480,000
How many people die every year in the US from smoking?
5.6 million
How many years of life are lost?
$92 billion
How much money is lost from smoking?
coronary heart disease
2nd hand smoke is linked to _________.
# of packs smoked per day x years of smoking
Formula for pack-years?
increase
Smoking cessation can cause an ________ in weight.
b
Successful long-term cessation is highest in help from _______.
a) non-physician
b) physician
c) self-help material
ask, advise, assess, assist, arrange
What are the five A's?
precontemplation, contemplation, preparation, action, maintenance
What are the steps in the Transtheoretical model for change? (5)
1 week
When should the follow-up visit be when a patient decides to quit?
past experience, abstinence, triggers, alcohol
What are the elements of practical counseling? (4)
current/past tobacco use, previous quit attempts/why unsuccessful, medications used, triggers, support systems
What are the components of smoking history? (5)
reduce smoking frequency, lower nicotine cigs,
How does tapering work? (3)
pregnant/lactating women, adolescents, smokers who consume < 10 cigs QD
Who falls under special circumstances in NRT therapy? (3)
bupropion
What is our psychotropic ?
varenicline
What is our nicotine agonist?
recent MI, severe arrhythmias, angina, active TMJ (gum only), pregnancy/lactation
NRT use is precautioned in which patients? (5)
heavy smokers >=2 packs a day
Who is dual therapy reserved for?
9
How many lozenges can a patient take per day?
half a pack; 10 cigs per day
High therapy =
nausea, HA, insomnia, abnormal dreams, dyspepsia, constipation, flatulence
AE's of Varenicline? (7)
take with full glass of water after meals; decide on quit date before start
Varenicline dosing?
3rd meeting
When does the smoking class "congeal" by?
3rd week of class
When do we prepare for the quit date ?
4th week of class
When do we START the quit date?
b
If a member of our class is planning on using pharmacological treatment, what week should they begin their medication?
a) 1st
b) 2nd
c) 3rd
d) Weeks 5-7
e) 8 weeks
CINV, seizure disorders, MS, non-cancer pain
Medical marijuana has been proven to treat which conditions? (4)