Stop smoking Flashcards
Most smoking related deaths are from:
Lung cancer, COPD, coronary heart disease
Areas/functions of the body that can be damaged by smoking:
Heart and circulation, respiratory, stomach/digestive system, mouth, ligaments, muscles and bones, eyes, skin, reproductive functions
Nicotine patch features
Self-adhesive, trans-dermal delivery system which delivers a controlled amount of nicotine, convenient, discreet and easy to use, 16 hour patch applied in the morning and removed at bedtime, 24 hour patch worn day and night
Dosage and administration of nicotine patch
Apply to a clean, dry, hairless area of skin, alternate application sites daily, available in different strengths, nicotine delivered is progressively reduced by using lower strength patch over 10 to 12 weeks depending on brand
16 and 24 hour patches
24 hour patches are designed to produce sustained plasma nicotine levels throughout the day and night, although sleep disturbance is a recognised symptom nocturnal nicotine patches has been shown to increase sleep disturbance over placebo levels, levels of sleep disturbance with the 16 hour patches are comparable to placebo
Nicotine mouth spray
Spray allows a rapid delivery and uptake of nicotine into the body, effective to be used when cigarettes would have been smoked or if cravings emerge
How to use nicotine mouth spray
Point the spray nozzle towards the open mouth, holding it as close as possible, press the top of the dispenser to release one spray into the mouth, avoiding the lips, to avoid getting spray down the throat, don’t inhale while spraying, don’t swallow for a few seconds after spraying
Nicotine gum feactures
Nicotine bound to an ion exchange resin, chewing releases nicotine, three strengths available, chewed regularly to prevent cravings/withdrawal symptoms
Nicotine gum dosage and administration
Chew slowly until taste becomes strong, rest between gum and cheek, chew gum again when the taste has faded
Nicotine lozenge
Should be placed in the mouth and allowed to dissolve, periodically moved from one side of the mouth to the other
Nicotine inhaler
Mouthpiece and replaceable cartridge containing a plug impregnated with nicotine, inhaled either by deep or shallow puffing, max 6 cartridges per day
Nicotine sublingual tablet
Suitable for both low and high dependent smokers, placed under the tongue, slowly disintegrates (30 mins)
Nasal spray dosage and administration
Initial dose 1 spray in each nostril up to twice an hour to relieve cravings (max 64 sprays/day), use as required for 8 weeks then reduce over 4 weeks, maximum usage 3 months
Oral strips
Orodispersible film, suitable for smokers who have their first cigarette more than 30 minutes after waking up, abrupt cessation, 12 week programme
Dual support
Use of a nicotine patch and flexible format e.g. mouth spray, gum, lozenge, nicotine patch provides continuous nicotine levels through the day to relieve background withdrawal, flexible format relieves breakthrough cravings whenever they strike
