Smoking Cessation Flashcards

1
Q

T/F Smoking is the leading cause of preventable death in the United States?

A

True

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2
Q

What are some of the physiologic side effects of nicotine intake?

A

Rise in HR and BP (Narrowed arterial diameter from blood vessel damage)

Premature birth and low birth weights (babies whose mothers smoke during preg)

Harmful to developing brains

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3
Q

T/F Smoking can cause Liver and Colorectal cancers?

A

True

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4
Q

How would you describe the physiologic dependence of Cigarette smoking?

A

Mesolimbic-dopaminergic reward system

Locus ceruleus: Vigilance and arousal

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5
Q

What neurotransmitters are released by Nicotine and smoking?

A
Norepi
Beta-endorphins
Acetylcholine
Serotonin
Glutamate
Vasopressin
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6
Q

What kind of cancers are associated with increased smoking Hx?

A
Lung Cancer MC
Oral
Throat
Esophagus
Bladder
Kidney
Pancreas
Stomach
Colorectal
and Liver
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7
Q

What are the Stages of Change put forth by Prochaska and DiClemente?

A

Precontemplator: Not considering
Contemplator: Considering stopping 3-6mo
Preparation: Considering stopping 1wk to month
Action: Recently stopped smoking w/in past 6 mo.

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8
Q

How can you determine a PT’s degree of nicotine dependency?

A

Serum Cotinine Level

Fagerstrom Test

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9
Q

What are some pharmacologic therapies recommended for Nicotine replacement/weaning therapy?

A

Bupropion

Chantix

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10
Q

What drug is an example of a non-nicotine pill which is a nicotine receptor agonist?

What are some common side effects?

A

Chantix-Varenicline Tartrate

Nausea
HA
Insomnia
Suicidal Ideations

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11
Q

What is the dosing regimen of Chantix?

A

0.5mg x 3 days
0.5mg BID x 3 days
1mg q6hrs x 1 week
1mg BID (NO SMOKING)

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12
Q

If there is a high nicotine dependency which medication program is indicated?

What if there is only low nicotine dependency? What medication program is recommended?

A

Bupropion + Nicotine Replacement x 2

Nicotine Replacement

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13
Q

What are the 5 A’s of Smoking Cessation?

A
Ask
Advise
Assess
Assist
Arrange
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14
Q

What are some Advantages of using nicotine gum as a replacement?

Disadvantages?

A

Advantages:
Neutral pH
Rapid
Adjunct

Disadvantages:  
Heartburn / Indigestion
Sore Jaw
Throat / Mouth Irritation
Flatulence
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15
Q

What are some Advantages of Nicotine Replacement PATCHES?

A

Advantages:
Convenient
Best compliance

Disadvantages:
Over the counter
Skin irritation

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16
Q

Smoking may be observed in increased frequency within what Psychiatric disorder population?

Smoking additionally impacts blood serum levels of what Psychiatric meds?

A

Schizophrenics

Anti-psychotics (olanzapine)