Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
OTC smoking Cen.
OTC Dr. Dunican
| Question | Answer |
|---|---|
| vapors in cig contains what | nitrogen, carbon monoxide, hyrogen cyanide and benzene |
| what does nicotine do to the body | increase BP increase HR increase force of contraction, vasocontricts vessels, arousal, enhanced tast performance, increase metabolic rate, appetite suppression |
| where is nicotine metoblized | CYP2A6 |
| what is the elmination rate | 1/2 to 2 hrs in chronic smoker so people will have to keep smoking to maintain therapeutic level |
| what is the therapeutic leave | 20-40ng/ml so withdraw over night |
| the pharmacokinetic drug interaction | induction of CYP1A2 |
| if someone quit smoking what would happen to drugs that are metabolized by CYP1A2 | increase in concentrations olanzapin, caffeine, theophylline |
| what are some pharmacodynamic affects of nicotine | OCs, beta blocker, benzodiazepines |
| THE PHARMACOLOG OF NICTOINE DOES WHAT | REENFORCEDT HE PHARMACOLOGY OF NICOTINE |
| cigarette is an efficient deliver system | because smoker can control the amount of nictoine by how deeply they inhale and how often, choosing the number of cig, time smoke is held in lungs (depth, frequency) |
| what are some of the withdrawal sy | head ache, weight gain, changes sleep pattern, fatigue, insomia, dizz, decrease the heart rate, loss of concentration, hostility, increase skin timeperature, craving, anxiety, impatient |
| what is the typically nicotine withdrawal symtoms to subside | 2 to 4 weeks subside not mean disapear either |
| how many people what to quit smoking but are having trouble | 7 of of ten |
| statistics on quit | assistance from clinician increase odds of quit, brief seesion help but intense session help even more, only 4.7 % of current smokers were able to quit and maintain abstinence for 3-12 months, 40 % everyday, current smoker stopped smoking for at least 1 d |
| the 5 a are for couseling on helping to quit | (blank) |
| the 5 r's are to | motivate when patients are not ready to quit |
| what are some treatment oppitions to quit smoking | NRT nicotine replace therapy, RX NRT, bupropian ZYBAN, CHANTIX varenicline works on nicotine receptors, {used to use:clonidine, nortriptyline} |
| what are some non-pharmacologic theray | managing the withdraw symptoms Cravings (avoid additional stress druign first few weeks, wait out the urge becuase only last for a few minutes, distraction, excercise) |
| what are the recommendations for dizziness | use extra caution, change positions slowly |
| what are the recommendations for chest tightness | use relaxation techniques, deep breathing use NRT if it helps |
| what are the recommendation for cough dry throat nasal drip | drink plenty of fluid |
| what are the recomm for constipation | drink plenty of fluids eat fruits, veggies, whole grain cereals |
| for hunger/weight gain recommendation | drink water or low calorie liquieds, be prepared with low calorie snacks treat carrot sticks like cig. |
| recommendaitons for isomnia | avoid caffeine after 6 pm, relaxation techniques |
| recommendations for irritability | take walks, try hot baths, relaxation techniques |
| what is the first line of therapy | (chantix is NOT) burpropin |
| what is the nicotine inhaler brand name and is it OTC or RX | RX nicotrol |
| what are our OTC options of NRT | patches gum and lozenge (couseling) |
| when should you not use NRT | when still smoking, don't recommend using combination, sever CVD, recent MI, serious arrhythmias, if have sever HP or uncontroled (CAN use if have controled HP), pregnancy/nurising, adolescents, asthma, depression refer to doc. ( can use under doc) |
| how should you use the gum | chew slowly unitl tastes pepery or feel tingle in mouth (15 chews) Chew and park when taste gone, chew and park again |
| when using nicotine gum what | (blank) |
| what are some side effects | unpleasant taste, mouth irritation, jaw muscle, soreness/fatigue, hpyersalivation, hiccups, dyspepesia, and fatulence |
| if you chew to rapidly what will this lead to | lightheadedness, nause ,vomiting, irritation,of throat and mout, hiccups, indigestion |
| what is the special with nicotine lozenges (commit) | the dosing is depend on how soon they get their cravings |
| with the lozenges how do you use it | suck then park, max 20 lozenges/day, avoid eating and driking 15 mins before or after, not chewed or swallowed, use on dosing shedual, may cause heart burn |
