Tobacco Cessation Part I

Question 1

what are the smoking tobacco products and what is the nicotine content per single use of each

Answer 1

• pipe tobacco: 30.09-50mg
• cigars: 13.3-15.4mg
• hookah: 1.04-2.24mg
• cigarette: 1.2-1.8mg
• E-cigarette: 0.0-15.4mg

Question 1

how many chemicals are inhaled in a cig

Answer 1

more than 7,000

Question 2

how many chemicals in cigs are carcinogens

Answer 2

70

Question 3

what cancers areas are linked to smoking

Answer 3

• oropharynx
• larynx
• esophagus
• trachea, bronchi, lung
• AML
• stomach
  -pancreas
  -kidney and ureter
• cervix
• bladder

Question 4

what chronic diseases are linked to smoking

Answer 4

• stroke
• blindness, cataracts
• periodontitis
• aortic aneurysm
• coronary heart disease
• pneumonia
• vascular diseases
• respiratory effects
• COPD
• hip fractures
• reproductive effects

Question 5

what health consequences are linked to secondhand smoke exposure in children

Answer 5

• middle ear disease
• respiratory symptoms
• impaired lung function
• lower respiratory illness
• SIDS

Question 6

what health consequences are linked to secondhand smoke exposure in adults

Answer 6

• nasal irritation
• lung cancer
• coronary heart disease
• reproductive effects in women: low birth weight

Question 7

what cancer is the leading cause of cancer related death in us in men and women

Answer 7

lung

Question 8

smoking accounts for more than ____ of lung cancer cases in men and _____ in women

Answer 8

90%;89%

Question 9

what are the effects of smoking in the mouth

Answer 9

• bad breath
• periodontal (gum) disease
• sore throat/hoarseness
• reduced smell/taste
• unhealthy tissue
• delayed healing
• oral/throat cancer
• teeth staining
• poor response to dental treatment
• oral lesions- sores on mouth, lips and tongue

Question 10

what are the smokeless tobacco products and how much nicotine is in each use

Answer 10

• snus: 8.0mg
• chew: 4.5mg
• snuff: 3.6mg
• orbs: 1.0mg
• strips: 0.6mg

Question 11

how many chemicals in smokeless tobacco products cause cancer

Answer 11

28

Question 12

what are the smokeless tobacco effects on the mouth

Answer 12

• bad breath
• irritates and inflames tissue
• tissue changes
• oral cancer
• increased risk of tooth decay
• painful ulcers
• teeth stainings
• periodontal/gum disease

Question 13

how many americans are diagnosed with oral/pharyngeal cancer every year and how many die every year

Answer 13

• 42,000
• 8,000 die

Question 14

whaat percentage of oral/pharyngeal cancer can be attributed to tobacco use and/or heavy alcohol consumption

Answer 14

75%

Question 15

what percentage of leukoplakias are caused by tobacco use

Answer 15

70%

Question 16

what percent of adults over 18 use e-cigs

Answer 16

4.7%

Question 17

what percent of high school students use e-cigs

Answer 17

14.1%

Question 18

what percent of middle school students use e-cigs

Answer 18

3.3%

Question 19

what is the e-cig device type of choice

Answer 19

disposables at 55.3%

Question 20

what is vaping

Answer 20

• act of inhaling and exhaling the aerosol, often referred to as vapor which is produced by an e-cig or similar device
• do not product tobacco smoke
• aerosol produced often mistaken for water vapor
• contains fine particles

Question 21

what is vapor in vaping generated from

Answer 21

• a solid, semi- solid, or liquid substances

Question 22

what are the components of the vape

Answer 22

• battery
• heating element
• atomizer
• cartridge/pod
• indicator light

Question 23

what are the e-liquid ingredients

Answer 23

• vegetable glycerin
• propylene glycol
• flavorings
• nicotine
• diacetyl
• benzoic acid

Question 24

ingredients in e-cigs are evaluated for ingestion but not:

Answer 24

inhalation and heat

Question 25

how long can e-cig liqiud remain on surfaces

Answer 25

weeks to months
- potential for second hand exposure or accidental ingestion by children

Question 26

can nicotine cross placenta

Answer 26

yes

Question 27

how does e-cig affect pregnancy

Answer 27

may cause adverse effects during or after pregnancy

Question 28

describe nicotine salts

Answer 28

• smoother hits- more like a cigarette rush
• higher nicotine concentrations
• potential to be more addictive
• 1.8%-0.5% nicotine solutions availabel
• each pod contains same amount of nicotine as an entire pack of cigarettes

Question 29

what is in the aerosol of vapes

Answer 29

• volatile organic compounds
• nicotine
• ultrafine particles
• heavy metals- nickel, tin, lead

Question 30

what health concerns are associated with vapes

Answer 30

• increased heart rate due to spike in adrenaline: higher risk for MI
• increased BP
• increase in bronchitis
• increase in. lung disease: popcorn lung
• may cause blood sugar levels to rise

Question 31

what are the effects of vaping on oral health

Answer 31

• chemical vapors produced can alter or damage epithelial cells
• oral ulcerations
• oral cancer may result
• indicated an inflammatory response in the PDL fibroblasts- greater risk for perio disease
• sore throat
• dry mouth
• stimulant: increases bruxism
• heat and chemicals cause dry mouth, bone loss, inflammation, increased plaque and calculus, tooth decay

Question 32

what are other concerns with vaping

Answer 32

• burns from device batteries/explosions
• nicotine poisoning/overdose: pods can leak solution, nicotine rapidly absorbed via skin
• second hand aerosol exposure
• environmental concerns