Drugs to Fight Drugs
Behavioral Interventions
Pre-Op Exercise Training
Let's Have Some "Fun"
100
While Zyns do not have tobacco, they have nicotine in high doses and cannot taper nicotine addicts unlike this chewing nicotine replacement therapy
What is nicotine gum?
*To use the gum, chew a piece Q1-2 hours until you feel a tingle and then put it next to your cheek/gum for a minute
100
Aside from medications, just doing this action is the other best process to prevent people from smoking or to try and stop
What is talking/educating?
*This is best for children, teens, and pregnant patients. For anyone else, doing both will be more potent!
100
On average, exercising before surgery also reduced a patient's stay in this environment/building
What is a hospital?
*This is a secondary effect, but it did decrease the stay by about 2 days!
100
If I made a podcast, I would likely talk about this Japanese artform that means to fold paper
What is origami?
200
When doing nicotine replacement therapy (NRT), you want to combine a long-acting nicotine agonist with a short-acting agonist, which includes this type of round tablet
What is a (nicotine) lozenge?
*Other short-acting agonists include inhalers, nasal sprays, and gum
200
Having a close follow-up for smoking cessation matters, as this process can occur within a few days or weeks of cessation
What is relapse?
*Try contacting your patient within a week, a phone call suffices!
200
This Cochrane meta-analysis determined that exercising before lung surgery for this broad histological type of lung cancer improves post-operative outcomes
What is non-small cell lung cancer (NSCLC)?
*It reduced pulmonary complications by 55%!
200
*Daily Double!*
The person who picks this can pick another card and wager points. If that person gets it right they get double their wager (otherwise they lose their bet)!
NO ONE ELSE can answer, just the person who picked this!
300
This nicotine replacement therapy provides a controlled, LONG dose of nicotine to minimize withdrawal effects and desensitize your body to nicotine
What is the nicotine patch?
*It is the only long-acting nicotine agonist, releasing it for 16-24 hours
300
If a patient is 50-80 years old and has at least this pack-year history length, you should annually screen them for lung cancer
What is 20 pack-years?
*1 pack is 20 cigarettes, and Pack-years = # of D aily Packs x Years of Smoking
300
The training program for this study includes 7 different sessions of any workout type within a minimum of this time period
What is 1 week or 7 days?
*They just need some moderate-intensity exercise for the time of an average workout! They did not focus on long-term exercise programs
300
If I was somehow good enough to compete in an Olympic event, I would probably try this sport, particularly its variant called bouldering
What is rock climbing?
400
Varenicline, more commonly known as this drug name, will competitively block nicotine receptors to minimize withdrawal symptoms and cravings
What is Chantix?
*While it is the best single item treatment, side effects include nausea, headaches, insomnia, and abnormal/vivid dreams
400
Unlike behavioral therapy, this therapy will target both the dysfunctional behavior AND the negative thoughts and feelings associated with them
What is cognitive behavioral therapy?
*You can use both for smoking cessation!
400
One study limitation is that researchers did not account this category of cancer therapies, which are other pre-op treatments such as chemotherapy or radiation therapy
What are neoadjuvant therapies?
*They also did not focus on long-term effects of this intervention and if it has any adverse effects (latter is unlikely)
400
While not exactly 2016, in 2018 I recreated the "I'm John Cena" vine where the kid played these instruments through his nose
What are recorders?
500
Bupropion inhibits the reuptake of dopamine and this catecholamine to reduce nicotine withdrawal symptoms and cravings
What is norepinephrine?
*Can also be used against depression!
500
For pregnant patients, you may be able to convince them to stop smoking by discussing perinatal complications that occur upon this many gestational weeks
What is 15?
500
It is likely that pre-op exercise increases this value that can be measured with a maximal cardiopulmonary exercise test (CPET) for 8-12 minutes.
What is VO2,max or peak oxygen consumption?
*This is the maximum amount of oxygen the body can utilize at a given moment while under maximal exercise, which can gauge a patient's stability during surgery
500
If I wanted to have dinner with any person, I would want to talk to this stand-up comedian who happens to be born in my hometown Mechanicsburg, PA
Who is Shane Gillis?