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Patient Care III > Tobacco Cessation (FINAL REVIEW) > Flashcards

Tobacco Cessation (FINAL REVIEW) Flashcards

1
Q

What cancers are causually linked to smoking? (10)

A
  1. oropharynx
  2. larynx
  3. esophagus
  4. trachea, bronchus, lung
  5. acute myeloid leukemia
  6. stomach
  7. pancreas
  8. kidney & ureter
  9. cervix
  10. bladder
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2
Q

What chronic illnesses are causually linked to smoking? (11)

A
  1. stroke
  2. cataracts, blindness
  3. periodontitis
  4. aortic aneurysm
  5. CHD
  6. pneumonia
  7. vascular diseases
  8. respiratory effects
  9. COPD
  10. hip fractures
  11. reproductive effects
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3
Q

Smokeless tobacco effects on the mouth include: (7)

A
  1. bad breath
  2. irritated and inflamed tissue
  3. oral cancer
  4. increased risk of tooth decay
  5. painful ulcers
  6. teeth staining
  7. periodontal/gum disease
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4
Q

Approximately ____ Americans are diagnosed yearly with oral/pharyngeal cancer

____ of these cases succumb to disease

A

42,000; 8,000

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5
Q

____ % of oral/pharyngeal cancer cases can be attributed to tobacco use and or heavy alcohol consumption

A

75%

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6
Q

75% of oral/pharyngeal cancer cases can be attributed to:

A

tobacco use and/or heavy alcohol consumption

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7
Q

___% of leukoplakias are caused by tobacco use

A

70%

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8
Q

List the cessation options for tobacco cessation:

A
  1. cold turkey
  2. NRTs
  3. Medications
  4. Behavioral therapy
  5. Combination therapy
  6. Hypnotherapy
  7. Acupunture
  8. Yoga, meditation
  9. Herbs
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9
Q

NRTs:

A

Nicotine replacement therapy

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10
Q

Behavioral therapy for tobacco cessation includes:

A

Counselors/coaching and apps

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11
Q

What is combination therapy for tobacco cessation?

A

Multiple uses of NRTs, NRTs and medications

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12
Q

Bupropion SR is also known as:

A

Zyban

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13
Q

Bupropion SR (Zyban) is a:

A

smoking cessation aid (prescription)

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14
Q

Give directions for dosage and usage of zyban:

A

150mg sustained release tablet; begin taking 1 week prior to quitting; double dose after 3 days

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15
Q

What are the advantages of the prescription Zyban?

A
  1. easy to use
  2. can be used with NRT
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16
Q

What are the adverse effects of the prescription zyban?

A
  1. insomnia
  2. dry mouth
  3. nervousness/difficulty concentrating
  4. rash
  5. constipation
  6. seizures
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17
Q

Varenicline is also known as:

A

chantix (prescription)

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18
Q

Give directions on dosage and usage of Varenicline (chantix):

A

0.5mg and 1.0mg tablet

  • Days 1-3: take one 0.5mg tablet in the morning
  • Days 4-7: take 0.5mg tablet BID
  • Weeks 2-12: take 1.0 mg tablet BID
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19
Q

What are the advantages of the prescription Varenicline (chantix)

A

Easy to use and offers a new mechanism of action for patients who have failed with other agents

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20
Q

List the adverse effects of the prescription Varenicline (Chantix):

A
  1. nausea
  2. insomnia
  3. vivid dreams
  4. constipation
  5. vomiting
  6. neuropsychiatric symtpoms
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21
Q

Discuss the neuropsychiatric symptoms that may be associated with the prescription Varenicline (Chantix):

A
  1. behavioral changes
  2. agitation
  3. depression
  4. suicidal ideation or behavior
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22
Q

Nicotine replacement therapy options include:

A
  1. gum
  2. lozanges
  3. transdermal patch
  4. nasal spray
  5. oral inhaler
23
Q

Nicorret and Zonnic are examples of what type of nicotine replacement therapy?

A

gum

24
Q

What are the two dose options for Nicorette and Zonnic?

A

2mg for less than 25 cigs per day
4mg for 25 cigs per day or more

25
Q

What are the directions for Nicorette and Zonnic (2mg or 4mg option same directions)

A

Week 1-6: 1 piece every 1-2 hours
Week 7-9: 1 piece every 2-4 hours
Week 10-12: 1 piece every 4-8 hours

26
Q

What is the maximum amount of Nicorette or Zonnic per day?

