Cp2.5, Dr Dew, Smoking Cessasion

Front 1

what is the number one cause of preventable death in the US

Back 1

**Smoking**

Front 2

What % of CAD deaths are due to smoking?

Back 2

20%

Front 3

smoking accounts for what % of cancer deaths?

Back 3

30%

Front 4

mortality is higher for which cancer, breast of lung cancer?

Back 4

lung cancer. Even though most women think it's breast cancer. Breast cancer is caught earlier and easier to treat.

Front 5

criteria for drug addiction

Back 5

1) compulsive use
2) psychoactive effects
3) drug-reinforced behavior

Front 6

pharmacology of cigarette smoke

Back 6

4000 substances in cigarette smoke. nicotine=toxic alkaloid ganglion stimulation

Front 7

cardiovascular effects of nicotine

Back 7

1) increased systolic and diastolic BP
2) increased force of heart contraction
3)increased peripheral vascular vasoconstriction
4) increased myocardial o2 consumption and coronary artery blood flow
5) increased myocardial excitation

Front 8

CO and cigarette smoke

Back 8

CO displaces oxyhemoglobin dissociation curve to the Left. less availability for RBC to carry O2

Front 9

effect of cutting down smoking

Back 9

new studies show it doesn't matter. If heavy smokers cut cigarrette smoking by 1/2 it didn't effect toxin levels in their blood

Front 10

smoking effect on women vs men

Back 10

women are at higher risk to harmful effects of smoking. women were more than 2x as likely to get bladder cancer than men in one study.

Front 11

within 2 days of quitting smoking

Back 11

you can smell and taste better, BP and pulse rates will decrease, nerve endings start to regrow

Front 12

withing 2 weeks to 3 weeks of quitting smoking

Back 12

circulation improves, lung function improves

Front 13

within 1-9 months of quitting smoking

Back 13

coughing, sinus congestion, fatigue and SOB decrease

Front 14

within one year of quitting smoking

Back 14

heart attach risk is reduced by 50%

Front 15

within 10-15 years of quitting smoking

Back 15

risks of devleping life threatening disease are reduced nearly to that of a never-smoker

Front 16

education and smoking

Back 16

smoking cessation among high school dropouts is lower than those that are more educated

Front 17

smoking cessation facts

Back 17

most try to quit on their own and the success rate is only about 5%. 70% of aduts want to quit, females want to quit more than men.

Front 18

how many attempts do most smokers make before they are successful at quitting

Back 18

4-6 attempts

Front 19

most effective way to quit smoking...

Back 19

combination of counseling and pharmacology

Front 20

stages of change model (transtheoretical model) not only for smoking but for changing any lifestyle behavior.

Back 20

1) pre-comtemplation (not even thinking about it)
2) contemplation (thinking about it)
3) action (have a plan, picked a date to stop)
4) maintenance (they are still cigarette free..about a year)
5) relapse (takes 4-6 attempts to quit so relapse is common)
6)recycle (can recycle into any of these stages...)

Front 21

The 5 A's to help pt quit smoking

Back 21

1) Ask--medical and smoking hx
2) advise--conseguences of smoking
3) Assess--level of addiction
4) assist--counseling, pharmacology
5) Arrange--focus groups, stress management, referrals to specialists

Front 22

fagerstrom's tolerance questionairre

Back 22

few sentences of qustions to evaluate level of addiction
1) how soon after you wake up do you have your first cigarette
2) do you find it difficult to refrain from smoking in places where it is forbidden
3) which cigarette is most satisfying (time of day)
4) how many cigs a day do you smoke
5)smoke in moring?
6) smoke when sick?
....the higher the score the more addicted the pt is

Front 23

tips to help women quit smoking

Back 23

do not diet while quitting, exercise daily, accept that a little weight gain isn't the end of the world, time quitting to 15 days before or after menses

Front 24

FDA approved meds to help quit smoking

Back 24

Zyban/bupropion (by prescription)
Nicotine gum/ OTC
chantix-inhaler
nicotine nasal spray

Front 25

Chantix

Back 25

new FDA approved nicotine receptor blocker. MOA=blocks the nicotinic effect of cigarettes if they start smoking again, provides some nicotine effect to ease withdrawal.
Side effect/warnings! =suicide risk, depression. (don't start with this drug)

Front 26

when is relapse most common

Back 26

periods of negative emotion:anger, frustration, anxiety, depression