Tobacco Cessation Flashcards
This ranks the dependence of a patient on smoking and categorizes it from very low to very high. 0-2 = very low dependence. 8-10 = very high dependence.
Fagerstrom Tolerance test
This measures the CO upon exhalation in ppm
CO monitor
Hg binds preferentially to (blank)
CO
Treatment options for smokers
- Medications
- Rapid smoking therapy
- Supportive behavioral therapy
Reduces cravings and withdrawal symptoms. Usually start 7-14 days before quit date.
Buproprion
Blocks nicotine receptors, making smoking less rewarding, so reduces urge to smoke. Start 7 days before quit date
Varenicline (Chantix)
How much more likely is a person who takes medication to quit smoking?
2 times!
Most effective option when using medication
Medication + intense counseling
Four things involved in behavioral therapy
- Enhance motivation
- Offer advice
- Support
- Relapse prevention
What is the correlation between session length/counseling intensity and quitting success?
Longer sessions, more likely to quit. More sessions, more likely to quit.
↑ smoke ↑ exposure to tobacco advertising ↓ access to tx ↓ use effective treatments ↓ success rates in quitting
Racial and ethnic minorities
↑ smoke ↑ mortality rates ↓ QOL they underestimate the effect of smoking on their health may smoke to cope with stress of illness
HIV positive
↑ smoke targeted by tobacco companies ↓ access to treatment ↑ misinformed about smoking cessation tx ↑ exposure to workplace smoking
Low SES
Particularly motivated to quit
Hospitalized patients
Rapid inhaling (every 6 seconds, until patient feels unable to continue – feel about to vomit or severely light headed) Rest for 5 min, and fill out form of aversive sx, then do another inhaling trial (at least 2 trials per session) Do a session every day or two, usually to 12 sessions, with no smoking in-between sessions Has shown long-term abstinence rates of 60-70%
Rapid smoking therapy