A

24 pieces

27
Q

What is an important direction to tell patients when discussing Nicorette or Zonnic?

A

no food or beverage 15 minutes before or during use

28
Q

The advantages of Nicorette and Zonnic include:

The disadvantages of Nicorette and Zonnic include:

A

Advantages-
1. may delay weight gain
2. may satisfy oral cravings

Disadvantages-
1. mouth/jaw soreness
2. hiccups
3. dyspepsia

29
Q

Zonnic may be:

A

gum or lozange

30
Q

Commit and Zonnic are examples of what type of NRT:

A

Lozenge

31
Q

What are the dosage options for Commit and Zonnic?

A

2mg for patients who smoke after 30 minutes of waking

4mg for patients who smoke within 30 minutes of waking

32
Q

Give directions for the NRTs Commit and Zonnic (same directions for both dosages)

A

Week 1-6: 1 lozenge every 1-2 hours
Weeks 7-9: 1 lozenge every 2-4 hours
Weeks 10-12: 1 lozenge every 4-8 hours

33
Q

What is the maximum amount of Commit and Zonnic?

A

20 lozenges per day

34
Q

What is an important direction to tell patients that utilize commit or zonnic lozenges for NRTs?

A
  • no food or beverage 15 minutes before or during use
  • do not chew or swallow lozenge
35
Q

List the advantages and disadvantages of use of Commit or Zonnic Lozenges for NRTs:

A

Advantages:
- may delay weight gain
- may satisfy oral cravings

Disadvantages
- nausea
- hiccups
- cough
- heartburn
- insomnia
- headache

36
Q

NicoDerm CQ is an example of what type of NRT?

A

Transdermal patch

37
Q

What are the dosage options for the NRT NicoDerm CQ?

A

7mg
14 mg
21Mg

(all 24-hour release)

38
Q

For a patient smoking less than or equal to 10 cigs per day, what are the transdermal patch directions?

A
  • 14mg per day for 6 weeks
  • 7mg per day for 2 weeks
39
Q

For a patient smoking more than 10 cigs per day, what are the transdermal patch directions?

A
  • 21mg per day for 6 weeks
  • 14mg per day for 2 weeks
  • 7mg per day for 2 weeks
40
Q

List the advantages & disadvantages to the NRT transdermal patches (NicoDerm CQ):

A

Advantages:
1. provides consistent nicotine for 24 hrs
2. Easy to use

Disadvantages:
1. Local skin reaction
2. Headache
3. Insomnia
4. Vivid dreams

41
Q

What are the top three most common NRTs?

A
  • gum
  • lozenge
  • transdermal patch
42
Q

Nicotrol NS is an example of what type of NRT?

A

Nasal spray

43
Q

What is the dosage for Nicotrol NS?

A

0.5 mg metered spray per 50 mcL

44
Q

Describe the doses for Nicotrol NS:

A

1-2 doses per hour
8-40 doses per day
maximum of 5 doses per hour

45
Q

For Nicotrol NS, one dose=

A

2 sprays (1 per nostril)

46
Q

List the advantages and disadvantages of Nicotrol NS:

A

Advantages:
1. Patients can titrate therapy to help withdrawal

Disadvantages:
1. Nasal/ throat irritation
2. Rhinitis
3. Tearing
4. Sneezing
5. Headache
6. Cough

47
Q

Nicotrol is an example of what type of NRT?

A

Oral inhaler

48
Q

Describe the dosage of Nicotrol Oral inhaler:

A

10 mg cartridge- delivers 4mg of inhaled nicotine vapor

49
Q

How many cartridges per day can one use of Nicotorl Oral inhaler?

A

6-16 cartridges per day

50
Q

When beginning use of Nicotrol oral inhaler, begin with:

A

1 cartridge every 1-2 hours

51
Q

The best effects with Nicotrol oral inhaler occur with:

A

continuous puffing for 20 min

52
Q

List the advantages and disadvantages of Nicotrol oral inhaler as an NRT:

A

Advantages:
1. Patients can titrate amount to manage withdrawal
2. Mimics hand-to-mouth ritual

Disadvantages:
1. mouth/throat irritation
2. cough
3. headache
4. rhinitis
5. dyspepsia

53
Q
A

Patient Care III (16 decks)

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