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Public Health WK 8 NRT Products

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alchemist04's version from 2016-06-01 23:29

Section

Question Answer
Polacrilex Gum examples?(1) Nicorette (OTC) (2) Generic Nicotine Gum (OTC)
Lozenge exampleCommit (OTC)
Transdermal Patch examples(1) Nicoderm CQ (OTC) (2) Nicotrol (OTC) (3) Generic nicotine patches (both OTC and RX)
Nasal Spray example?Nicotrol NS (Rx)
Inhaler example?Nicotrol (RX)
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Question Answer
Which nicotine containing product has the highest plasma concentration?Cigarette has the highest concentration and the shortest duration.
Which nicotine containing product has high concentration and long durationMoist snuff (remember Coperhinger snuff = 9.0 mg)
T or F? All NRT do not have the same Nicotine Plasma conc as Cigarette and Moist snuffTrue.
Which NRT gives the highest initial nicotine release?Nasal Spray
Which NRT gives the longest nicotine release or have longest duration?Nicotine gum
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Question Answer
What nicotine gum strength would you recommend for a pt smoking =/> 25 cigarettes/day?4 mg
What nicotine gum strength would you recommend for a pt smoking < 25 cigarette/day?2 mg
T or F? the more a pt smokes, the more nicotine mg to recommendTrue
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Question Answer
What is the recommend usage of Nicotine gum in WK 1-6?1 piece q 1-2hrs
What is the recommend usage of Nicotine gum in WK 7-9?1 piece q 2-4 hrs
What is the recommend usage of Nicotine gum in WK 10-12?1 piece q 4-8 hrs
What are the steps involve in Chewing technique?(1) Chew slowly (2) Stop chewing at 1st sign of peppery taste or tingling sensation (3) Park btw cheek and gum (4) Chew again when peppery taste or tingle fades
What is the maximum nicotine gum per day?24 pieces/day
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Question Answer
What does Nicotine Lozenge TTFC means?"Time to first cigarette"
If you smoke your 1st cigarette after 30 mins of waking up in the morning, what concentration of Nicotine lozenge shd be taking?2 mg
If you smoke your 1st cigarette w/n 30 mins of waking up in the morning, what concentration of Nicotine Lozenge shd be taking?4 mg
T or F? The earlier you smoke in the morning the more Lozenge concentration neededTrue, cigarette w/n 30 mins of getting up means 4 mg lozenge while cigarette after 30 mins after waking up in the morning means 2 mg lozenge
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Question Answer
What is the recommend usage of Nicotine Lozenge in WK 1-6?1 Lozenge q 1-2 hr
What is the recommend usage of Nicotine Lozenge in WK 7-9?1 Lozenge q 2-4 hr
What is the recommend usage of Nicotine Lozenge in WK 10-12?1 Lozenge q 4-8 hr
What is the maximum Nicotine Lozenge per day?20 Lozenges/day
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Question Answer
What is an example of Transdermal Nicotine Patch?Nicoderm CQ
Nicoderm CQ delivers nicotine for ------ hrs while Nicotrol delivers nicotine for ----- hrs?Nicoderm CQ deliver for 24 hrs while Nicotrol delivers for 16 hrs
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Question Answer
Nicotine Nasal Spray (NS), one dose equals ------1 mg. That is 0.5 mg per nostril
Start NS w/ ----- to ---- doses per hr1-2 doses/hr
Increase NS dose to ---- doses/hr or ------ mg/day5 doses/hr or 40 mg / day (80 sprays/day)
For the best result, what is the minimum doses daily and for how long?8 doses/day for 6-8 wks
Termination: gradual tapering over an additional ------4-6 wks
After Nicotine Nasal Spray, wait ----- to ----- minutes before blowing nose.2 to 3 mins
After Nicotine Nasal Spray, wait ------ minutes b4 driving or operating machinery5 mins
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Question Answer
Nicotrol Inhaler delivers ----- mg nicotine vapor, which is absorbed across buccal mucosa4 mg nicotine vapor
Initial treatment of Nicotine Inhaler is --------/day6 cartridges/day
What is the maximum Nicotine inhaler needed per day16 cartridges/day prn
What is the minimum and maximum Initial treatment of Nicotine inhaler?minimum 3 wks and maximum 12 weeks
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Question Answer
Nicotine in cartridges is depleted after about ---- minutes of active puffing20 minutes
Cartridges does not have to be used all at once, true or false?True
Open cartridges retains potency for ------ hrs?24 hrs
Gradual dosage reduction if needed over additional ---- to -----wks6 to 12 wks
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