Smoking Cessation Flashcards
What is the single largest cause of preventable disease & death in the US
smoking
What is the safest level of exposure to secondhand smoke
There is none
What are some of the health risks for smoking
- lung cancer
- colorectal & liver cancer
- CVD
- respiratory disease (COPD)
Describe some of the disparities regarding smoking
MC in
- native american populations
- low SES
- SW US
- LGBTQ
- male
- mental health concerns
When does most tobacco use begin
in adolescence
Describe one reason that E-cigarettes are bad
unregulated nicotine amounts, nicotine linked to many negative mental health effects
Describe the 5 A’s to treat tobacco use
- ASK about use
- ADVISE to quit
- ASSESS willingness
- ASSIST in a quit attempt
- ARRANGE follow-up
What are some ways a provider can help assist in a smoking cessation attempt
- help with withdrawal (irritability, anxiety, restlessness)
- weight gain
- depression
- symptoms peak in first week and can last 2-4 weeks
Describe the types of medications that can be prescribed in smoking cessation
combo therapy is most effective
- nicotine patch
- nicotine gum
- nicotine lozenge
- nicotine inhaler
- nicotine nasal spray
- bupropion (zyban)
- varenicline (chantix)
Describe the FDA pregnancy drug classes
- Category A: no risk in human studies
- Category B: no risk in animal studies
- Category C: risk in animal studies but not human studies
- Category D: risk in in human studies but with some benefits
- Category X: risk outweighs benefit
What FDA pregnancy drug class to most nicotine replacement therapies fit into
Class D: risk with some benefits still
What FDA pregnancy drug class do Bupropion and Chantix fit into
Category C: risk in animals but not humans
What special populations might Bupropion be cautioned or contraindicated in for smoking cessation
Mental Health
- Depression: chantix more effective than bupropion
- Schizophrenia: chantix more effective than bupropion & NRT
- Bipolar Disorder: NRT first line, AVOID bupropion as it may trigger mania
Describe the considerations in smoking cessation assistance in pregnancy
- quitting reduces the risk of preterm birth, low birth weight, & infant mortality
- NRT increases the risk of birth defects
- intensive in person interventions should be offered
How many times does the average smoker attempt to quit before they are successful
4-5 times