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My own Naplex > smoking cessation > Flashcards

smoking cessation Flashcards

1
Q

5 A’s Model

A 
Ask (about tobacco use)
Advise (to quit)
Assess (willingness to quit)
Assist (with quitting, within 2 weeks set quit date)
Arrange (for follow up)
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2
Q

Major CYP Inducer Acronym

A

PS PORCS

Phenytoin
Smoking
Phenobarbital
Oxcarbazapine
Rifampin
Carbamazapine
St. John's wort
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3
Q

Major drugs that smoking induces metabolism of

A

warfarin, contraceptives containing estrogen, caffiene, theophyline

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4
Q

vaccination in smokers

A

influenza and Pneumovax 23 (just like asthma and COPD)

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5
Q

Who should not get NRT

A

pregnant people, adolescents, and light smokers

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6
Q

Nicoderm

A

Nicotine Patch

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7
Q

Nicorette

A

Nicotine gum or lozenge

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8
Q

Nicorette mini

A

Lozenge

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9
Q

Zyban

A

Buproprion SR

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10
Q

Chantix

A

Varencycline

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11
Q

cutoff for higher dose of nicotine patch

A

10 cigs go up to 21mg

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12
Q

cutoff for higher dose of gum or lozenge

A

1st sicurette within 30 min of waking 4 mg otherwise 2

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13
Q

patch instructions

A

must remove before NRI, may cause vivid dreams, avoid in immediate post MI, arrhythmias, angina, and pregnancy ,never cut, avoid hairy area

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14
Q

buproprion MOA

A

blocks neuronal uptake of dopamine and norepinephrine

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15
Q

varencicline moa

A

partial nicotinic receptor agonist

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16
Q

when to start oral meds and instructions for use

A

1 week before quit date, do not need to be tapered

17
Q

wellbutrin

A

buproprion

18
Q

buproprion dosing

A

300 mg per day max dose, SR 150qam for thee days then increase to twice daily

19
Q

contraindication for buproiprion

A

seizures, anorexia, mao, linezolid, methyleneblue

20
Q

major side effects of bupripion

A

dry mouth, insomnia, tremors, weight loss

21
Q

Chantix warnings

A

neuropsychiatric events, seizures

22
Q

chantix side effects

A

nausea, insomnia, abnormal dreams, headache

23
Q

chantix administration

A

with a full glass of water

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