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13 Cards in this Set
- Front
- Back
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1. Pregnancy category B?
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a. Animal studies have shown no harm to a fetus but human studies are not available
b. OR c. Animal studies have shown harm to a fetus but studies in pregnant women have not shown harm. |
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2. Pregnancy category C?
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a. Animal studies have shown adverse fetal effects and there are no adequate studies in humans
b. OR c. No animal studies have been conducted and there are not adequate human studies. |
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3. Pregnancy category D?
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a. Human studies have shown potential adverse fetal effects however the benefits of therapy may outweigh the potential risks.
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4. 5 As of discussing tobacco cessation?
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a. Ask: About tobacco use: ask the patient at each visit about current tobacco use.
b. Advise: To quit through clear personalized messages c. Assess: Willingness to quit: find out the pt’s thoughts about quitting and if the pt is ready to proceed. d. Assist to quit: Including counseling and pharmacologic therapy. e. Arrange F/u and support. |
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5. 2 Non-nicotine rx for tobacco cessation?
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1. Zyban (bupropion Sustained Release)
2. Chantix (Varenicline) |
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6. MOA of Bupropion?
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a. Blocks uptake of norepi and/or dopamine.
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7. Contraindications to Bupropion?
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a. Eating disorder
b. MAOI use in past 2 weeks c. Hx of seizure disorder |
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8. How to prescribe Bupropion?
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a. Used be started 1-2 weeks before the quit date.
b. Usual dosage: i. 150 mg qd for 3 days then ii. 150 mg bid. c. The usual course of tx if 7-12 weeks, but it can be used for up to 6 month as maintenance therapy. d. Can be used alone or in comb w/nicotine-based tx. |
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9. MOA of varenicline (Chantix)?
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a. Nicotinic receptor partial agonist that may reduce cravings for nicotine, reduce nicotine withdrawal symptoms, and block some of the binding of nicotine from cigarettes.
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10. AE of varenicline (Chantix)?
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a. Neuropsychiatric sx: Changes in behaviour, agitation, depression, suicidal behaviour.
b. Should be used with caution in anyone w/a hx of psych disorder and all persons using the med should be monitored closely for these behaviours. |
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11. Which smoking cessation products are pregnancy category D?
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a. Nicotine inhaler
b. Nasal spray c. Gum |
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12. Which smoking cessation products are pregnancy category C?
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a. Nicotine patch
b. Bupropion c. Varenicline |
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13. Complete
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13. Complete
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