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Public Health Lect. 8 Non-Pharm of Quitting Part 2

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alchemist04's version from 2016-05-30 22:53

Section

Question Answer
What are the non pharmacologic methods of quitting?(1) Reduce smoking (2) Lower nicotine cigarettes (3) Special filters or holders (4) Assisted Tapering / Scheduled Gradual Reduction of Smoking- QuitKey
True or false? Combination therapy is preferredTrue
What is the telephone number for quitting counseling?1-800-786-8669
What are other non pharmacological ways of quitting tobacco?(1) Aversion therapy (2) Acupuncture (3) Hypnotherapy (4) Massage therapy
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Question Answer
A computerized system with a facilitated reduction curve, develops tapering curve based on patients smoking level is called?QuitKey
How many stages does QuitKey smoking cessation program has?2 stages (1) Stage 1 (7 days) (2) Stage 2 (14-34 days)
What does a smoker do at Stage 1 of QuitKey?Push the smoke button every time he smokes so that the machine/QuitKey can record the smoking habits
What does a smoker do at Stage 2 of QuitKey?Smoke only when you hear the tone or see SMOKE SIGNAL. It helps taper the smoking over time
Who are the most likely candidates for QuitKey?(1) Smoker that are contraindicated for pharmacotherapy (2) Spit tobacco users (3) Anyone that want to stop smoking.
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Question Answer
What are the 2 pharmacologic methods of quitting?(1) Nicotine Replacement Therapy (2) Psychotropics
What are the examples of Nicotine Replacement Therapy?(1) Nicotine Lozenge (2) Nicotine Gum (3) Nicotine Patch (4) Nasal Spray (5) Inhaler
What are the examples of Psychotropics used in Tobacco smoking?Bupropion SR
Currently what medication is approved for Spit Tobacco Cessation?None. There is no med currently approved for Spit Tobacco cessation.
T or F? All NRT medications are approved by the FDA?True
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Question Answer
What is the rational for NRT use? (1)(1) Reduces physical withdrawal of Nicotine
What is the rational for NRT use? (2)(2) Allows PT to focus on behavioral and psychological aspects of tobacco cessation
What is the minimum age approved by FDA for NRT use?18 yo
What are the NRT precautions? (1)(1) All heart problems like (1) recent MI (2) Life-threatening arrhythmias (3) Severe or worsening angina
What are the NRT precautions? (2)(2) Active temporomandibular joint disease (gum only). Pregnancy, Lactation
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Question Answer
T or F? Do not eat of drink for ----- min b4 or while using Nicotine gum?True, NPO for 15 mins b4 and after chewing nicotine gum.
T or F? The effectiveness of nicotine gum/Lozenges may be reduced by some food and beveragesTrue, Coffee, wine, Juice, soft drinks
To improve chances of quitting , use at least ----- pieces of gum per day9 pieces
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Question Answer
T or F? Chewing gum will provide the same rapid satisfaction that smoking provides?False, chewing gum will not provide the same rapid satisfaction as smoking .
Tor F? Chewing gum too rapidly can cause excessive release of nicotine, resulting in lightheadness, N/V, irritation of the throat and mouth, Hiccups and Indigestion.True
What are some of the side effects of nicotine gum?(1) Mouth soreness (2) Hiccups (3) Dyspepsia (4) Jaw muscle ache
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Question Answer
What are the advantages of Nicotine Gum therapy? (1)(1) satisfy oral craving
What are the advantages of Nicotine Gum therapy? (2)(2) delay weight gain
What are the advantages of Nicotine Gum therapy? (3)(3) Pt can control withdraw symptoms by controlling the titration level of therapy
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Question Answer
What are the disadvantages of Nicotine Gum therapy? (1)(1) Gum chewing could be socially unacceptable
What are the disadvantages of Nicotine Gum therapy? (2)(2) could not be compatible with dentures
What are the disadvantages of Nicotine Gum therapy? (3)(3) proper chewing techniques must be maintained to minimize adverse side effects. (Also, it is a short acting formulation just like lozenge, inhaler and Nasal Spray)
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Question Answer
T or F? Lozenges deliver ~ 25% more nicotine than equivalent gum dose. Remember that in slide #7, it state that gum has longest plasma concentration. I wonder why it is not lozenge.T
