smoking cessation Flashcards
five A’s
Ask
Advise
Assess
Assit
Arrange
Ask
<6m congratulate
>6m Ask if you can help
Or record how many per day
Advise
Tell them about the risks of smoking
Strong/Clear/Personal
Assess
How much do you want to quit?
How likely do you think this will work?
Assist
≤10, behavioural is fine 30 day goal
≥10 offer pharm options
Arrange
Follow up, change therapy or fine tune
5 R’s
Rewards of quitting
risks of continuing
reflective listening
roadblocks
repeat as necessary
Nicotine withdrawal
Depressed
irritability
anxiety
insomnia
difficulty concentrating
fatigue
headaches
increased appetite and weight gain
24h-72h peak
Precontemplation
not ready to quit, can bring up health concerns
contemplation
thinking about quitting, go over pros and cons
preparation
Doing research on quitting, help and answer questions, get rid of smoking tools
action
help and encourage, check in
maintenance
highlight achievement and point out improvements in life quality
Relapse
use as learning experience and highlight that this is part of the process
Patch
/
max 84mg
—–
limit exercise and move location
——-
-irritation
-insomnia
-nausea
-dyspepsia
Gum
/
Max 40mg a day
——–
-use 1:1 with cigs and timing
-use chew and park
——-
-hiccups
-orodental problems
Thrive
<20/day 1mg max 25
>20/day 2mg max 15
Nicolette lozenge
> 30min 2mg max 15
<30min 4mg max 7-10
NRTinhaler
/
6 canisters PRN F6-12 weeks reducing along the way, max 12 canisters
——-
-make sure you are holding breath in mouth not lungs
———
-irritation, headache, nausea, cough, rhinitis
Spray
Max 2/use
4 per hour
64/day
——-
-no acidic things before
——
-taste alteration, headaches, nausea, oral pain, dry mouth and burning lips
Varenicline
/
can cause depression and suicidal ideation
—–
-insomnia
-vivid dreams
-teratogenic
Bupropion
/
main choice in Pregnancy
—–
-insomnia
-dry mouth
-dizziness
-difficulty concentrating
Increased risk of seizures
Nortiptyline
/
2nd line anticholinergic
—-
-dry mouth
-blurred vision
-constripation
-urine retention
Clonidine
/
2nd line alpha receptor agonist
—–
-sedation
-dizziness
-hypotension
-anxiety