Smoking Cessation

Question 1

What are the 3 A’s for stopping smoking in Scotland?

Answer 1

Ask
-ask your patient about smoking
Advise
-advise your patient about smoking
Act
-act by offering individualised help and referral to stop smoking services if appropriate

Question 2

What the 5 A’s in smoking cessation?

Answer 2

Ask
Advise
Assess
Assist
Arrange

Question 3

What is a Leukoplakia? (potentially malignant lesions)
What can result in disappearance?

Answer 3

Defined as a white patch that cannot be rubbed off
Can occur 6x more likely in smokers
Stopping smoking may result in disappearance

Question 4

What is Erythroplakia?

Answer 4

Patient has a long history of chronic white and red lesions of soft palate
More likely for malignant transformation than white patches

Question 5

What to ask your patient to see if they want to quit?

Answer 5

Have you ever thought about stopping or cutting down?

Question 6

What to ask your patient about smoking ?

Answer 6

Are you a current smoker?
No of cigs smoked a day?
No of years a smoker?
What products used? (e-cigs, cigars, rollups, smokeless)

Question 7

What to find out about a patient’s quitting history?

Answer 7

Have you tried before?
How many attempts?
What helped you?
Are you interested in getting further help and support?

Question 8

What products are available for someone stopping smoking? (pharmacotherapy)

Answer 8

Nicotine replacement therapy
– Patches, gum, inhalers, nasal spray, lozenges
Varenicline (Champix)
–increase chances of quitting compared to willpower alone
Role of e-cigarettes

Question 9

What is in vape liquid?

Answer 9

Propylene Glycol (PG)
Vegetable Glycerine (VG)
–same thing as in cough medicine
Nicotine

Question 10

What is second hand smoke?

Answer 10

Term for smoke that non smokers are exposed to
85% of smoke in a room is sidestream and contains more carcinogens

Question 11

Why use vapes?

Answer 11

Less toxic alternative to smoking
Cheaper alternative
Aid to quitting