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Chapter 8
Smoking and Tobacco Use Cessation
28
Other
Professional
03/05/2013

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Cards

Term
What is the leading cause of preventable death is the US?
Definition
smoking, smokers die 10 years earlier than nonsmokers
Term
Smoking is a major risk factor for...
Definition
-stroke
-myocardial infarction
-peripheral vascular disease
-aortic aneurysm
-sudden death
Term
What is smoking the leading cause of?
Definition
lung disease
Term
What cancers is smoking linked to?
Definition
the mouth, esophagus, stomach, pancreas, cervix, kidney, colon, and bladder
Term
What are some oral effects of smoking?
Definition
-Squamous call carcinoma
-Leukoplakia
-Nicotine stomatitis
-Smoker’s melanosis
-Hairy tongue
-Halitosis
Term
What can smokeless tobacco cause?
Definition
-Squamous call carcinoma,
-Tobacco or snuff dipper’s pouch
-Verrucous carcinoma
-Gingival recession
-Periodontitis
-Necrotizing ulcerative gingivitis
Term
What are people who smoke addicted to?
Definition
nicotine
Term
What is nicotine?
Definition
a highly addictive drug that has been equated with heroin, cocaine, and amphetamine
Term
BLANK develops with repeated exposure.
Definition
Tolerance
Term
Where is nicotine absorbed?
Definition
through the skin and the mucosal lining of the nose and mouth and by inhalation into the lungs
Term
How long does it take for nicotine to reach the brain?
Definition
10 secs
Term
How quickly do the effects of nicotine gradually diminish?
Definition
over 30 to 120 minutes
Term
A person who smokes about 1 1/2 packs (30 cigarettes) a day gets BLANK hits of nicotine to the brain every day, each one within BLANK seconds after a pufs.
Definition
A person who smokes about 1 1/2 packs (30 cigarettes) a day gets 300 hits of nicotine to the brain every day, each one within 10 seconds after a puff
Term
What is the best way to stop smoking?
Definition
utilize more than one method to stop
Term
What are the 5 A's that the The U.S. Department of Health and Human Services Public Health Service guidelines are based on?
Definition
1.Asking patient about their tobacco use
2.Advising those who use tobacco to quit
3.Assessing the willingness of patients to make a quit attempt
4.Assisting in the quit attempt
5.Arranging for follow-up
Term
Patients who use smokeless tobacco should be asked what?
Definition
where they hold their tobacco
Term
What type of therapies does counseling consist of?
Definition
cognitive and behavioral
Term
What does cognitive therapy do?
Definition
attempts to change the way a patient thinks about smoking
Term
What does behavioral therapy do?
Definition
attempts to help the smoker avoid situations that might trigger the desire to smoke
Term
What is the rationale for nicotine replacement therapy (NRT)?
Definition
to replace cigarettes or smokeless tobacco with a source of nicotine that does not have the tars and carbon monoxide of tobacco and then gradually reduce the use of that replacement product to the point of abstinence
**helps patient not experience withdrawls**
Term
What are the 5 distinct types of NRT?
Definition
1.transdermal patch
2.gum
3.lozenges
4.inhaler
5.nasal spray
Term
WHat is the selection of the NRT product based on?
Definition
dependent on the number of cigarettes smoked per day, its potential adverse effects, and patient preference
Term
What is another first-line FDA-approved non-NRT pharmacotherapeutic smoking cessation agent?
Definition
slow-release bupropion, usually an antidepressant, affects neurologic pathways that nicotine uses,
Term
What may Bupropion cause? Who is it contradicted in?
Definition
-may cause weight gain
-contraindicated in patients with seizure disorders or in those who may be prone to seizures
Term
What is the most recently FDA-approved pharmacotherapeutic agent?
Definition
verenicline- blocks nicotine receptors, prevents reward and reinforcement of smoking
Term
What resulted in a product label change for verenicline?
Definition
Reports of depression and suicidal ideation resulted in a change in product labeling; however, these effects have not been substantiated
Term
What re the steps used now instead of the 5 A's for us to help our patients stop smoking?
Definition
1.Ask
2.Advise
3.Refer
Term
What is the Code for Dental Terminology (CDT)(Tobacco Counseling for the Control and Prevention of Oral Disease)?
Definition
D1320
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