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23 Cards in this Set
- Front
- Back
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how much nicotine is absorbed after inhalation?
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90%
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effects of nicotine?
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CNS/PNS stimulation and depresstion
resp stim and skeletal muscle relaxation catecholamine release increased BP, HR, CO and O2 consumption |
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5 A's of screening pts?
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ask, advise, assessment, assistance, arrangement to follow up
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transtheoretical model?
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precontemplation, contemplation, preparation, action, maintenance
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withdrawal symptoms?
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increased craving, anxiety, irritability, and appetite. decrease in cog ability and HR
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how much nicotine gum to use?
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<24 cig/day = 2mg
>24 cig/day = 4 mg no more than 24 pieces/day |
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12 week gum schedule
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1 piece every 1-2 hrs for weeks 1-6
1 piece every 2-4 hrs for weeks 7-9 1 piece every 4-8 hrs for weeks 10-12 |
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contraindications of nicotine gum?
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MI, angina, TMJ dz, dental problems, gastric dz, HTN, arrythmias
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side effects of gum?
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nausea, stomach ache, irritability, dizziness, tachy, palpitations, headache
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when to take nicotine lozenge?
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first cig >30min after waking = 2mg
1st cig <30in after waking = 4 mg no more than 5 lozenges/6hrs and no more than 20/day |
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nicotine inhaler?
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6-16 cartridges/day for 12 weeks, taper over 6-12 weeks
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nicotine nasal spray?
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1-2 doses/hr for 8 weeks, taper from weeks 9-14. no more than 40 doses per day
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nicotrol patch steps?
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3 steps
15 mg for 6 weeks 10 mg for 2 weeks 5 mg for 2 weeks |
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nicoderm patch steps?
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21 mg for 6 weeks
14 mg for 2 weeks 7 mg for 2 weeks <10 cig/day start with 14 mg |
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how long should you wer the patch?
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for 16 - 24 hrs
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bupropium?
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potentiates norepi and dopamine. stimulates reward center and decreases cravings
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dosing of bupropium?
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start 150 mg/day for 3 days
move to 150 mg/twice a day for 7-12 weeks |
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what does bupropium inhibit?
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CYP 2D6
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side effects of bupropium?
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headache, nausea, vomitting, constipation, dry mouth
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contraindications to bupropium?
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seizure threshold (bullemia, etoh withdraw, antidepressant, quinilones), HTN/MI, hepatic impairment
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effects of chantix?
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reduces tobacco cravings, stops nicotine from binding>decrease pleasure from smoking
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how long should you take chantix?
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for 12 weeks and then another 12 after to ensure long derm cessation
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adverse effects of chantix?
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nausea, vivid dreams
possible association with depression and suicidal ideation drowsiness |
