Smoking Cessation and E Cigarettes Flashcards

1
Q

how did scotland enforce tobacco control

A

increased age of purchase
plain packaging of tobacco
sale not visible
vending machines

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2
Q

what are the 3A’s

A

ASK - establish and record smoking status
ADVISE - on benefits of quitting
ACT - offer individualised help and referral

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3
Q

what are the 5A;s

A

ASK
ADVISE
ASSESS
ASSIST
ARRANGE FOLLOW UP

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4
Q

what do you ask about someone’s smoking status

A

number of cigarettes smoked a day
how many years
age when started
what products they use

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5
Q

how often do you ask smoking status

A

once a year

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6
Q

what do you ask about someones quitting history

A

have you tried before
how many attempts
what helped you
are you interested now
would you be interested in getting further help and support

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7
Q

what services can you refer to

A

pharmacy
specialist services
refer electronically on trakcare
smoking cessation services

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8
Q

what are the oral side effects of tobacco

A

oral cancer
periodontal disease
increased dental treatment risks
leukoplakia
staining of teeth
stomatitis
melanosis
black hair tongue

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9
Q

what is leukoplakia

A

white patch which cannot be rubbed off

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10
Q

what is erythroplakia

A

chronic white and red lesions of soft palate

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11
Q

why do people smoke

A

enjoyment
keep weight down
help concentrate
relieve boredom
socialise
cope with stress
avoid discomfort and manage withdrawal symptoms

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12
Q

what are the withdrawal symptoms of smoking

A

nicotine cravings
sweating
nausea
headaches
coughing
sore throat
insomnia
anxiety
irritability
weight gain

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13
Q

what is the addictive element in cigarettes

A

nicotine

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14
Q

what types of things are offered in nicotine replacement therapy

A

patches
gum
inhalers
nasal spray
lozenges
microtabs
oral strips

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15
Q

what is second hand smoke

A

smoke that non smokers are exposed to

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16
Q

what is third hand smoke

A

carcinogen laden residue that builds up on surfaces

17
Q

what does the heaviness of smoking index include

A

how many a day
how quickly they light up after waking up

18
Q

why do people use e cigs

A

aid to quitting
less toxic alternative
cheaper alternative
harm reduction/reduce smoking
alternative to cigs when cigs are banned
hand to mouth habit maintained
psychosocial aspect of addiction maintained
recreation and socialisation
vaping community

19
Q

what are the pros of e cigs to public health

A

cost of smoking is vast
harm reduction

20
Q

what is the NICE guidance on e cigs

A

encourage those who cant quit to cut down
good communication about relative safety of nicotine

21
Q

what are the oral side effects of e cigs

A

mouth and throat dryness
oral cancer
periodontal disease
benign mucosal lesions
lichenoid eruptions associated with use of e cigarette

22
Q

what other nicotine containing product gives a high carbon monoxide reading

A

shisha

23
Q

what is the triangle of tobacco addiction

A

emotional attachment
habit
chemical addiction

24
Q

what are the benefits of stopping smoking

A

CO returns to normal within 48hrs
nicotine leaves body within 72hrs
breathing improves between 2 weeks and 3 months
after 1yr CV disease is halved
financial benefits