Smoking cessation Flashcards
How many deaths per year in UK attributable to smoking
100,000
what are the 3 main smoking related diseases?
-Lung cancer
- Coronary Heart Disease (CHD)
-Coronary Obstructive
Pulmonary Disease (COPD)
3 reasons people might start smoking
Peer influences
Celebrity role models
Personal characteristics e.g. anti-social personality, depression, genes
name 5 criteria for diagnosing tobacco use disorder/ dependence
- Extended or higher level of use than intended
- Unsuccessful efforts to quit or reduce
- Inordinate amount of time acquiring or using
- Tolerance for nicotine
- Withdrawal syndrome/cravings
- Failure to attend to responsibilities
- Prioritising smoking over social, occupational or recreational activities
- Use despite knowing harmful physical/social effects
- Use despite awareness of physical or psychological problems attributed to smoking
- Smoking in hazardous situations
define withdrawal symptoms
Transient or permanent physical and psychological changes following temporary or long-term smoking cessation
Mostly during first 3-4 weeks of abstinence
name 5 common withdrawal symptoms
irritability/aggression depression restlessness poor concentration increased appetite anxiety sleep disturbance urges to smoke
describe 5 physiological changes after smoking cessation
drop in resting heartrate decreased adrenaline decreased cortisol decreased tremor decreased resting metabolic rate decreased salivary IgA decreased caffeine metabolism
5 health effects of smoking cessation
constipation cold symptoms and mouth ulcers (short term) reduced IR less hospital admissions increased resting BP increased weight
5 free nicotine replacement therapies available on the NHS
patch gum inhalor microtabs lozenge nasal spray mouth spray
describe 2 non nicotine licensed products to aid smoking cessation
Bupropion- anti-depressant
Varenicline- nicotine receptor partial agonist (maintains dopamine levels to counteract withdrawal)
what is the most popular cessation aid?
e-cigs
