), Step 2 (14mg X 2 wk), Step 3 (7mg X 2 week) ``` **NicoDerm CQ**

Answer 7

based on cigarettes per day ``` <10 = Step 2 (14mg X 6 wk), Step 3 (7mg X 2 wk) >10 = Step 1 (21mg X 6 wk), Step 2 (14mg X 2 wk), Step 3 (7mg X 2 week) ``` **NicoDerm CQ**

Answer 8

use skin on upper body or upper outer part of arm make sure skin is clean Apply to different area each day, don't reuse area for ~ week Don't use for more than 24hrs Don't cut the patch Remove before MRI

Answer 9

some skin effects Insomnia and Vivid dreams/abnormal dreams

Answer 10

used kinda like a cigarette puff like pipe, want to absorb into oral mucosa

Answer 11

degrees craving for cigarette | decrease symptoms of nicotine withdrawal

Answer 12

extensive CYP2B6 metabolism 1/2 life = 21hrs, metabolites 20-37 8 days for Css

Answer 13

seizure disorder current or prior diagnosis of bulimia or anorexia undergoing abrupt discontinuation of Alc, Benzo, Barbs, antiseptics don't take w/ MAOi or within 14 days of stoping

Answer 14

change in mood, suicidal thoughts, neuropsychiatric symptoms.contact provider if experience them FDA black box warning removed 2016

Answer 15

begin 1-2 weeks before quit date initial treatment: 150mg po q AM fr 3 days, then 150mg po BID for 7-12 wks. must give dose at least 8hrs apart, no taper when end

Answer 16

insomnia - avoid bedtime dry mouth nausea

Answer 17

might delay weight gain oral dosing is easy benefit those with depression relatively cheap

Answer 18

seizure risk increased contraindications and precautions in some patients monitor for neuropsychiatric symptoms

Answer 19

decrease symptoms of nicotine withdrawal blocks dopaminergic stimulation responsible for reinforcement and reward associated with smoking

Answer 20

had black box then removed watch for neuropsychiatric events

Answer 21

rare but have not been causally linked

Answer 22

Start 1 week prior to quit date Day 1-3 = 0.5mg qd Day 4-7 = 0.5mg bid Day 8-end (~8 wks) = 1mg bid

Answer 23

set quit date for 1 wk after starting varenicline | continue treatment for 12 weeks

Answer 24

Start taking and ick a quit date between 8-35 days rom treatment initiation continue for 12 weeks

Answer 25

start taking and reduce smoking by 50% within 1st 4 weeks, an additional 50% in next 4 weeks and continue until complete abstinence by 12 weeks

Answer 26

Doses should be taken after eating with a full glass of water Nausea/Insomnia usually temporary SE Can experience wild and vivid dreams

Answer 27

Varenicline or NRT combo