| what are the three brands of patches | nicoderm CQ, prostep, nicotrol |
| how do you use the nicotine patches | use the step down approach for nicotine CQ ... |
| how should you discard the patch | you should fold up to adhear onself and discard back into foil patch |
| what are some side effects from patches | if getting light headness it might be over dose so decrease, if irritating change sites, use cortisone cream, if dreams take off before bedtime |
| what is the brand name for OTC nicotine gum | Nicorette |
| what is the brand name for nicotine nasal spray, is it otc or rx | it is rx NICOTROL NS |
| what is the brand name for the patches | Nicoder CQ and Prostep they come in OTC and generic |
| what is the brand name for nicotine lozenges | Commit which are OTC |
| nicorette gum is called ? what strengths? what flavors? what is the max/day | nicotine polacrilex gum/ 2 and 4 mg/ mint, orange, fresh mint, cinnamon, fruit, flavor burst/ 24 pieces per day for up to 12 weeks then refer out/ if over 25 cig use 4 if under 24 use 2mg gum |
| dosing for nictoine gum on weeks 1-6 | 1 piece q 1-2h (typically 9 pieces per day) max is 24 pieces per day for up to 12 weeks |
| to avoid sub therapeutic dosing what should you recommend for nicotine gum | recommend fixed schedule and taper over 1-3 months rather than using PRN |
| how should nicotine gum be administured | avoid eating and drinking anything but water for 15 mins before and during use. acidic beverage may interfere with buccal absorption of nicotine by reducing salivary pH |
| if a patient is using commit and has a craving within 30 minutes of waking what dose of lozenge should you use | 4mg lozenge |
| what is nicotine patches dosing for someone who smoke getting than 10 weeks | 21mg/24hr starting patch for patients who smoke >10 cigarettes/day and use weeks 1-6 then 14mg/24hr weeks 7-8 and 7mg/24hr weeks 9-10 |
| why chose one NRT over another | dental problems, tanning not like lines from patch, not hold something in buccul cavitity, allergic to adhesive, patient choice |
| reasons for choseing one NRT over another | patient choice, lifestyole habits, coexisting medical conditions, contraindications to use, higher levels of smoking=higher doses, longer duration of treatment |
| reasons for choseing one NRT over another | previous attempts: SE numberous failed attempts may warrant use of combo (NRT+PO RX med) |
| reasons for choseing one NRT over another | smoke continuous throughtout day=patch or if smoke intermittently= gum/lozenge (=PRN) |
| reasons for choseing one NRT over another | Dental issures/ TMJ= no gum, social acceptance of gum might not be good for job, dermatologic conditions,acne can't use over other medications, weight gain will be prevented with weight gain) |
| what is better about patch for a longer term smoker | the patch provides more of a steady stream |
| when the park and chew method is used how long shousl the patient chew the guym before parking | about 15 chews or until taste pepper taste and tingle |
| if someone smokes 15 cigarettes per day and smokes his first cigarette within 10 miutes of waking up each morning | nicorette guym 2 mg q 1 to 2 h and commit lozenge 4mg q1-2h (14 mg is not appropiate should have started with 21mg) |
| how is commit lozenger dosed | based of when you get first craving |
| what is the role of the pharmacist: | how to use the products correctly, help them chose the right product for them, encourage them with support, monitoring ask about problems, following up, counsel on non-pharmacological options, motivate to quite, send to smoking cessation clinic ran by Rph |
| need to know | know strengths, doses, brand generic names, nonpharmacological treatment, cyp1a3, genereal helath consequience, specifics of cardiovascular and pulmonary effects, effects of second hand smoke, benifts of quitting figure 50-1, withdrawal symptoms and how |
| also need to know | to manage (nonpharmacologic, NRT: brand generic names, strengths, available, dosing including max SE, when to chose one over another |
| nice to know and wher to go | nice to know stats, specific components of cigarette smoke, need to know nictine, carbon monoxide, carcinogens, and tar, rx options, 5R's |
| where to go for more information | CDC website, OTC book, manufacturers websites, review articles, website for products are awesome |
Created by:
lainylaina
Popular Pharmacology sets