Smoking Cessation Flashcards
Assessing for tobacco use and counseling patients to quit is a Grade ___ USPSTF Recommendation.
A
How much nicotine is in 1 cigarette, on average?
1 mg (helpful when advising people on how much nicotine replacement to use)
How long does it take nicotine from a cigarette or vaping device to cross the BBB?
within seconds
How long does it take nicotine from a lozenge or patch to cross the BBB?
15 minutes for a lozenge and a few hours with the patch (but patch will deliver steady amount over 24 hours)
True or false: ALL tobacco products are harmful, including e-cigarettes.
true
When should you recommend patients to use a nicotine or lozenge when they are quitting?
PRIOR to when they would have their normal cigarette, as it takes a longer amount of time for nicotine to cross the BBB with lozenges and gum
What is the best way to help a person quit smoking?
using the 5 A’s to behavior change, as well as the Brief Negotiated Interview (SBIRT)
True or false: You do not need to discuss pharmacologic options with the patient while discussing smoking cessation, as you should primarily focus on behaviors.
false- quitting ideally includes a discussion of pharmacologic options
What are the pharmacologic options for smoking cessation?
Bupropion (Zyban) or Chantix (varenicline), along w/ nicotine replacement
Do patients gain or lose weight while quitting smoking?
They may gain an average of 6 lbs while quitting, but the cardiovascular benefits of cessation FAR outweigh complication from minor weight gain.
How does smoking affect pregnancy?
It increases complications; quitting 3 months prior to conception improves pregnancy outcomes.
How much does smoking cessation success increase if a patient leaves his or her provider with a quit date and plan including pharmacologic aids?
increases to 35%
True or false: tobacco use is the third largest preventable cause of morbidity and mortality in the US.
false- it is the single largest cause
