Smoking ceasation

Question 0

the 5 r’s

Answer 0

• Relevance
– Why is quitting important?
• Risks
– What risks association with continued smoking?• Rewards
– What benefits are achieved with quitting?
• Roadblocks
– What are significant barriers to quitting?
• Repetition

Question 1

5 A’s of smoking cessation

Answer 1

• Ask
• Advise
• Assessing
• Assist
• Arrange follow up

Question 2

First line

Answer 2

NRT
Chantix
bupropion (zyban)

Question 3

Second line

Answer 3

Clonidine
Nortriptyline
combination NRT or high dose NRT

Question 4

weight Gain

Answer 4

usually ~ 10lbs, 10% gain 30

Question 5

most effective treatment

Answer 5

Nicotine nasal spray

Question 6

Nicotine patch dose

Answer 6

> 10 cig/day:
21 mg/day x 4-6 weeks
14 mg/day x 2 weeks
7 mg/day x 2 weeks

<10 cig/day:
14 mg/day x 4-6 weeks
7 mg/day x 2 weeks

Question 7

patch notes

Answer 7

remove at bedtime
rotate site daily
8-10 weeks

Question 8

Patch advantages/ disadvantages

Answer 8

continuous nicotine easy to conceal/ cannot adjust dose, skin conditions. sleep disturbances

Question 9

Gum advantages

Answer 9

satisfy oral craving. delay weight gain. self regulated/ jaw tenderness/ tastes bad possible dependence. hard to adhere to regimen

Question 10

lozenge

Answer 10

gi upset, frequent use

Question 11

nasal spray

Answer 11

exacerbates asthma. must wait 5 minutes before using machines

Question 12

bupropion

Answer 12

insomnia dry mouth seziure risk tremors. good for people with depression

Question 13

chantix

Answer 13

lack of flexibility, insomnia, violence different method of action