Smoking

Question 1

Please describe the questions asked in the Fagerstrom Tes, and what is it a test for?t:

Answer 1

It scores nicotine dependency.
1. How soon after waking do you smoke your first cigarette.
2. Do you find it difficult to rerain from smoking in places where it is forbidden?
3. Which cigarette would you hate to give up?
How many ciagerettes a day do you smoke?
4. Do you smoke more frequently in the orning
5. Do you smoke even if you are sick in bed most of the day?

Question 2

What is the purpose of the score given in Fagerstrom Test?

Answer 2

Helps to determine whether nicotine replacement therapy (NRT) is needed. (eg. Patches, gums etc.)
A score of 3 - 4 ay require NRT, high could require a combination.

Question 3

What is the most effective NRT?

Answer 3

A combination of different NRTs (patch + gum)

Question 4

Concerning smoking cessation medication, which 3 are considered 1st line?
PS: which of these has been shown to be most effective?

Answer 4

Bupropion (woopwoop), NRT, and varenicline (not sure what that is).
A cochrane review has indicated Varenicline to be most effective (though less than 20% remain abstinent after a year).

Question 5

What are 2nd line medications for smoking cessation?

Answer 5

Clonidine and nortriptylene

Question 6

The Intervention model for smoking cessation, gimme the 5 A’s:

Answer 6

○ Ask (about smoking)
○ Advise (smokers to quit)
○ Assess (readiness to quit)
○ Assist (with patient’s smoking cessation efforts)
○ Arrange (for follow-up visits or contact)

Question 7

What are some things to ask about when trying to help someone quit smoking:?

Answer 7

○ Frequency of use
○ Products used
○ History of previous quitting attempts (methods, how well they worked)
○ Readiness to quit
○ Degree of nicotine dependence (Fagerstrom)