Tobacco Cessation
My Pack year history is 20. Given that I have smoked 2 packs a day. I have smoked for ____ years.
What is 10 years.
Remember:
[Pack year Hx] = [# of packs per day] X [# of years]
There are two forms of NRT's that rely on the "Time to first Cigarette" measurement. Name these two forms.
Patches = # of cigarettes/day
This ophthalmic disorder will cause "Halo's and Starbursts" around light sources.
What is Corneal Edema?
The impairment of sleep or daily activities.
The common term for Cerumen
Ear Wax
The 5 A's of Cessation take place at each patient encounter when discussing Tobacco Cessation. This is the second A of this process.
What is "Advise"?
Answers will vary. See slides 51-57 in the Tobacco Cessation lecture for details between the two.
The correct order for administering a solution and a suspension together.
Define: A cough that produces no mucus or secretions.
Define: EAC
External Auditory Canal
The following question falls into a category of the 5 R's:
"What would have to change for you to decide to quit sooner?"
What is "Roadblocks"?
This is the contraindication unique to Buproprion as a cessation technique.
What is Seizures?
72 hours.
This substance is available an an OTC expectorant in some states and has limited effects if taken with a CYP2D6 Inhibitor.
Codeine.
This device can be implants as a passageway through the eardrum and is an exclusion to self-care for excessive cerumen.
What is a Tympanostomy tube?
An effective method of assisting a patient in quitting Tobacco is the STAR method. The "S" in this plan stands for ____.
What is "Set a [quit] date"
Set a quit date
Tell family, friends and coworkers
Anticipate challenges
Remove tobacco products from the pt's environment
This approach to stop smoking while taking Varenicline is ideal for a patient wanting to quit, but is unwilling to set a firm quit date.
What is the Gradual quit approach.
Fixed: Stary RX 1 week prior to date.
Extended: Start RX, and stop sometime between day 8 and 35 of start date.
Gradual: Start RX, and reduce smoking by 50% over first 4 weeks.
This solution is used as a disinfectant for "Soft" contact lens. When used, the contacts cannot be placed directly into the eye.
What is Hydrogen peroxide?
Camphor and Menthol fall into this pharmacological category.
What is a topical Antitussive?
This common otic disorder comes with an occasional loss of hearing, and pain mild-severe pain that increases with movement of the ear.
Otitis Externa, "Swimmers Ear"
Tobacco use inhibits CYP1A2 activity. This lowers the effectiveness of several drugs. Name at least 3 of these drugs.
Double points if you can name all 5.
What is:
- Methadone
- Ropinirole
- Warfarin
- Caffeine
- Olanzapine
This combination of Cessation therapies is less effective than if the therapies were done individually.
What is Buproprion + NRT?
The only real beneficial combo therapy is Patch + Short-acting NRT (Gum, Lozenge, or Nasal Spray)
This Eye drop medication can be used in the youngest person presenting with ophthalmic symptoms.
Tricky Trick question:
Alcaftadine: 2+ yoa
Ketotifen: 3+ yoa
Olopatadine: 2+ yoa
There is one pharmacological measure that has limited efficacy data, but is well tolerated wit ha few adverse effects. Name this medication.
What is Guaifenesin?
True or False: the product "ClearEars" is used to prevent water from entering the ear and causing Swimmers Ear.
False. It is like the water-absorbing pills that expand. But remove the water from the ear.