PHRD5975 Self-Care - Smoking Cessation

Card Set Information

Author:
daynuhmay
ID:
272358
Filename:
PHRD5975 Self-Care - Smoking Cessation
Updated:
2014-04-29 05:52:42
Tags:
Smoking Cessation
Folders:

Description:
Smoking Cessation
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user daynuhmay on FreezingBlue Flashcards. What would you like to do?


  1. MOA of nicotine
    binds to a4b2 nicotinic receptors in the brain, triggering release of DA
  2. EXCLUSIONS for smoking cessation self-treatment (5)
    • 1) heart disease
    • 2) uncontrolled HTN
    • 3) pregnant/breast-feeding
    • 4) <18yo
    • 5) active peptic ulcer disease (PUD)
  3. 5 A's
    • 1) Ask
    • 2) Advise
    • 3) Assess
    • 4) Assist
    • 5) Arrange
  4. 5 R's (motivation)
    • 1) Relevance
    • 2) Risks
    • 3) Rewards
    • 4) Roadblocks
    • 5) Repetition
  5. MOA of nicotine replacement therapy
    stimulates release of DA in CNS

    => provides nontobacco source of nicotine to reduce sx of w/drawal & focus on behavioral & psychological aspects of quitting
  6. rank peak serum conc rates
    nasay spray > gum > lozenge > inhaler > patch
  7. recommended dosages for gum or lozenge
    • TTFC > 30min => 2mg
    • TTFC < 30min => 4mg
  8. contraindication assoc'd w/ NRT gum
    TMJ (may exacerbate)
  9. instructions for NRT gum
    • 1) 15-20 chews until peppery feeling
    • 2) park between cheek & gum
    • 3) 15-20 chews again after peppery feeling is gone
    • 4) park in another location
  10. counseling points for NRT gum
    • 1) may cause jaw soreness, nausea, dyspepsia
    • 2) avoid food/drinks 15min prior
    • 3) keep on person @ all times
  11. purpose of sodium (bi)carbonate in NRT
    buffering agents in gum/lozenge to inc salivary pH
  12. counseling points for NRT lozenge
    • 1) suck, don't chew
    • 2) move lozenge around
    • 3) can cause mouth irritation, nausea, heartburn, flatulence, insomnia
  13. dosage of patch if >10cig/day (1/2ppd)
    21mg x 6 weeks, 14mg x 2 weeks, 7mg x 2 weeks
  14. dosage of patch if <10cig/day
    14mg x 6weeks, 7mg x 2 weeks
  15. counseling points for NRT patch
    • 1) don't smoke while on patch
    • 2) take off prior to MRI
    • 3) don't cut patch
    • 4) discard by folding upon itself
  16. MOA of buproprion
    blocks reuptake of DA & NE, decreasing cravings for cigarettes & sx of withdrawal
  17. MOA of varenicline
    highly selective partial agonist-antagonist of a2b4 nicotinic receptors 

    • -modest R stim => inc DA => attenuated w/drawal sx
    • -blocks binding of nicotine to nicotine R's to inhibit DA surges
  18. why NRT should be used w/ caution in pts w/ CV disease
    nicotine may inc myocardial workload by inc HR & BP, & constrict coronary arteries
  19. options for light smokers (<10cig/day)
    counseling, patch
  20. rec'd for pts who smoke continuously throughout the day
    patch (sustained, steady release)
  21. rec'd for pts who smoke intermittently
    gum/lozenge

What would you like to do?

Home > Flashcards > Print Preview