T or F? Lozenge has buffering agent to enhance buccal absorption of nicotineT
T or F? It is OK to chew or swallow Nicotine LozengeF. Do not chew, this will cause excessive release of Nicotine
Lozenge will completely dissolve in a about ----- to ----- minutes?20 to 30 minutes
T or F? it is advisable to occasionally rotate Nicotine Lozenge to different part of mouthT
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Question Answer
What are some side effects of Nicotine Lozenge?(1) Nausea (2) Hiccups (3) Cough (4) Heartburn (5) Headache (6) Flatulence (7) Insomnia
What are the advantages of Nicotine Lozenge Therapy? (1)(1) Satisfy Oral craving
What are the advantages of Nicotine Lozenge Therapy? (2)(2) Easy to use and Conceal
What are the advantages of Nicotine Lozenge Therapy? (3)(3) Pt can control withdrawal symptoms by controlling the titration level of therapy
What are the disadvantages of Nicotine Lozenge therapy?Could Cause GI effect like Nausea, hiccups and heartburn. Could be bothersome
To increase the chances of quitting, use at least ----- lozenges daily during the first ---- wks9 Lozenges/day and 6 weeks
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Question Answer
T or F? With Transdermal Nicotine path, Plasma nicotine levels are lower and fluctuate less than w/ smokingTrue
What are the directions for Transdermal Nicotine application? (1)(1) Choose skin of upper body or upper outer arm
What are the directions for Transdermal Nicotine application? (2)(2) apply patch to different area each day
What are the directions for Transdermal Nicotine application? (3)(3) the same area shd not be used again for at least 1 wk
What are the directions for Transdermal Nicotine application? (4)(4) Do not leave patch for more than 16 hrs for Nicotrol and 24 hrs for Nicoderm so as not to cause skin irritation
T or F? It is ok to bathe with Nicotine path bc water will not affect it if properly applied to the bodyTrue
T or F? It is ok to have MRI with nicotine patchFalse, remove Nocotine patch b4 MRI
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Question Answer
What are the advantages of Nicotine patch? (1)(1) Provided consistent nicotine levels, it is a long acting formulation
What are the advantages of Nicotine patch? (2)(2) Easy to use and conceals
What are the advantages of Nicotine patch? (3)(3) Fewer compliance issues
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Question Answer
What are the disadvantages of Nicotine patch? (1)(1) Pt cannot titrate/ adjust the dose
What are the disadvantages of Nicotine patch? (2)(2) allergy reaction at the point of application
What are the disadvantages of Nicotine patch? (3)(3) Nicotrol 16 hrs may lead to early craving
What are the disadvantages of Nicotine patch? (4)(4) Cannot be used w/ pt having skin disorder like Eczema, Psoriasis, dermatitis
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Question Answer
Nicotine Nasal Spray (Nicotrol NS) is an aqueous solution of nicotine in ----- mL bottle10 mL
NS direction for use (1)(1) Blow nose (2) Tilt head nack slightly and insert tip of bottle into nostril as far as comfortable
NS direction for use (2)(2) Breath through mouth and spray once in each nostril (2) Do not sniff or inhale bc it could cause throat irritation
NS direction for use (3)(3) Wait 2-3 mins b4 blowing nose
NS direction for use (4)(4) Could cause drowsiness, wait 5 mins b4 operating machinery
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Question Answer
What is the advantages of Nicotine NS?Pt can easily control withdrawal symptoms by controlling the titration/application of the NS
What are the disadvantages of Nicotine NS? (1)(1) may cause Nasal or throat irritation
What are the disadvantages of Nicotine NS? (2)(2) may result in higher dependency
What are the disadvantages of Nicotine NS? (3)(3) not applicable for pat with Nasal or throat diseases.
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Question Answer
Which of the NRT could satisfy hand-to-mouth ritual of smoking?Nicotrol Inhaler
What are the advantages of Nicotine Inhaler? (1)(1) Pt can easily titrate therapy to manage withdrawal symptoms
What are the advantages of Nicotine Inhaler? (2)(2) Mimic hand-to-mouth ritual of smoking
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Question Answer
What are the disadvantages of Nicotine Inhaler? (1)(1) mouth and throat irritation
What are the disadvantages of Nicotine Inhaler? (2)(2) cartridges cannot be stored at both very warm and and very cold conditions
What are the disadvantages of Nicotine Inhaler? (3)(3)caution with patient with bronchospastic disease
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